. Manual of operative surgery. Fig. 1219.—Skin reflected. Fascial flap out- Fig. 1220.—Division of trochanter major,lined. (Guillot and Dehelly, J. de Chir.) (GuiUot and Dehelly, J. d* Chir.) ARTHROPLASTY HIP 995 done with an osteotome. Turn the severed trochanter with its attachedmuscles upwards (Figs. 1217, 1218 and 1221). Step 3.—Incise the articular capsule and separate it from the ilium all theway round. Step 4.—Chisel the bony material (head of femur and new bone) fiUing theacetabulum from the latter, beginning at their line of junction and so cuttingthat as much as possible of the femor

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. Manual of operative surgery. Fig. 1219.—Skin reflected. Fascial flap out- Fig. 1220.—Division of trochanter major,lined. (Guillot and Dehelly, J. de Chir.) (GuiUot and Dehelly, J. d* Chir.) ARTHROPLASTY HIP 995 done with an osteotome. Turn the severed trochanter with its attachedmuscles upwards (Figs. 1217, 1218 and 1221). Step 3.—Incise the articular capsule and separate it from the ilium all theway round. Step 4.—Chisel the bony material (head of femur and new bone) fiUing theacetabulum from the latter, beginning at their line of junction and so cuttingthat as much as possible of the femoral head is retained (Figs. 1222 and 1226).After cutting most of the line of union, the remainder may be fractured bymoving the thigh. Step 5.—With chisel, rongeurs, and scoop, smooth and deepen the cotyloidcavity. Similarly round off and smooth the head of the femur.

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Keywords: ., bookcentury1900, bookdecade1920, bookpublisherphila, bookyear1921