. Manual of operative surgery. Fig. 1193.—Excision of pubis. Fig. 1194.—Excision of acetabulum. Excision of Symphysis Pubis.—Tuberculous osteomyelitis affecting thepubic bones and the symphysis calls for early operation. The disease may beexposed by an incision directly over it; all affected bone cut away with chisel andmallet and all abscesses opened and curetted. If no distinct and separatedsequestrum is present v. Bunger recommends that a transverse incision be madeimmediately above the pubis, the soft parts separated and the bone dividedsubperiosteally beyond the disease (Fig. 1193). The r
. Manual of operative surgery. Fig. 1193.—Excision of pubis. Fig. 1194.—Excision of acetabulum. Excision of Symphysis Pubis.—Tuberculous osteomyelitis affecting thepubic bones and the symphysis calls for early operation. The disease may beexposed by an incision directly over it; all affected bone cut away with chisel andmallet and all abscesses opened and curetted. If no distinct and separatedsequestrum is present v. Bunger recommends that a transverse incision be madeimmediately above the pubis, the soft parts separated and the bone dividedsubperiosteally beyond the disease (Fig. 1193). The results of the operative treatment of pubic tuberculosis are good. Excision of the Acetabulum.—Schmidts Method.—Step i.—Open thehip joint through Langenbecks incision (p. 982). Dislocate the head of thefemur (if necessary excising it). Step 2.—Adduct and rotate the limb outwards. From the middle of thewound make a cut at right angles forwards towards the anterior inferior iliacspine. This cut penetrates to the bon
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