. A practical treatise on fractures and dislocations. New formation of bone on an oldunreduced Result of operative reduction of old dislocation. soft parts were separated from the bone, leaving the periosteum undis-turbed, into the trochlea and above the fossa trochlearis in front andbehind ; through the second incision, on the inner side of the elbow,the flexor muscles were cut away close in front of the epitrochlea, andthe separation of the soft parts from the bones completed. The greatersigmoid cavity was found filled with hard cicatricial tissue, which wascut and scraped away
. A practical treatise on fractures and dislocations. New formation of bone on an oldunreduced Result of operative reduction of old dislocation. soft parts were separated from the bone, leaving the periosteum undis-turbed, into the trochlea and above the fossa trochlearis in front andbehind ; through the second incision, on the inner side of the elbow,the flexor muscles were cut away close in front of the epitrochlea, andthe separation of the soft parts from the bones completed. The greatersigmoid cavity was found filled with hard cicatricial tissue, which wascut and scraped away after separation of the posterior attachment ofthe orbicular ligament. Reduction was then easily made. Recovery43 674 DISLOCATIONS. took place without incident, and the patient was dismissed at the endof four weeks, the wounds being almost healed. There was good activerotation, but very little flexion ; passively, there was complete extensionand flexion to a right angle. In 1886 I operated upon a five-months backward dislocation in agirl eleven years old by an incision oh the outer side and division of
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