. Operative surgery. Fig. 438.—Incision and exsection of theknee. 420 OPERATIVE SURGERY. Tlie Operation of Subperiosteal Excision of the Knee Jot7ii(Langenbeck).—Extend the limb and make a curved incision five or six inches in lengthon the inner side, commencing at the inner border of the rectus femorisand terminating below at the crest of the tibia. The convexity of thisincision turned backward corresponds to the posterior borders of the con-dyle and tuberosity, and its center to the line of the articulation (Fig. 439).If the flap be now raised, the vastus internus muscle and the tendons of t
. Operative surgery. Fig. 438.—Incision and exsection of theknee. 420 OPERATIVE SURGERY. Tlie Operation of Subperiosteal Excision of the Knee Jot7ii(Langenbeck).—Extend the limb and make a curved incision five or six inches in lengthon the inner side, commencing at the inner border of the rectus femorisand terminating below at the crest of the tibia. The convexity of thisincision turned backward corresponds to the posterior borders of the con-dyle and tuberosity, and its center to the line of the articulation (Fig. 439).If the flap be now raised, the vastus internus muscle and the tendons of theadductor magnus and sartorius will be seen (Fig. 440), and should be care-fully avoided. Divide the internal lateral ligament on a line with the articu-lation; with the periosteal elevator separate the capsular ligament togetherwith the internal semilunar cartilage and the periosteum from the anteriorand posterior surfaces of the inner condyle of the femur and the tibia out-.
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Keywords: ., bookauthorbryantjosephdjosephde, bookcentury1900, bookdecade1900
