. Manual of operative surgery. loid cavity. Fix thenew lining in position by a few sutures. Only a part of the flap and that nearits base is required for this purpose, the apical portion will be used to coverthe femur. By manipulations • return the head of the femur into the socket(Fig. 1218). Suture the free margin or apical portion of the fascial flap to theperiosteum and capsule attached to the neck of the femur. This is important, asMurphy considers it essential that every part of the new articulating surfacesbe covered with fascia. Step 7.—Peg or wire the divided trochanter major in its o
. Manual of operative surgery. loid cavity. Fix thenew lining in position by a few sutures. Only a part of the flap and that nearits base is required for this purpose, the apical portion will be used to coverthe femur. By manipulations • return the head of the femur into the socket(Fig. 1218). Suture the free margin or apical portion of the fascial flap to theperiosteum and capsule attached to the neck of the femur. This is important, asMurphy considers it essential that every part of the new articulating surfacesbe covered with fascia. Step 7.—Peg or wire the divided trochanter major in its old position. Closethe wound. Dress and apply extension. N. B.—It may be necessary to perform tenotomy on one or several musclesand so overcome their contraction before a good position is obtained. (, 1216 and 1227 show the result in a case of Murphys.) 996 ANCHYLOSIS HIP The series of illustrations published by Guillot and Dehelly (J. de Chir.,March, 1914) are so much more illuminating than words or than Murphys.
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