. Manual of operative surgery. Fig. Stump of ligamentum mucosumtxternal semilunar fibro-cartilage Bursa under quadriceps extensor tendonPatella Posterior crucial ligament Anterior or capsular ligament. Coronary ligament Transverse ligamentAnterior crucial ligament Coronary ligamentInternal semilunar fibro-cartilage Fig. i286.—iDeaver.) Figure 1286 will remind the reader of the anatomy of the knee. Figure 1287 shows fracture of the tibial spine in which the chief symptoms ARTHRECTOMY 1039 were tenderness, swelling and undue lateral mobility. Hayden treated the caseby immobilizing with pl
. Manual of operative surgery. Fig. Stump of ligamentum mucosumtxternal semilunar fibro-cartilage Bursa under quadriceps extensor tendonPatella Posterior crucial ligament Anterior or capsular ligament. Coronary ligament Transverse ligamentAnterior crucial ligament Coronary ligamentInternal semilunar fibro-cartilage Fig. i286.—iDeaver.) Figure 1286 will remind the reader of the anatomy of the knee. Figure 1287 shows fracture of the tibial spine in which the chief symptoms ARTHRECTOMY 1039 were tenderness, swelling and undue lateral mobility. Hayden treated the caseby immobilizing with plaster of Paris and obtained a perfect result about 79 daysafter the injury was received. Repair of Ruptured Lateral Ligaments.—When the lateral ligaments of theknee are ruptured they may be exposed and sutured but earlier use and bettermotion and strength may be expected from the following procedure reported byE. Lexer (Archiv f. klin. Chir., xcviii, 819). Expose the injured parts by afree incision. Suture any wound of the joint capsule. From the tendon of therectus femoris obtain a non-pedunculated (unattached) flap of suitable length
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