. Manual of operative surgery. the muscle flap used for interpositionis obtained from one of the glutei. Mvirphys Operation.—J. B. Murphy (Journ. A. M. A., May 20, 27;June 3, 1905), reasoning from Langemaks classical researches into the originof bursae (Archiv fur klin. Chir., Ixx, 946) and from some experiments ofhis own, concludes that fascia and fat are more suitable than muscle for inter-position between the ends of the bone after section. In the case of a school-boy Murphy operated as follows and obtained a brilliant result: Step I.—Make a V-shaped incision, with the trochanter in the cen
. Manual of operative surgery. the muscle flap used for interpositionis obtained from one of the glutei. Mvirphys Operation.—J. B. Murphy (Journ. A. M. A., May 20, 27;June 3, 1905), reasoning from Langemaks classical researches into the originof bursae (Archiv fur klin. Chir., Ixx, 946) and from some experiments ofhis own, concludes that fascia and fat are more suitable than muscle for inter-position between the ends of the bone after section. In the case of a school-boy Murphy operated as follows and obtained a brilliant result: Step I.—Make a V-shaped incision, with the trochanter in the centre ofthe V, reaching from a point 4 inches above to a point 2 inches below the tro-chanter. The open end of the V is 5 inches wide and directed upwards. Reflectupwards the V-shaped flap containing skin, superficial fascia, and fascia lata(Figs. 1215 and 1216). Step 2.—With a needle and guiding suture, pass a Gigli wire saw roundthe base of the trochanter major and divide it transversely. This may be ARTHROPLASTY HIP 993.
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Keywords: ., bookcentury1900, bookdecade1920, bookpublisherphila, bookyear1921
