The surgeon's handbook on the treatment of wounded in war : a prize essay . os nav. m. abd. side of the ankle joint (HENKE). 265 Fig. Ligaments of the ankle joint (inner side). the anterior surface,and with the tendinoussheaths of the flexorsfrom the posterior sur-face of the tibia, andfinally the internal la-teral ligament is divi-ded from the extre-mity of the malleolus(fig. 480). 6. The tibia is sawnthrough at the upperend of the vertical inci-sion with a key-hole orchain saw (in an ob-lique direction on ac-count of the limitedspace): the piece is seized with necrosis force
The surgeon's handbook on the treatment of wounded in war : a prize essay . os nav. m. abd. side of the ankle joint (HENKE). 265 Fig. Ligaments of the ankle joint (inner side). the anterior surface,and with the tendinoussheaths of the flexorsfrom the posterior sur-face of the tibia, andfinally the internal la-teral ligament is divi-ded from the extre-mity of the malleolus(fig. 480). 6. The tibia is sawnthrough at the upperend of the vertical inci-sion with a key-hole orchain saw (in an ob-lique direction on ac-count of the limitedspace): the piece is seized with necrosis forceps, and while the elevatorfrom above pushes the periosteal surface of the interosseous ligamentaway, it is slowly twisted out of the wound. NB. The preservation of the interosseous membrane is very important for theregeneration of the bone (Langenbeck). 7. The bone is now only held fast by the anterior and posteriorattachments of the capsular ligament. These are divided with theknife; in doing which the tendon of the tibialis posticus must not beinjured. 8. If the operator wishes to remove the upper articular surfaceof the astragalus, it is don
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Keywords: ., book, bookcentury1800, booksubjectwoundsandinjuries, bookyear1884
