. Manual of operative surgery. the upper end of theincision, penetrate to the outer edge of the humerus byseparating the supinator longus and the extersor carpiradialis longior in front from the triceps behind. Fromthe external condyle downwards penetrate between theextensor muscles (extensor carpi ulnaris, etc.) in frontand the anconeus behind, until the ulna is reached. Indoing this the lower fibres of the anconeus must generallybe divided. The rest of the operation requires no specialdescription. Olliers Bayonet Incision.—From a point 2)4, inches above the joint-linemake a vertical incision
. Manual of operative surgery. the upper end of theincision, penetrate to the outer edge of the humerus byseparating the supinator longus and the extersor carpiradialis longior in front from the triceps behind. Fromthe external condyle downwards penetrate between theextensor muscles (extensor carpi ulnaris, etc.) in frontand the anconeus behind, until the ulna is reached. Indoing this the lower fibres of the anconeus must generallybe divided. The rest of the operation requires no specialdescription. Olliers Bayonet Incision.—From a point 2)4, inches above the joint-linemake a vertical incision along the outer margin of the humerus between thetriceps and supinator longus to the tip of the external condyle. From thetip of the condyle continue the incision downwards and inwards to the baseof the olecranon, then change the direction of the incision once more so asto make it follow the posterior border of the ulna downwards for I^i to 2inches (Fig. 1368). Make a second incision, i inch long, over the internal Fig. 1367.—Kochersincision. III2 ELBOW Posterior Flap Operation.—Morison operates as follows: From a pointover the internal condyle make an incision upwards for about 2 inches, corre-sponding to the inner intermuscular septum. Make a similar incision on theouter side of the limb (Fig. 1369). Join the upper ends of the two verticalcuts by a curved transverse incision, the upper convexity of which is 3 inchesabove the olecranon. Expose the ulnar nerve through the inner incision andprotect it. Turn down the skin flap outlined for a distance of i inch. Dividethe triceps transversely. Turn the skin flap and triceps tendon rest of the active operation requires no special description. Close thewound by suturing the divided triceps and then the superficial wound. Morisonpermits no motion for two weeks, after which time he keeps the limb extendedat night and fully flexed during the day.
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Keywords: ., bookcentury1900, bookdecade1920, bookpublisherphila, bookyear1921
