Operative surgery, for students and practitioners . of the astragalus thus brought into joint between the head of the astragalus and the scaphoid isopened (tuberosity of the scaphoid is the guide), and also the jointbetween the astragalus and the os calcis (sustentaculum tali) ; afterthis the astragalus is seized with a bone-forceps, and, twisting andat the same time cutting close to the bone, it is removed. In re-secting the ankle-joint for tuberculosis, if the astragalus is diseased,it is well to remove this bone entire. AMPUTATIONS, RESECTIONS, ETC. 80 AxKLE-JOiXT (Koexig).—Tliis i
Operative surgery, for students and practitioners . of the astragalus thus brought into joint between the head of the astragalus and the scaphoid isopened (tuberosity of the scaphoid is the guide), and also the jointbetween the astragalus and the os calcis (sustentaculum tali) ; afterthis the astragalus is seized with a bone-forceps, and, twisting andat the same time cutting close to the bone, it is removed. In re-secting the ankle-joint for tuberculosis, if the astragalus is diseased,it is well to remove this bone entire. AMPUTATIONS, RESECTIONS, ETC. 80 AxKLE-JOiXT (Koexig).—Tliis is a satisfactory operation, espe-cially for tuberculous joints. The lower part of the leg rests upon asandbag, the foot being elevated and turned outward. An incision ismade upon the inner side of the ankle, commencing an inch or an inchand one-half above the level of the joint, and passing down along theanterior border of the tibia and inner malleolus parallel with and justinternal to the extensor tendons which lie upon the front of the MP. Pig. 355.—ff, incisions for resection of ankle (Eoenig); , articula-tion between metacarpal bone of the big toe and first phalanx; 8, location oftubercle of scaphoid. Incision for amputation of big toe with removal of thefirst metatarsal. This incision penetrates through the integument and periosteum tothe tibia, and is continued downward across the ankle-joint, into whichit opens, and then curves forward upon the neck of the astragalus asfar as the tubercle of the scaphoid. A similar incision is made upon the outer side of the joint,commencing above at the same level as the internal incision andpassing downward along the anterior edge of the outer malleolus,across the ankle-joint, into wliich it opens, and ending at a point 808 LOWER EXTREMITY. ojoposite the lower end of the inner incision. This incision runsparallel with the outer margin of the extensor group of tendons. Between these two incisions there is a hridge of tis
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Keywords: ., bookauthormcgrathj, bookcentury1900, bookdecade1910, bookyear1913
