A system of surgery : pathological, diagnostic, therapeutic, and operative . P, LIGATION OF THE ANTERIOR TIBIAL. The anterior tibial artery may require to be tied on account of hemorrhage ortraumatic aneurism, and the best plan always is to take the external wound asour guide to the seat of the injury. The vessel, whose course is indicated by aline drawn from the head of the fibula to the base of the great toe, may be se-cured at three different points. The artery, in the superior third of iis extent, lies underneath and betweenthe anterior tibial and common extensor muscles, and may be expose
A system of surgery : pathological, diagnostic, therapeutic, and operative . P, LIGATION OF THE ANTERIOR TIBIAL. The anterior tibial artery may require to be tied on account of hemorrhage ortraumatic aneurism, and the best plan always is to take the external wound asour guide to the seat of the injury. The vessel, whose course is indicated by aline drawn from the head of the fibula to the base of the great toe, may be se-cured at three different points. The artery, in the superior third of iis extent, lies underneath and betweenthe anterior tibial and common extensor muscles, and may be exposed by a ver-tical incision, four inches in length, carried down in the direction of the line justmentioned. The skin and superficial fascia being divided, the aponeurosis is to be split open upon a director to the full extent of theFig. 285. outer wound ; the two muscles are then to be sepa- rated from each other along their raphe, and theartery, which lies in close contact with the interos-seous ligament, is surrounded with the ligature, in the accompanyingexterior to the. IS such a manner as not to injureveins. The anterior tibial nervevessels. » In the middle third of the leg, the relations of thevessel are essentially the same as in the upper, exceptthat the long extensor of the toe is interposed betweenthe anterior tibial and common extensor. The arteryis still deep-seated, and a long incision is required forits full exposure. A branch of the peroneal nervesometimes attaches itself to the artery here, and mustbe drawn away before passing the ligature. In the inferior third of the limb, the artery lies onthe tibia, between the tendons of the common extensorof the foot and the proper extensor of the great toe, thelatter overlapping it on the inside. The vessel hereis, therefore, comparatively easy of access. The dorsal artery of tlae foot, the continuation ofthe anterior tibial, may easily be tied in any portionof its extent, as it runs down across the instep, itscourse bein
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Keywords: ., bookcentury1800, booksubjectgeneralsurgery, booksubjectsurgery
