The International Text-Book of Surgery V.1

Cover The International Text-Book of Surgery V.1
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poplitea.
N. comm.Jibul.
M. gastrocnem. ext.
Fig. 80. — Topography of the popliteal artery (after Loebker).
between the condyles of the femur. It lies directly upon the bone, with the vein behind it, and the internal popliteal nerve superficial to the vein and slightly to the inner side. The patient should be placed on his face, with the leg extended, and a free incision made through the skin, \ inch outside of the middle line, to avoid the internal saphe- 332 INTERNATIONAL TEXT-BOOK OF SURGERY
....
nous vein. The nerve can be felt as a tense cord, and drawn to one side, when the vein will be found embedded in a mass of adipose tissue and' intimately adherent to the artery. It should be carefully but completely separated, and all bleeding controlled. If the dissection has been efficiently done, the ligature may be passed in either direc- tion.
ligature of the Anterior Tibial Artery. — A line drawn from the inner side of the head of the fibula to the center of the ankle- joint will indicate the course of the vessel.


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