. Minor surgery and bandaging; including the treatment of fractures and dislocations, the ligation of arteries, amputations, excisions and resections, intestinal anastomosis, operations upon nerves and tendons, tracheotomy, intubation of the larynx, Resection of lower end of the fibula. as completely as possible, the shaft of the bone may bedivided at its middle and each fragment grasped withforceps and dissected up, and removed at its epiphysealjunction (Fig. 456). Excision of the Ankle joint.—In excising the ankle-joint, an incision is made at a point two inches above theexternal malle
. Minor surgery and bandaging; including the treatment of fractures and dislocations, the ligation of arteries, amputations, excisions and resections, intestinal anastomosis, operations upon nerves and tendons, tracheotomy, intubation of the larynx, Resection of lower end of the fibula. as completely as possible, the shaft of the bone may bedivided at its middle and each fragment grasped withforceps and dissected up, and removed at its epiphysealjunction (Fig. 456). Excision of the Ankle joint.—In excising the ankle-joint, an incision is made at a point two inches above theexternal malleolus, and carried downward over the fibulato the tip of the external malleolus ; it is then curvedslightly upward toward the dorsum of the foot (Fig. 457), EXCISION OF THE ASTRAGALUS. 549 care being taken that the incision does not extend so farforward as to endanger the extensor tendons or the dorsalartery. The bone is exposed in this incision and theperiosteum is separated and turned aside; the peronealtendons are next exposed and held to one side by retrac-tors; the external malleolus is next divided by bone-for-ceps and removed, and the astragalus exposed. The upperarticulating surface of the astragalus is next removed with Fig. Incision for excision of the ankle-joint. (Stimson.) bone-forceps or a saw, or the whole bone may be foot is next inverted and the end of the tibia clearedwith a probe-pointed knife, care being taken not to injurethe posterior tibial artery, nerve, or vein; and when thearticular surface has been freed, it is removed with a sawor bone-forceps. The articular end of the tibia may beexposed by making an additional incision upon the innerside of the ankle over the internal malleolus if of the Astragalus.—In excising the astraga- 550 EXCISIONS OR RESECTIONS. lus, a semilunar incision is made upon the outside of theankle-joint, very similar to that employed in excising theankle; the external lateral ligaments are divi
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1902
