. Manual of operative surgery. Fig. 1377.—{Huguier.) Fig. 1378.—(Huguier.) Fig. 1379.—Arthroplasty. (Huguier.) b, Brachialis anticus; h, humerus; c,ulna; t, triceps; /, anterior ligamentturned in with flap. Method C.—^Lateral Incisions (Ombredanne).—Make a 5-inch verticalincision on the inner side of the elbow. Isolate and protect the ulnar the epitrochlea. Divide the lateral ligament. Denude the anteriorsurface of the humerus. On the outer side of the elbow make a vertical incisiondownwards from a point 2}/^ inches above the joint-line. If it is necessary tocarry this cut m


. Manual of operative surgery. Fig. 1377.—{Huguier.) Fig. 1378.—(Huguier.) Fig. 1379.—Arthroplasty. (Huguier.) b, Brachialis anticus; h, humerus; c,ulna; t, triceps; /, anterior ligamentturned in with flap. Method C.—^Lateral Incisions (Ombredanne).—Make a 5-inch verticalincision on the inner side of the elbow. Isolate and protect the ulnar the epitrochlea. Divide the lateral ligament. Denude the anteriorsurface of the humerus. On the outer side of the elbow make a vertical incisiondownwards from a point 2}/^ inches above the joint-line. If it is necessary tocarry this cut more than i}4 inches below the joint-line it ought to inclinebackwards so as to avoid injury to the radial nerve. Denude the epicondylewith a knife, the anterior surface of the condyle with a rugine. Divide theexternal lateral ligament. Rupture the anchylosis as already the lower end of the humerus protrude through the internal \yound anddivide it transversely immediately below its lateral tuberositie


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