. Text-book of operative surgery . have also recommended skin incisions whichare allied to ours, but plannecl with a different object. Compared with our ownmethod, the lateral transverse incision of Cavazzini is the reverse of an improvement,because it divides the anconeus transversely. He, however, dislocates the Joint inthe manner we have advised. ISTo other incision gives equally good access to all parts of the Joint with so littleinjury and with such complete preservation of the important extensor , after making the incision it allows us, better than other methods, either
. Text-book of operative surgery . have also recommended skin incisions whichare allied to ours, but plannecl with a different object. Compared with our ownmethod, the lateral transverse incision of Cavazzini is the reverse of an improvement,because it divides the anconeus transversely. He, however, dislocates the Joint inthe manner we have advised. ISTo other incision gives equally good access to all parts of the Joint with so littleinjury and with such complete preservation of the important extensor , after making the incision it allows us, better than other methods, either tocompletely expose (from the outside) and excise the capsule, or to resect the bonessubperiosteally, because the incision only lies over the capsule for a short part of itsextent. For cases in which the disease is confined to the olecranon, the simple i^osteriorlongitudinal incision of Langenbeck has the advantage that it is carried directly downnpon the seat of disease. When the disease is limited merely to the external condyle. Fig. 179. 3i8 OPERATIVE SURGERY or the lieacl of tlie radius, Cavazzinis transverse external incision is occasionally ofvalue. In all cases, on tlie otlier liand, wliere a thorougli view into the Joint isdesired, our niethod above described has great advantages, wliile it is ahvays moreadvisable to make it a rule to open into the Joint. After-tveatment and Results of Resection of the Ellxnu. In the elbow more tlian inany other Joint one can count witli greater certainty on obtaining a freely-niovableJoint, provided the disease has been thoroughly removed and a mechanically soundnew Joint has been constructed. ISTo plaster bandages are requisite, as activemovements will be resumed in a few days. The forearm mtist, however, be placed incorrect position, as the upper arm has a tendency to become rotated outwards andabducted. It should not be bandaged to the body in the position of adduction andpronation as is the usual practice, but should be placed so
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