. Manual of operative surgery. .—Treat the disease as already described. Step 6.—If the trochanter is diseased, remove thedisease or the trochanter itself, as may be the trochanter is healthy, return it to its normalposition and fix it there by sutures (wire, chromicizedcatgut), pegs, or screws. Provide drainage if neces-sary. Close the wounds. Some surgeons fill thejoint cavity with iodoform emulsion, Mosetigs plugor iodoform starch and close without drainage. Rutherford Morison operates as follows: Make aconvex incision immediately above the trochantermajor. Divide all the muscl
. Manual of operative surgery. .—Treat the disease as already described. Step 6.—If the trochanter is diseased, remove thedisease or the trochanter itself, as may be the trochanter is healthy, return it to its normalposition and fix it there by sutures (wire, chromicizedcatgut), pegs, or screws. Provide drainage if neces-sary. Close the wounds. Some surgeons fill thejoint cavity with iodoform emulsion, Mosetigs plugor iodoform starch and close without drainage. Rutherford Morison operates as follows: Make aconvex incision immediately above the trochantermajor. Divide all the muscles inserted into thetrochanter. Dislocate the head of the femur throughthe wound. Remove all the capsule, synovial mem-brane, and cartilage from the head and the acetabulum. Close the woundcompletely. Immobilize. Do not remove the head of the femur unless ithas become a sequestrum. Remarks.—When coxitis results from osteo-myelitis the treatment oughtto be by excision. While arthrotomy has given good results, yet excision. Fig. 1208.—Olliers operation. (Labey.) ARTHRITIS DEFORMANS 989 leads to a quicker recovery and so avoids the more remote dangers of long-lasting suppuration (Hoffa). When there is hydrops or pyarthros, punctureand injection with some fluid such as formalin-glycerine is advisable unlessthere is too much absorption of toxins, in which case arthrotomy or arthrec-tomy is indicated. The hydrops of typhoidal coxitis demands tuberculous coxitis when fistulas are absent and there is no dislocation,
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