. Manual of operative surgery. rds and forwards over the articulation, over theinner side and neck of the astragalus to end in front of the prominence of thescaphoid. On the outer side of the ankle make a similar incision along theanterior surface and margin of the fibula, across the articulation and ^ding onthe outer side of the cuboid at the level of the astragalo-scaphoid joint. Withforceps, knife, and elevator separate the whole bridge of tissue between the twocuts, from the underlying bones (Fig. 1322). If the case is one of tuberculosis,put the foot in a position of dorsal flexion, lift
. Manual of operative surgery. rds and forwards over the articulation, over theinner side and neck of the astragalus to end in front of the prominence of thescaphoid. On the outer side of the ankle make a similar incision along theanterior surface and margin of the fibula, across the articulation and ^ding onthe outer side of the cuboid at the level of the astragalo-scaphoid joint. Withforceps, knife, and elevator separate the whole bridge of tissue between the twocuts, from the underlying bones (Fig. 1322). If the case is one of tuberculosis,put the foot in a position of dorsal flexion, lift the tissue bridge out of the waywith a blunt hook, examine the whole anterior articular region, remove bydissection, the anterior synovialis, and, if a partial operation will suffice, remove 1064 ANKLE any diseased bone with chisel and spoon. Konig writes: If a large focus ispresent in the astragalus there is always danger that the three neighboringjoints are affected and one must, as a rule, remove the astragalus. The removal. Fic. 1322.—Excision of ankle.
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Keywords: ., bookcentury1900, bookdecade1920, bookpublisherphila, bookyear1921
