. Manual of operative surgery. he tendon of the ext. proprius hallucis. Step —Split longitudinally the tendon of the ext. proprius into an outerand inner segment. Divide the outer segment transversely at the level of theannular ligament (Fig. 1540). Step 4.—Pull the ext. com. digitorum upwards, strongly flexing the a longitudinal button-hole in this tendon and pull through the button- I2IO TENDON SHEATHS AND TENORRHAPHY hole the mobUized flap provided at the expense of the ext. proprius. Suturesecurely. Step 5.—Retract the inner edge of the wound and expose the tendon of thetibial


. Manual of operative surgery. he tendon of the ext. proprius hallucis. Step —Split longitudinally the tendon of the ext. proprius into an outerand inner segment. Divide the outer segment transversely at the level of theannular ligament (Fig. 1540). Step 4.—Pull the ext. com. digitorum upwards, strongly flexing the a longitudinal button-hole in this tendon and pull through the button- I2IO TENDON SHEATHS AND TENORRHAPHY hole the mobUized flap provided at the expense of the ext. proprius. Suturesecurely. Step 5.—Retract the inner edge of the wound and expose the tendon of thetibialis anticus and shorten it in the same manner as the tendo Achillis isdepicted as being shortened in Figs. 1541, 1542, 1543, 1544. After any of the operations such as have been now described, RobertJones endeavors to keep the united tendons free from tension by means of theremoval of skin flaps. He writes: Personally I see that the deformity of thefoot is overcorrected before any operation is performed; and as soon as the.


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