. Manual of operative surgery. Fig. 1448.—Symes amputation. {Farabeuf.). ec a Fig. 1449.—Symes amputation, {y/ahham^/, Fibula; /. tibia; , tibialis anticus; dh, ext. long, hallucis; , ant. tib. art.; ant. tib. vein; com. dig.; f>n/., peroneus ongus; pnh., peroneus brevis;/./.A. flex. long, hallucis; t. ack, t. achiUis; ,tib. post; , flex. long, dig; post, tib. art., dividing into and external and internalplantar artery; and , ext. and int. calcaneal branches forming blood supply of thick heel-flap. Step 3.—By ben
. Manual of operative surgery. Fig. 1448.—Symes amputation. {Farabeuf.). ec a Fig. 1449.—Symes amputation, {y/ahham^/, Fibula; /. tibia; , tibialis anticus; dh, ext. long, hallucis; , ant. tib. art.; ant. tib. vein; com. dig.; f>n/., peroneus ongus; pnh., peroneus brevis;/./.A. flex. long, hallucis; t. ack, t. achiUis; ,tib. post; , flex. long, dig; post, tib. art., dividing into and external and internalplantar artery; and , ext. and int. calcaneal branches forming blood supply of thick heel-flap. Step 3.—By bending the foot more and more, separate the surfaces of theankle-joint and expose the tendo Achillis. Divide the tendo AchiUis closeto the OS calcis. Dissect the heel flap from the os calcis from above downwards, Watsons amputation ii73 leaving the flap as thick as possible and not punctured. In children the epiphy-sis may come away with the heel llap and if healthy can be utilized. Removethe foot (Fig. 1440). Step 4.—With the-saw remove both malleoli and with the
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