. Operative surgery, for students and practitioners . Fh 255.—Right Foot, Outer Side. External incision for resectionof ankle (Langenbeck-Hueter).. Fig. 256.— Right Foot, Inner Side. Anchor-shaped incision upon Innerside of ankle for resection (Langenbeck-Hueter). In isolating the lower end of the fibula on its inner aspect, corre-sponding to the attachment of the interosseous ligament which binds AMPUTATIONS, RESECTIONS, ETC. 599 the lower ends of the tibia and fibula together, care should be takento stick close to the surface of the bone, so as to leave the periosteumconnected with the inter
. Operative surgery, for students and practitioners . Fh 255.—Right Foot, Outer Side. External incision for resectionof ankle (Langenbeck-Hueter).. Fig. 256.— Right Foot, Inner Side. Anchor-shaped incision upon Innerside of ankle for resection (Langenbeck-Hueter). In isolating the lower end of the fibula on its inner aspect, corre-sponding to the attachment of the interosseous ligament which binds AMPUTATIONS, RESECTIONS, ETC. 599 the lower ends of the tibia and fibula together, care should be takento stick close to the surface of the bone, so as to leave the periosteumconnected with the interosseous ligament. Now, corresponding to the upper part of the wound, the fibula isencircled with a chain or wire saw and divided, or it may be cutthrough with a chisel. The upper end of the detached fragment isthen seized with the bone forceps and wrenched free from the remain-ing ligaments (external lateral) which still hold it. This gives accessto the interior of the joint, and through this opening the upper artic-ular surface of the astragalus may be removed with the chisel or sharpspoon and the joint irrigated and drained. One may stop
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Keywords: ., bookcentury1900, bookdecade1900, bookidoperativesur, bookyear1906
