. Manual of operative surgery. Fig. 1276.—.Arthrotomy. (Labey.) I026 KNEE-JOINT between the forceps so as to open the joint. Enlarge the wound in the synovialiswith scissors so as to gain access to the upper pouch of the joint. Of courseunder certain circumstances a smaller incision suffices and should be made;for exploration and for many other purposes the larger cut described is Fig. 1277.—Drainage knee. The tube must not enter the joint cavity, and if possible donot pass any instrument through the joint. (Labey.) If pus is present or if the single incision is insufficient, make
. Manual of operative surgery. Fig. 1276.—.Arthrotomy. (Labey.) I026 KNEE-JOINT between the forceps so as to open the joint. Enlarge the wound in the synovialiswith scissors so as to gain access to the upper pouch of the joint. Of courseunder certain circumstances a smaller incision suffices and should be made;for exploration and for many other purposes the larger cut described is Fig. 1277.—Drainage knee. The tube must not enter the joint cavity, and if possible donot pass any instrument through the joint. (Labey.) If pus is present or if the single incision is insufficient, make an identical cut onthe opposite side of the patella (Fig. 1227). If drainage is required the woundsmay be left open and loosely filled with gauze. Never permit any drainagetube or foreign body to penetrate the synoviahs. In draining a joint the tube ought merely to reach to the synovialis. (B) The above incisions may not providesufficient drainage for the joint cavity nearthe popliteal space, hence it may be necessaryto supplement them by postero-lateral incisionson one or both sides. These are, under the^^wm ??/ li I **^^ circumstances, mere counter-openings. A?^^ m \ v>., f postero-lateral counter-opening is conven- iently made as follows: Pass a closed forcepsthrough the antero-lateral wound (Fig. 1278),through the joint and make it raise up thesoft parts on the outer si
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