Exercises in equine surgery . the same time the instrument iswithdrawn pass the blade of the curved tenotome in thepuncture; turn the cutting edge against the ligament and cutfrom within to Avithout. III.—NEURECTOMY. General Rules.—The diverse neurectomies are performedupon the animal adjusted in the decubital position. If theoperation is made on the external side of the limb, the horseis cast on the side opposite that member; if it is made on theinternal side, it should be cast on the side corresponding tathe member; if the operation is bilateral, the operation is firstmade upon the inside. I
Exercises in equine surgery . the same time the instrument iswithdrawn pass the blade of the curved tenotome in thepuncture; turn the cutting edge against the ligament and cutfrom within to Avithout. III.—NEURECTOMY. General Rules.—The diverse neurectomies are performedupon the animal adjusted in the decubital position. If theoperation is made on the external side of the limb, the horseis cast on the side opposite that member; if it is made on theinternal side, it should be cast on the side corresponding tathe member; if the operation is bilateral, the operation is firstmade upon the inside. Instruments.—^c\s&orf^, two bistouries, rat-tooth forceps,and needle furnished with thread are the only instruments NEURECTOMY. that are indispensable; but it is convenient to have a dilatoror retractor, a director and artery forceps. The operation comprises fonr steps: 1st, incision of the skin;2nd, dissection of the subcutaneous tissues and isolation of thenerve; 3rd, resection of a part of the nerve; 4th, Fig. 48.—Femoro-tibio patellar articulation. L i t, internal lip of the femoral trochlea; t r i. Internal tibio-patellar ligament; f r, femoro-patellar ligament. 1.—Plantar Neurectomy Below the Fetlock.(Pbalaugeal Neurectomy.) Restraint.—The operation should always be made upon bothplantar nerves. Begin with the internal. The horse shouldbe cast upon the same side as the limb to be operated upon. 100 EXERCISES IN EQUINE SURGERY. If it is an anterior member, fix it above the hough of theopposite posterior member; if upon a posterior member, carryit above tlie knee on tlie opposite fore limb. Technique.—First step: Incision.—If tlie phalangealregion is neither infiltrated nor indurated, it is sufficient toexplore the lateral face with the pulp of the thumb to find atthe posterior part the ligament of the 2ilantar cushion and theadjacent vaseulo-nervous cord. There make the line of inci-sion (fig. 49). If there is infiltration or induration, and theseor
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