. Operative surgery. Line indicating anteroposteriorcoaptation of flaps. Fig. 609.—Reflection of the Fig. 610.—Oblique coaptation scar. saw line, being raised along with, and not separated from, the integumentwhich overlies it, thus forming a limited lining of the flap. Fig. 609 showsthe extent of the reflection of the periosteum from the tibia, the other softparts having been removed. After circular division of the muscles half aninch below the reflection of the flap, the tibia is sawed through at the highestpoint of periosteal reflection, the fibula is exposed one fourth of an i
. Operative surgery. Line indicating anteroposteriorcoaptation of flaps. Fig. 609.—Reflection of the Fig. 610.—Oblique coaptation scar. saw line, being raised along with, and not separated from, the integumentwhich overlies it, thus forming a limited lining of the flap. Fig. 609 showsthe extent of the reflection of the periosteum from the tibia, the other softparts having been removed. After circular division of the muscles half aninch below the reflection of the flap, the tibia is sawed through at the highestpoint of periosteal reflection, the fibula is exposed one fourth of an inchhigher up and divided by sawing toward the tibia. The flaps are unitedobliquety, parallel with the margin of the subcutaneous surface of the tibia, sothat the line of union falls between the bones, and the periosteal lining of theflap falls and lies smoothly across the extremity of the tibia (Fig. 610). Itwill be necessary in order to reflect the sleeve flap that it be divided longitu-dinally at a point that will be lowermost when the flaps are obliquely Remarks.—The limb should be dressed
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Keywords: ., bookauthorbryantjosephdjosephde, bookcentury1900, bookdecade1900
