. Modern surgery, general and operative. , and make itemerge at the opposite angle, cutting a posterior flap 8 inches long. Retractthe posterior flap, clear for sawing, and section the condyles horizontally. 1^68 Amputations In Gardens method a long anterior flap of skin and fat is cut, all other softparts are divided transversely and the bone is sectioned through the base of thecondyles. The patella is, of course, removed. In children Buchanan showedthat we can easily separate the lower femoral epiphysis. In GriUVs amputa-tion an oblique incision is made. The upper end of the incision is post


. Modern surgery, general and operative. , and make itemerge at the opposite angle, cutting a posterior flap 8 inches long. Retractthe posterior flap, clear for sawing, and section the condyles horizontally. 1^68 Amputations In Gardens method a long anterior flap of skin and fat is cut, all other softparts are divided transversely and the bone is sectioned through the base of thecondyles. The patella is, of course, removed. In children Buchanan showedthat we can easily separate the lower femoral epiphysis. In GriUVs amputa-tion an oblique incision is made. The upper end of the incision is posterior andjust above the condyles. Its lower end is anterior and two fingers breadthbelow the patella (Kocher). The ligament of the patella is cut, the flap is turnedup, the femur is sawn at the level of the adductor tubercle, the articular faceof the patella is sawn off, the sawn patellais placed upon the sawn femur and theflaps are sutured (Fig. 1071). In Stokesatnputation (which is really a supra-condvloid amputation) the femur is di-.


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