Modern surgery, general and operative . Fig. 424.—Osteotomy of the right femur ina case of knock-knee: a b, Epiphyseal line; c,section of Macewen; d e, section of Ogston. Fig. 425.—;\Iacewens operation for genuvalgum. The chisel is held in the line for strikingwith a mallet; the arrow shows the direction inwhich the chisel is levered up and down so as tomake a wide gap in the bone (after Barker). Ogstons Operation for Knock-knee (Fig. 424).—In this operation the in-ternal condyle is sawed off obliquely with an Adams saw—a proceedingwhich permits the straightening of the knee. The objection to
Modern surgery, general and operative . Fig. 424.—Osteotomy of the right femur ina case of knock-knee: a b, Epiphyseal line; c,section of Macewen; d e, section of Ogston. Fig. 425.—;\Iacewens operation for genuvalgum. The chisel is held in the line for strikingwith a mallet; the arrow shows the direction inwhich the chisel is levered up and down so as tomake a wide gap in the bone (after Barker). Ogstons Operation for Knock-knee (Fig. 424).—In this operation the in-ternal condyle is sawed off obliquely with an Adams saw—a proceedingwhich permits the straightening of the knee. The objection to the pro-cedure is that it opens the knee-joint, and that this cavity fills up more orless with a mixture of blood and bone-dust. Macewens operation is de-cidedly the safer. Osteotomy for a Bent Tibia.—^The tibia is divided transversely or obHquely(linear osteotomy), or a wedge-shaped piece is removed (cuneiform osteotomy).The oblique incision is the best. If the convexity of the tibial curve is inward,cut the bone from above
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
