. Manual of operative surgery. Fig. 1315. Fig. 1316. Figs. 1315 and 1316.—Wullsteins operation. {Wullstein.) Step 3.—To the outer side of, and about 3<4 inch from the patella incise thecapsule (both fibrous and synovial) along the line C D (Fig. 1316). Make thecorresponding incision A B (Figs. 1315 and 1316) on the inner side of the and elevate the quadriceps muscle and tendon from the upper recessof the synovialis and continue the incision A B and C D upwards to meet at thepoint E corresponding to the highest part of the joint cavity. Elevate or retractthe ligamentum patell
. Manual of operative surgery. Fig. 1315. Fig. 1316. Figs. 1315 and 1316.—Wullsteins operation. {Wullstein.) Step 3.—To the outer side of, and about 3<4 inch from the patella incise thecapsule (both fibrous and synovial) along the line C D (Fig. 1316). Make thecorresponding incision A B (Figs. 1315 and 1316) on the inner side of the and elevate the quadriceps muscle and tendon from the upper recessof the synovialis and continue the incision A B and C D upwards to meet at thepoint E corresponding to the highest part of the joint cavity. Elevate or retractthe ligamentum patellae and continue the incisions A B and C D downwards tomeet at the point B. Step 4.—Push the patella inwards to the extent necessary for correction of thedeformity. Note how much of the inner portion of the capsule is excessive andguided by that information make the incision X Y (Fig. 1315) parallel to A the vastus internus and continue the cut X Y under the vastus to thepoint Z. Step 5.—The incisions F B A E
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