. Manual of operative surgery. ^: inches long, free above and attached to the os calcis below. Step 3.—Incise the deep fascia parallel and close to the posterior borderof the tibia. Avoid injury to the sheath of the tibialis posticus and to thevessels which lie posterior to the flexor digitorum and between it and theflexor proprius hallucis. Expose and isolate the tendon of the flexor longusdigitorum opposite the internal malleolus. Step 4.—Divide the tendon (flex, digit.) longitudinally into an anterior andposterior segment. Leave the anterior segment intact. Divide the posteriorsegment trans
. Manual of operative surgery. ^: inches long, free above and attached to the os calcis below. Step 3.—Incise the deep fascia parallel and close to the posterior borderof the tibia. Avoid injury to the sheath of the tibialis posticus and to thevessels which lie posterior to the flexor digitorum and between it and theflexor proprius hallucis. Expose and isolate the tendon of the flexor longusdigitorum opposite the internal malleolus. Step 4.—Divide the tendon (flex, digit.) longitudinally into an anterior andposterior segment. Leave the anterior segment intact. Divide the posteriorsegment transversely low down so as to make it into a flap with pedicle Fig. 1545.—Tendon transplantation. {Beiger atid Banzet.) V. Vessels Flexor longus. Tendon Achillis. i. Intact portion tendon of flexor longus. 3. Flap from tendo Achillis. 3. Flap from long flexor. Step s.^Put the ankle in a position of great plantar flexion. Lay the twoflaps obtained from the tendo AchiDis and the long flexor alongside each otherand unite them by sutures (Fig. 1545). Step 6.—Shorten the intact portion of the tendo Achillis. Step 7.—Close the wound. Dress. Immobilize in a position of plantarflexion. (C) Transference of a Tendon Flap from the Peroneus Longus to theTendo Achillis. Step I.—From a point about i inch below the external malleolus make a4-inch incision upwards between the fibula and the tendo Achillis. Step 2.—Expose the outer border of the tendo Achillis and from it fashiona substantial flap—about 2}i inches long—free above, united to the os calcisbelow. TENDON TRAXSILANTATIUN I213 Step 3.—Incise the deep fascia parallel and clo
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