A manual of operative surgery . the ham toa point midway between the inner malleolus and the heel will corre-spond to about the lower half of the artery. The upper half formsa slight curve inward from this line. Indications.—The artery may be tied in the leg or behindthe ankle. It is usually secured for wound. The vessel may beligatured at its lower end in some cases of wound of the sole. In some punctured wounds of the thick part of the calf doubtsmay exist as to which of the deep vessels is wounded. In such acase elevation of the limb, with pressure, followed possibly by theproximal ligature


A manual of operative surgery . the ham toa point midway between the inner malleolus and the heel will corre-spond to about the lower half of the artery. The upper half formsa slight curve inward from this line. Indications.—The artery may be tied in the leg or behindthe ankle. It is usually secured for wound. The vessel may beligatured at its lower end in some cases of wound of the sole. In some punctured wounds of the thick part of the calf doubtsmay exist as to which of the deep vessels is wounded. In such acase elevation of the limb, with pressure, followed possibly by theproximal ligature, may be a better mode of treatment than an ex-tensive dissection of a muscular limb in search of the bleeding of this artery associated with fracture of the bone hasbeen successfully treated by ligature in Hunters canal. Aneurysm is more common in the posterior than in the anteriortibial. Kinloch had tabulated twenty-two. examples of spontaneousaneurysm in 1882. The tumour usually occupies the upper half of. ^fe FIG. 1. -SECTION OF RIGHT LEG ABOUT ITS MIDDLE. 1, TIBIALIS ANTICUS MUSCLE 2, EXTENSOR DIGITORUM. 3, EXTENSOR LONGUS HALLUCIS. 4,TIBIALIS POSTICUS. 5, PERONEI MUSCLES. 6, FLEXOR LONGUS HALLUCIS. 7, 8, 10, , FLEXOR LONGUS DIGITORUM. 11, GASTROCNEMIUS. 12, MUSCULO-CUTAN EOUS NERVE. 13, ANTERIORTIBIAL NERVE. 14, POSTERIOR TIBIAL NERVE. 15, INTERNAL SAPHENOUS NERVE. 16, SHORTSAPHENOUS NERVE. 17, COMMUNICANS PERONEI NERVE. 18, POSTERIOR TIBIAL ARTERY. 19, AN-TERIOR TIBIAL ARTERY. 20, PERONEAL ARTERY AND VEINS.


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Keywords: ., bookcentury1900, booksub, booksubjectsurgicalproceduresoperative