. American practice of surgery ; a complete system of the science and art of surgery . incisions,is a bad one on account of the probable adhesions. Manyother methods have been devised and are of varying degreesof utiHty. All these methods involve the production ofmore or less scar tissue, but less than is produced by atenotomy; and, furthermore, the irregularities and thick-ening so formed are soon absorbed, leaving finally a smoothgray area in the tendon as the only sign of the operation. Tendon lengthening is indicated in shortening of musclesfrom injury and disease, in paralysis, in spastic
. American practice of surgery ; a complete system of the science and art of surgery . incisions,is a bad one on account of the probable adhesions. Manyother methods have been devised and are of varying degreesof utiHty. All these methods involve the production ofmore or less scar tissue, but less than is produced by atenotomy; and, furthermore, the irregularities and thick-ening so formed are soon absorbed, leaving finally a smoothgray area in the tendon as the only sign of the operation. Tendon lengthening is indicated in shortening of musclesfrom injury and disease, in paralysis, in spastic conditions, andin certain arthrogenous contractures; and it is frequently foundnecessary in transplantations of tendons. Tendon Shortening.—This may be done in a variety of ways: 1. By excising the surplus length and suturing the divided ends of the tendon; 2. By lapping and various plastic methods (Figs. 86-88); 3. By folding and Fig. 81.—AndersonsMethod. a, Line of inci-sion; b, extent to whichdivided ends may be sep-arated before they arefinally sutured together.(Vulpius.). Fig. 82.—Pon-cets Method.( M onod andVanverts.) SURGICAL DISEASES OF TENDONS. 417 suturing (Figs. 84, 85); 4. By moving the point of i)erio,steal insertion (Fig. 106).The details of these various procedures are [)lainly shown in the cuts. The
Size: 891px × 2805px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1906
