Operative surgery, for students and practitioners . that inter-fere with the enucleation of the bone. One should avoid button-holing the flap, especially as the back part of the os calcis is reachedand as the attachment of the tendo Achillis is being separated fromthe bone; the posterior tibial vessels in the inner side of the flapmay also be avoided by keeping the edge of the knife close to thebone. After the os calcis has been thus enucleated from the soft partsof the heel and the foot removed, the flap is turned up and dissectedaway from the lower margin of the tibia and flbula for a short
Operative surgery, for students and practitioners . that inter-fere with the enucleation of the bone. One should avoid button-holing the flap, especially as the back part of the os calcis is reachedand as the attachment of the tendo Achillis is being separated fromthe bone; the posterior tibial vessels in the inner side of the flapmay also be avoided by keeping the edge of the knife close to thebone. After the os calcis has been thus enucleated from the soft partsof the heel and the foot removed, the flap is turned up and dissectedaway from the lower margin of the tibia and flbula for a short dis-tance, in order to make way for the application of the saw. A thinslice of the lower end of the tibia and the malleoli are then anterior tibial and the internal and external plantar vessels areligated and the anterior and posterior tibial nerves drawn down andcut short, as are also the ends of any divided tendons that presentthemselves, and the wound then closed with interrupted catgutsutures. AMPUTATIONS, RESECTIONS, ETC. 781 ^^c^. Fig. 344.—Right Foot, Inner Side. A, astragalus; C, os calcis; .Sf, sca-phoid; TA, tendo Achillis. Dotted lines show lines of section through thebones in Pirogoffs amputation. crrl
Size: 1613px × 1550px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookauthormcgrathj, bookcentury1900, bookdecade1910, bookyear1913
