. Minor and operative surgery, including bandaging . ining soft partsare divided from within Flap Method.—Inthis method of amputation a longcutaneous flap is formed. Theincision, beginning half an inchbelow the articulation, is carriedfive inches below the patella;crossing the anterior surface ofthe leg, it is carried back to thecondyle of the femur on the oppo-side side. This flap is dissectedup, and the ligament of the patelladivided and the disarticulation ef-fected. A short posterior flap,uniting the anterior incision oneinch below its extremities, is nextcut by transfixio
. Minor and operative surgery, including bandaging . ining soft partsare divided from within Flap Method.—Inthis method of amputation a longcutaneous flap is formed. Theincision, beginning half an inchbelow the articulation, is carriedfive inches below the patella;crossing the anterior surface ofthe leg, it is carried back to thecondyle of the femur on the oppo-side side. This flap is dissectedup, and the ligament of the patelladivided and the disarticulation ef-fected. A short posterior flap,uniting the anterior incision oneinch below its extremities, is nextcut by transfixion or from withoutinward (Fig. 430, A). The patellais not removed. Amputation through the Con-dyles of the Femur.—In thisamputation, which is known asGardens amputation, an anteriorflap, whose lower extremity isthree finger-breadths below thepatella, is cut and the disarticu-lation effected ; the posterior softparts are divided, the patella re-moved, and the condyles next sawed through just abovethe edge of the articular cartilage (Fig. 430, B).. Amputations at the knee-joint and lower third of thethigh. .4. Long anterior Amputation through con-dyles. B. Line of section ofthe condyles of the femur. * flap at the lowerthird of thigh. (Stimson.) AMPUTATIONS OF THE THIGH. 527 Fig. 431. Lateral Flap Method.—In this operation an incisionis made just below the patella, and is carried down thespine of the tibia for three inches, and is then carriedbackward to the middle of the leg at a point opposite thebeginning of the incision; a similar flap is cut on theopposite side of the leg, and the flaps dissected up tothe line of the articulation. When this point is reached,the joint is opened and the disarticulation effected. Thepatella is not removed (). Grittis Amputation at theKnee-joint.—In this operationa long rectangular anterior flapis first cut and dissected up,and after the disarticulationhas been effected the skin cov-ering the posterior surface oft
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