. Operative surgery. hanter ma-jor, pushing it down to the boneparallel with Pouparts ligament;draws it back a little and lowersthe handle and carries it upward (Fig. 661), at which time the assistantflexes the thigh slightly; the operator then passes the point of the knifethrough the anterior portion of the capsular ligament; thence downward,inward, and out at the inner side of the thigh, an inch or so below the peri-neum, and as far posteriorly as can be easily done (Fig. 661). The knifeis then carried downward, in contact with the Idouc, with long, sawing strokes,forming an anterior flap si
. Operative surgery. hanter ma-jor, pushing it down to the boneparallel with Pouparts ligament;draws it back a little and lowersthe handle and carries it upward (Fig. 661), at which time the assistantflexes the thigh slightly; the operator then passes the point of the knifethrough the anterior portion of the capsular ligament; thence downward,inward, and out at the inner side of the thigh, an inch or so below the peri-neum, and as far posteriorly as can be easily done (Fig. 661). The knifeis then carried downward, in contact with the Idouc, with long, sawing strokes,forming an anterior flap six to eight inches in length. The flap is caughtby an assistant, who at the same time compresses the main vessel within itwith the fingers and raises the flap upward. The knife is then carried pos-teriorly between the thighs (Fig. 662), thence outward in a curved direc-tion, passing below the gluteal fold, and going down to the bone, thus form-ing the posterior flap. The bone is disarticulated by dividing the capsular. Fig. 6Ci1.—Transfixing. 552 OPERATIVE SURGERY. ligament and the muscular attachments to the greater and lesser trochanters,and the limb removed.
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Keywords: ., bookauthorbryantjosephdjosephde, bookcentury1900, bookdecade1900
