. Manual of operative surgery. Fig. ioSo. Fig. 1081. Figs. 1080 and ioSi.—Miillers operation. 4. W. Miillers Operation.—Step i.—Expose the ends of the bone by a ver-tical incision, A B (Fig. 1080). Remove the interposed old scar a chisel vivify the ends of the bone (xx). Step 2.—Outline the flap D C E (Fig. 1080). With a chisel introduced at Ccut a slice of bone from the upper fragment, thus forming a flap of bone, peri-osteum, and skin, which has a pedicle at D E. Step 3.—Rotate the flap D C E so as to make it bridge the osseous the osseous surface of the flap to the vi

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. Manual of operative surgery. Fig. ioSo. Fig. 1081. Figs. 1080 and ioSi.—Miillers operation. 4. W. Miillers Operation.—Step i.—Expose the ends of the bone by a ver-tical incision, A B (Fig. 1080). Remove the interposed old scar a chisel vivify the ends of the bone (xx). Step 2.—Outline the flap D C E (Fig. 1080). With a chisel introduced at Ccut a slice of bone from the upper fragment, thus forming a flap of bone, peri-osteum, and skin, which has a pedicle at D E. Step 3.—Rotate the flap D C E so as to make it bridge the osseous the osseous surface of the flap to the vivified ends of bone fragments at xx(Fig. 1081); this may be done with sutures or pegs. Step 4.—Close or lessen the size of the defect left by the transplantation ofD E C by undermining and sliding the skin edges together or by Thierschsgrafts. 5. Miiller has devised a method by which the twisting of pedicle of the flapis avoided. Step —Make the U-shaped incision A B C D (Fig. 1082), the points A andB being an

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Keywords: ., bookcentury1900, bookdecade1920, bookpublisherphila, bookyear1921