. Manual of operative surgery. Fig. 1459 and 1460.—Osteoplastic amputation. Fig. 1460.{Trzcbicky and Frommer.) Step I.—Make an obliquely oval incision through the skin. On the outerside of the limb the incision is at a much lower level than on the inner side. Step 2.—On the inner side retract the skin upwards in the usual manner andcut through the periosteum of the tibia (Fig. 1462, a). Push the periosteumupwards for about }4, inch. Divide the tibia with a Gigli saw (Fig. 1462, A). Separate the soft parts from the tibia downwards. Expose the fibulanear the outer level of the oval sk
. Manual of operative surgery. Fig. 1459 and 1460.—Osteoplastic amputation. Fig. 1460.{Trzcbicky and Frommer.) Step I.—Make an obliquely oval incision through the skin. On the outerside of the limb the incision is at a much lower level than on the inner side. Step 2.—On the inner side retract the skin upwards in the usual manner andcut through the periosteum of the tibia (Fig. 1462, a). Push the periosteumupwards for about }4, inch. Divide the tibia with a Gigli saw (Fig. 1462, A). Separate the soft parts from the tibia downwards. Expose the fibulanear the outer level of the oval skin incision. Divide the fibular periosteum OSTEOPLASTIC AMPUTATIONS 1179 (Fig. 1462, b) and push it upwards so as to form a cuff. Divide the fibula(Fig. 1462, B). Step 3.—Choose a point on the fibula near the level of the sawed surface of
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