. Manual of operative surgery. Fig. 1578. Fig. 1579. Figs. 1578 and 1579.—Jones transplantation of insertion tendo .\chillis. by transplantation moves the insertion of the tendo Achillis outwards in thefollowing manner: Expose the tendo Achillis by a T-shaped incision (Fig. 1578).Split the tendon longitudinally. Separate the inner half of the tendon from itsinsertion. Pass the inner segment of tendon (now a flap with pedicle above)under the outer (Fig. 1579) segment and suture its free end to the periosteum of I230 TENOTOMY the OS calcis outside and in immediate juxtaposition to the still atta
. Manual of operative surgery. Fig. 1578. Fig. 1579. Figs. 1578 and 1579.—Jones transplantation of insertion tendo .\chillis. by transplantation moves the insertion of the tendo Achillis outwards in thefollowing manner: Expose the tendo Achillis by a T-shaped incision (Fig. 1578).Split the tendon longitudinally. Separate the inner half of the tendon from itsinsertion. Pass the inner segment of tendon (now a flap with pedicle above)under the outer (Fig. 1579) segment and suture its free end to the periosteum of I230 TENOTOMY the OS calcis outside and in immediate juxtaposition to the still attached opposing surfaces of tendon should be vivified and sutured together. Phelps Operation.—Preliminary Treatment.—If the patient has walked,large callosities will be present on the foot; to soften and clean these soap poul-tices should be applied for twenty-four hours; twelve hours before the operationthe foot must be thoroughly scrubbed and an antiseptic fomentation applied. Step I.—Render limb avascular by
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