American practice of surgery : a complete system of the science and art of surgery . Fig. 83.—Shows Barkers Method of Holdingthe Fragments of a Fractured Patella togetherby Means of Silver Wire. The present figureshows how the curved needle (a), armed withthe silver wire or a strong sdk suture (6c), shouldbe introduced behind the fragments. (Barker.) 186 AMERICAN PRACTICE OF cision with a narrow-bladed knife down to and through the ligamentum patellae at the point of insertion into the fragment. and another down to and through thelike insertion of the quadriceps extensor, then carrie
American practice of surgery : a complete system of the science and art of surgery . Fig. 83.—Shows Barkers Method of Holdingthe Fragments of a Fractured Patella togetherby Means of Silver Wire. The present figureshows how the curved needle (a), armed withthe silver wire or a strong sdk suture (6c), shouldbe introduced behind the fragments. (Barker.) 186 AMERICAN PRACTICE OF cision with a narrow-bladed knife down to and through the ligamentum patellae at the point of insertion into the fragment. and another down to and through thelike insertion of the quadriceps extensor, then carried through these incisions, from below upward beneath the patella,bymeans of a curved needle, a strong silk su-ture (Figs. 83, S4. and 85), the advancingend of which was then carried downwardunder the knee in the median line to thepoint of entrance. The blood-clots on the fractured edgesof the bones and any intervening fibroustissue wen1 displaced as much as possibleby rubbing the fragments together, whenthe suture was firmly tied, the ends cutshort, and the skin wound closed. Strongchromicized catgut may be employed in-stead. We agree with Stimson when he saysthat operative methods can be used withconfidence when surrounded with every pro-tect ion. He habitually uses them, but henever teaches them as proper routine prac-tice, and strongly advises against their useexcept by tho
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Keywords: ., bookauthorbuckalbe, bookcentury1900, bookdecade1900, bookyear1906
