. Commentaries on the surgery of the war in Portugal, Spain, France, and the Netherlands, from the battle of Roliça, in 1808, to that of Waterloo, in 1815; with additions relating to those in the Crimea in 1854-55, showing the improvements made during and since that period in the great art and science of surgery on all the subjects to which they relate. Revised to October, 1855. dshould not, on any account,wound the subjacent the flap thus made,and, placing the leg on itsinside, detach and turnaside the peronei tendonsfrom the groove behind theexternal malleolus. Cutthrough the ext
. Commentaries on the surgery of the war in Portugal, Spain, France, and the Netherlands, from the battle of Roliça, in 1808, to that of Waterloo, in 1815; with additions relating to those in the Crimea in 1854-55, showing the improvements made during and since that period in the great art and science of surgery on all the subjects to which they relate. Revised to October, 1855. dshould not, on any account,wound the subjacent the flap thus made,and, placing the leg on itsinside, detach and turnaside the peronei tendonsfrom the groove behind theexternal malleolus. Cutthrough the external lateralligaments of the ankle-joint,keeping the knife close to theend of the fibula; then, with the large bone-scissors or nip-pers, cut through the fibula from one-half to three-quartersof an inch above its junction with the tibia, and, after divid-ing the ligamentous fibers connecting the two bones, removethe malleolus externus. Turn the leg on to its outer side,and cut through the internal lateral ligament close to thetibia, to avoid wounding the posterior tibial artery; thiswill allow the foot to be dislocated outward, and the lowerend of the tibia to be brought well out through the assistant keeping the foot and tendons out of the way,the lower end of the tibia is to be removed by a fine saw tothe same extent as the fibula, or as high as the injury or. 104 REMOVAL OF THE OS CALCIS. disease requires. The articulating surface, or injured partof the astragalus, is then to be removed, after which the footis to be returned to its proper position, and the cut surfacesof the tibia and astragalus brought into close approxima-tion, and so kept by suture, strapping, and bandage. Thelimb is to be placed on an outside leg-splint, having a foot-piece to it; and in order to present any matter oozing, anopening should be maintained on the outside of the joint,with a corresponding hole in the dressing and splint for thispurpose, until the recovery is completed. The shot-ho
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Keywords: ., bookcentury1800, bookdecade1860, bookpublishe, booksubjectsurgery
