Aphorisms in Applied Anatomy

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Aphorisms in Applied Anatomy
Thomas Cooke
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Excision of Knee- Joint. — stand opposite knee, which shquld be fiexed. Transverse incision between patella and tubercle of tibia slightly curved up on either side on the femoral condyles, Enter joint, thoroughly dividing lateral ligaments.
Divide crucial ligaments downwards on head of tibia.
Saw off upper part of tibia and lower part of con- dyles, the tibia being drawn forwards from the popliteal artery (this is easy when the lateral liga- ments are well divided). The saw-cuts through the bon
...es must be at right angles to the respective shafts.* *In the case of the femur, the saw-cut, though made at right angles to the shaft from before backwards, may advantageously, m the trans- verse direction, be made to incline slightly downwards and inwards, in a direction parallel to the under surface of the condyles, of which tlie inner one descends somewhat lower than the outer one. (See also note, page 103.) Digitized by Google 123 Amputation of Lower Fart of Thigh.
— Circular; modified circular; lateral flaps by transfixion; or long anterior and short posterior flaps, as follows : — Make a long anterior flap from without inwards, taking skin only below, skin and muscles above; make a short posterior flap by transfixion.


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