. Manual of operative surgery. device may be used.) (C) Systematized Operation.—Step i.—From a point midway between thetrochanter major and the anterior superior spine make an incision, 4 to 6 incheslong, downwards, parallel to the outer margin of the sartorius muscle () Hueters incision). By blunt and sharp dissection penetrate to thehip-joint between the sartorius and the tensor vaginae femoris muscles. A fewfibres of the vastus externus require division. Remember the external cir-cumflex artery which runs transversely immediately below the trochanter. FRACTURE NECK OF FEMUR 921 Step
. Manual of operative surgery. device may be used.) (C) Systematized Operation.—Step i.—From a point midway between thetrochanter major and the anterior superior spine make an incision, 4 to 6 incheslong, downwards, parallel to the outer margin of the sartorius muscle () Hueters incision). By blunt and sharp dissection penetrate to thehip-joint between the sartorius and the tensor vaginae femoris muscles. A fewfibres of the vastus externus require division. Remember the external cir-cumflex artery which runs transversely immediately below the trochanter. FRACTURE NECK OF FEMUR 921 Step 2.—Retract the soft parts. The fracture will now be visible. Notethat the capsule of the joint and its reflection over the femoral neck are blood, etc., from the wound. If possible, by rotation of the limbexpose the capsule posterior to the joint and repair the tear in it with sutures(Fig. 1099). Remember that the most important portion of capsule reflectedon the femoral neck lies below the neck. / ( ..<\. Fig. 1097. Fig. ioq8.—Hueters incision. Ligamentum teres
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