. Operative surgery. on of this joint: 1, the non-subperiosteal, or ordinary; and 2, the subperiosteal method. The former is employed only when the tissues are tooextensively destroyed or diseased to admitof the saving of the periosteum. The Operation of Non - subperiostealExcision of the Knee Joint (Mackenzie).—Flex the leg to a right angle and make acurved incision from the posterior borderand upper portion of the inner condylearound to a corresponding point on theouter, with the convexity downward andextending to the insertion of the liga-mentum patellae (Fig. 434). This incisiondivides the
. Operative surgery. on of this joint: 1, the non-subperiosteal, or ordinary; and 2, the subperiosteal method. The former is employed only when the tissues are tooextensively destroyed or diseased to admitof the saving of the periosteum. The Operation of Non - subperiostealExcision of the Knee Joint (Mackenzie).—Flex the leg to a right angle and make acurved incision from the posterior borderand upper portion of the inner condylearound to a corresponding point on theouter, with the convexity downward andextending to the insertion of the liga-mentum patellae (Fig. 434). This incisiondivides the tissues down to and opens theanterior portion of the capsular limb should now be still more strong-ly flexed, the flap turned upward, and theFig. 436.—Sawing off upper end of lateral and crucial ligaments divided. A retractor is then passed between the liga-mentum posticum Winslowii and the posterior surface of the condyles ofthe femur, the lower end of the femur bone pushed forward and cut off on a. OPERATIONS ON BONES. 419 plane at right angles witli the long axis of the bone (Fig. 435) and parallelwith that of the distal surface of the condyle, provided the extent of thedisease will admit. The head of the tibia is then exposed, pushed forward.
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Keywords: ., bookauthorbryantjosephdjosephde, bookcentury1900, bookdecade1900
