. Text-book of operative surgery . e tbrougb tbe lateral bgamentsjust below tbe epicondyles, and transversely across its posterior surface immediatelyabove tbe synovial poucbes posteriorly bebind tbe condyles. Tbe lower epipbysis oftbe femur is sawa tbrougb convexly along tbis line, and tbe soft parts on tbe posterioraspect of tbe limb are divided. 36o OPERATIVE SURGERY The stumps wliich we liave seen from tliis Operation (and our teaclier Lücke wasvery fond of tlie metliod) were all painless,^ and bore pressure exceedingly well, inspite of the fact that the bone cicatrix was directed downward
. Text-book of operative surgery . e tbrougb tbe lateral bgamentsjust below tbe epicondyles, and transversely across its posterior surface immediatelyabove tbe synovial poucbes posteriorly bebind tbe condyles. Tbe lower epipbysis oftbe femur is sawa tbrougb convexly along tbis line, and tbe soft parts on tbe posterioraspect of tbe limb are divided. 36o OPERATIVE SURGERY The stumps wliich we liave seen from tliis Operation (and our teaclier Lücke wasvery fond of tlie metliod) were all painless,^ and bore pressure exceedingly well, inspite of the fact that the bone cicatrix was directed downwards. Moreover, the skinwas always freely movable upon the stump, becanse the fascia was placed over thesawn surface of the bone, and the scar lay entirely on the posterior aspect of thestump. 51. Osteoplastic Amputation of the Femur through the Condyles (Ssabanejeflf).Ssabanejeff has devised a form of osteo2dastic amputation through the condyles inwhich the anterior Aap contains a piece of bone sawn from the anterior surface of the. ? \ Fig. 234.—Osteoplastic ainpiitatiou through the condyles of the femur (Ssabauejeff). An obliqueincision has^ been made through skin and fascia as in Cardens ampiitatiou (Fig. 233). Thetibia is sawn through obliquely upwards and backwards as high as the head of the fibula,and the Aap containing the upper section of the bone is thrown backwards. The line ofsection through the condyles of the fenaur is shown. tibia. After retraction of the anterior Aap the saw is applied close to its anterioredge and carried in an oblique, or, better, slightly concave direction backwards to theposterior surface of the tibia, so as to remove from it a cap of bone (Fig. 234). TheAap containing the piece of bone is reflected upwards as in the Operation justdescribed, after dividing the capsule and the lateral ligaments. The condyles of thefemur are then divided obliquely as Fig. 234 shows, from above downwards and 1 We inust point this out in Opposition to Bier,
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