. Manual of operative surgery. the method. Arthrotomy Knee.—Arthrotomy may beperformed for several purposes: (a) Ex-ploratory; (b) for the removal of the fluids,, serous effusion, blood, pus; (c) as apreventive measure after infected or sus-pected wounds; (d) as a substitute for punc-ture and injection; here the wound must beclosed after the selected remedial fluid hason the knee. Murphy, whenever possible, prepare thejoint by injecting glycerine-formalin solutiona week or ten days before performing arthro-tomy. Arthrotomy may be performd in several ways: (A) Antero-lateral Incision.—For e
. Manual of operative surgery. the method. Arthrotomy Knee.—Arthrotomy may beperformed for several purposes: (a) Ex-ploratory; (b) for the removal of the fluids,, serous effusion, blood, pus; (c) as apreventive measure after infected or sus-pected wounds; (d) as a substitute for punc-ture and injection; here the wound must beclosed after the selected remedial fluid hason the knee. Murphy, whenever possible, prepare thejoint by injecting glycerine-formalin solutiona week or ten days before performing arthro-tomy. Arthrotomy may be performd in several ways: (A) Antero-lateral Incision.—For exploratory purposes or if serous or bloodyfluid is alone present, make an incis on one fingers breadth external to the pa-tella from the level of the lower edge of the patella to a point about twofingers breadth above the upper end of the patella (Fig. 1276). This incisionis slightly curved, the concavity being towards the patella. Divide the skinand fascia. When the synovialis is reached pick it up with forceps and cut 65. Fig. 1276.—.Arthrotomy. (Labey.) I026 KNEE-JOINT between the forceps so as to open the joint. Enlarge the wound in the synovialiswith scissors so as to gain access to the upper pouch of the joint. Of courseunder certain circumstances a smaller incision suffices and should be made;for exploration and for many other purposes the larger cut described is essential.
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