. Minor and operative surgery, including bandaging . remove the diseased articularsurface of the bone with a saw; small areas of diseasedbone may be removed with the curette or gouge performing excisions of joints in young subjects careshould be taken to see that the epiphyseal cartilage is notencroached upon, for if this is removed the subsequentgrowth of the limb may be interfered with. The resultdesired in cases of excision of joints, in addition toremoval of the diseased tissue, varies somewhat with thejoint involved; for instance, in a knee-joint anchylosis isdesired; in the sh
. Minor and operative surgery, including bandaging . remove the diseased articularsurface of the bone with a saw; small areas of diseasedbone may be removed with the curette or gouge performing excisions of joints in young subjects careshould be taken to see that the epiphyseal cartilage is notencroached upon, for if this is removed the subsequentgrowth of the limb may be interfered with. The resultdesired in cases of excision of joints, in addition toremoval of the diseased tissue, varies somewhat with thejoint involved; for instance, in a knee-joint anchylosis isdesired; in the shoulder, hip, elbow, and wrist, we wishto obtain a movable false joint; when the latter conditionis desired after excision, care should be exercised not todivide muscles or tendons, and as far as possible not tointerfere with their attachments. When anchylosis is 537 538 EXCISIONS OR RESECTIONS desired, the division of muscles or tendons is not a seriousconsideration : any injury to the principal arteries, veins,and nerve- should always be yarrzw-bladed 443.
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