Operative surgery, for students and practitioners . side upon a thin sandbag,the knee being slightly flexed. An incision about three inches long is made along the posteriorborder of the iibula just in front of the sheath of the peronei tendons;this is carried downward as far as the tip of the malleolus, where it isturned upAvard for a short distance along the front border of this mal-leolus. This incision reaches through the soft parts and periosteumto the bone. The tissues which cover the bone are raised subperioste-ally Avith an elevator, laying bare all of the lower end of the fibula andtak
Operative surgery, for students and practitioners . side upon a thin sandbag,the knee being slightly flexed. An incision about three inches long is made along the posteriorborder of the iibula just in front of the sheath of the peronei tendons;this is carried downward as far as the tip of the malleolus, where it isturned upAvard for a short distance along the front border of this mal-leolus. This incision reaches through the soft parts and periosteumto the bone. The tissues which cover the bone are raised subperioste-ally Avith an elevator, laying bare all of the lower end of the fibula andtaking care not to injure the peronei tendons, which are lodged in thegroove upon the posterior border of the external malleolus. There isconsideralde difficulty in separating the periosteum from the surfaceof the malleolus below, and in order to accomplish this it may be neces- 804 LOWER EXTREMITY. savj to resort to the knife, cutting with its edge close upon the sur-face of the bone or else one may chisel away a thin shell of the cortexof the Fig. 353.—Right Foot, Outer Side. External incision for resectionof ankle (Langenbeck-Hueter).
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Keywords: ., bookauthormcgrathj, bookcentury1900, bookdecade1910, bookyear1913
