. Manual of operative surgery. Fig. 1382. Fig. 1383. Figs. 1382 antj 1383.—Buchmanns transplantation of joint. (Buchmann.) Step 4.—Separate the brachialis anticus from its insertion into the coronoidprocess. Cut a quadrangular niche in the ulnar epiphysis (Figs. 1382, 1383).Remove the head of the radius and separate the radius from the Fig. 1384.—Result of transplantation joint. {Buchmann.) Step S-—Excise the first metatarso-phalangeal articulation without openingthe joint itself. Remove with the joint sufficient metatarsus and phalanx tofit into the niches cut in the humerus and ulna.
. Manual of operative surgery. Fig. 1382. Fig. 1383. Figs. 1382 antj 1383.—Buchmanns transplantation of joint. (Buchmann.) Step 4.—Separate the brachialis anticus from its insertion into the coronoidprocess. Cut a quadrangular niche in the ulnar epiphysis (Figs. 1382, 1383).Remove the head of the radius and separate the radius from the Fig. 1384.—Result of transplantation joint. {Buchmann.) Step S-—Excise the first metatarso-phalangeal articulation without openingthe joint itself. Remove with the joint sufficient metatarsus and phalanx tofit into the niches cut in the humerus and ulna. 71 I I 22 WRIST Step 6.—Implant the excised joint into the wound at the elbow in such amanner that its plantar surface faces backwards. Fit the end of the metatarsusand the phalanx into the corresponding niches cut in the humerus and ulna. Step 7.—Close the elbow wound and immobilize in the extended the wound in the foot. Figure 1384 shows a skiagram of one of Buchmanns cases ten and one-halfweek? after the operation. Myositis Ossificans —Occasionally as a result of injury, bonedevelops inside a muscle. Examples of such lesions are drill bone, ridersbone, etc. Probably the commonest site of the trouble is the brachialis an-ticus muscle. Operative treatment consists in exposing the bone through asui
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