. A treatise on surgical therapeutics of domestic animals. Veterinary surgery; Therapeutics, Surgical. EXOSTOSIS. 473 r 5 centimeters. When friction or firing have been applied, the skin lid subcutaneous tissues are indurated, and sometimes a thick layer of ubcutaneous structure has to be divided before the tendon is exposed; the lemorrhage is quite abundant. The index finger introduced into the round detects the tendons, it is raised with scissors introduced underneath t, divided with the bistouri and a piece of it amputated. The wound may be eft open or is closed by one or two stitches. The
. A treatise on surgical therapeutics of domestic animals. Veterinary surgery; Therapeutics, Surgical. EXOSTOSIS. 473 r 5 centimeters. When friction or firing have been applied, the skin lid subcutaneous tissues are indurated, and sometimes a thick layer of ubcutaneous structure has to be divided before the tendon is exposed; the lemorrhage is quite abundant. The index finger introduced into the round detects the tendons, it is raised with scissors introduced underneath t, divided with the bistouri and a piece of it amputated. The wound may be eft open or is closed by one or two stitches. The synovial flow soon )ecomes purulent and may last for two or three weeks, but gradually lisappears. There is often advantage to combine tarsal tenotomy with firing. Im- nediate relief, spoken of by Lafosse and Mandel, must not be expected, jetting up, animals are ordinarily as lame ifter as before the operation : it demands I certain time for the beneficial effects to be seen. The mode of action of this tenotomy is complicated. Not only does it make the tendinous cord loose, the pressure of which was one of the causes oi the lasting lameness; but it also activates the inflammatory process and thus hastens ankylosis, in case of recent osteo-arthritis. On these accounts it is indicated, no matter what are the size, the situation or age of the exostosis. DieckerhofE has advised the dividing of the cunean sheath from the fold of the hock or origin of the tendon to its insertion on the cuneiform ; he operates with the bistouri, the animal stand- ing. After the operation, quite a large swelling is formed; the wound suppurates ; ^ two, three or four weeks. Two weeks later, the animal can be re- turned to work. In 1875 he made known the results of this practice, and out of thirty-six cases of spavin with lameness operated upon, twenty- one made an almost complete recovery, eight were improved, seven failed. Periostotomy of Peters has given Holier good results. Here is the mo^m operandi.
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