. Manual of operative surgery. issue at the inner side of thejoint (Fig. 1387). 4. Stop all bleeding. Close the wound after providing for drainage. Aftertw^o weeks begin motion. Nelaton operated successfully in this fashion in acase of anchylosis from arthritis. Method B.—The author suggests the following method as simpler and atleast as efficacious as Nelatons; it is almost identical with an operation foranchylosis of the first carpo-metacarpal joint which he performed successfully. II26 WRIST ANCHYLOSIS 1. Expose the wrist-joint by a longitudinal incision along the radial side ofthe extensor
. Manual of operative surgery. issue at the inner side of thejoint (Fig. 1387). 4. Stop all bleeding. Close the wound after providing for drainage. Aftertw^o weeks begin motion. Nelaton operated successfully in this fashion in acase of anchylosis from arthritis. Method B.—The author suggests the following method as simpler and atleast as efficacious as Nelatons; it is almost identical with an operation foranchylosis of the first carpo-metacarpal joint which he performed successfully. II26 WRIST ANCHYLOSIS 1. Expose the wrist-joint by a longitudinal incision along the radial side ofthe extensor of the index finger. Divide the skin, fascia, etc., so as to open thejoint. Do not cut the fascia upwards any farther than is absolutely down the anchylosis and excise bone from the carpus to the extentnecessary for free motion, as in Nelatons operation. 2. Extend the original incision upwards dividing the skin alone (Fig. 1388).Expose a large surface of the fascia of the forearm. From the fascia dissect exc.
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