. Manual of operative surgery. Fig. nil.—{Stimson.) Fig. hi; Step 3.—With a full curved needle pass a stout silk ligature transverselythrough the ligamentum patellae close to the apex of the patella, then trans-versely in the opposite direction through the quadriceps tendon close to itsinsertion. Approximate the fragments (Fig. iiii). Tighten and tie thesuture. Step 4.—Place one or two catgut sutures in the torn capsule on either side. Step 5.—Close the wound. Dress. Immobilize. (3) Vallass Operation. Suture of Capsule.—This operation is based onthe fact that when the patella is fractured tran

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. Manual of operative surgery. Fig. nil.—{Stimson.) Fig. hi; Step 3.—With a full curved needle pass a stout silk ligature transverselythrough the ligamentum patellae close to the apex of the patella, then trans-versely in the opposite direction through the quadriceps tendon close to itsinsertion. Approximate the fragments (Fig. iiii). Tighten and tie thesuture. Step 4.—Place one or two catgut sutures in the torn capsule on either side. Step 5.—Close the wound. Dress. Immobilize. (3) Vallass Operation. Suture of Capsule.—This operation is based onthe fact that when the patella is fractured transversely there can be but littleseparation of the fragments unless the fibrous capsule of the joint (fibrous ex-pansion of the quadriceps; capsular ligament) is also torn (Fig. 1112). Step I.—Expose the fracture as in the classical operation by a vertical in-cision. A more generous exposure may be obtained through a crucial or a trans-verse incision, or by reflecting a U-shaped flap of skin having its base directed

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Keywords: ., bookcentury1900, bookdecade1920, bookpublisherphila, bookyear1921