Operative surgery . 1268 OrKKATIVE SURGERY,. Tlie IiesuUs.—Oood use of the joint is expected in two montlis. Thatthis phm is safer than the freely o])en ones there can be no reasonable practical outcome cau not be known without a more extended expe-rience. Another su3mttaneoiis metJiod (Ceci) consists in surrounding the fracturedbone subcutaneously with a buried silk ligature in quite the same manner Lejars employs in multiple frac-<^2* ture of the patella, and in frac- ture at its tendinous insertions,passed transversely through theligamentum patellae at its inser-tion into the f

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Operative surgery . 1268 OrKKATIVE SURGERY,. Tlie IiesuUs.—Oood use of the joint is expected in two montlis. Thatthis phm is safer than the freely o])en ones there can be no reasonable practical outcome cau not be known without a more extended expe-rience. Another su3mttaneoiis metJiod (Ceci) consists in surrounding the fracturedbone subcutaneously with a buried silk ligature in quite the same manner Lejars employs in multiple frac-<^2* ture of the patella, and in frac- ture at its tendinous insertions,passed transversely through theligamentum patellae at its inser-tion into the fragment, and socarried around the bone, pass-ing through the quadriceps at-tachment (Fig. 152-4), as todraw the fragments tightly to-gether in a hoo])like mannerwhen the suture is tightened,and tied at the point of pri-mary puncture (Fig. 1525). TheFig. 1523.—The operation of ligature of patella, ordinary curved pedicle needleBarkers inetliod. Twisting wire ligature; , , i x i xi bringing fragments together! can be employed to draw the

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Keywords: ., bo, bookcentury1800, bookdecade1890, bookidoperativesurgery02brya