. Operative surgery. should bedone, and the patient treated accordingly. Usually excision has been prac-ticed. It may be deemed wiser to take no active measure whatever. llie Results.—This method has been practiced 30 times, of which 432 OPERATIVE SURGERY. number 11 were reduced. Of the 19 failures, in 18 excision was performed,and in one osteotomy. Of the 11 successfully reduced, 8 were func-tionally good, 1 died of sepsis, 1 was followed by necrosis of the head, and 1by return. Excision of the coccyx is oftentimes done, though sometimes ineffectu-ally, for the relief of coccygodynia. The ope
. Operative surgery. should bedone, and the patient treated accordingly. Usually excision has been prac-ticed. It may be deemed wiser to take no active measure whatever. llie Results.—This method has been practiced 30 times, of which 432 OPERATIVE SURGERY. number 11 were reduced. Of the 19 failures, in 18 excision was performed,and in one osteotomy. Of the 11 successfully reduced, 8 were func-tionally good, 1 died of sepsis, 1 was followed by necrosis of the head, and 1by return. Excision of the coccyx is oftentimes done, though sometimes ineffectu-ally, for the relief of coccygodynia. The operation exposes the patient to nodanger and can but remove a comparatively useless appendage. The Operation.—Place the patient on the side and expose the bone by astraight incision in the middle of its long axis; isolate the bone carefullyand remove it with bone forceps. OSTEOTOMY. In the liberal acceptation of the term, osteotomy may be defined as asection of bone. i --^ ( \ I). s^if^vimKAiimm^i^l*!^^^^^^^^^^^ ?\ >:S^^ Fig. 450.—Instruments employed in osteotomy, a. Scalpel, b, c, d. Chisels, e. , g, h. Osteotomes. % k. Retractors. I, m. Sponges wet with a solution of carbolicacid to hold over incisions. In a limited sense, however, it is applied to the divisions of bone that aremade for the relief of deformities dependent on anchylosis, rickets, badly OPERATIONS ON BONES. 433 united fractures, etc. The bone may be divided either through a free or anahridged incision of the soft parts. In the former, a liberal incision of thesoft parts is made down upon the bone, and it is therefore called the openmethod. If the opening in the soft parts be of only sufficient size to admit
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