This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1900 Excerpt: ...time and trouble required to obtain even a fairly satisfactory result are very great. Secondary suture of the patella.--An incision is made similar to that already described, except that the convexity of the flap should extend further up the thigh, so as to expose the lower part of the belly of the quadriceps muscle ...
Read More
This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1900 Excerpt: ...time and trouble required to obtain even a fairly satisfactory result are very great. Secondary suture of the patella.--An incision is made similar to that already described, except that the convexity of the flap should extend further up the thigh, so as to expose the lower part of the belly of the quadriceps muscle and not merely the junction of its tendon with the patella. After the flap has been turned down until the ligamentum patellae is exposed, the fibrous tissue between the fragments is divided and removed, and the fractured surfaces are refreshed by means of a saw, a chisel, or bone forceps. Great care should be taken to see that the direction of the two raw surfaces corresponds; if one be oblique the other must be made oblique in the opposite direction. All the steps of the operation should be carried out under an irrigation with 1-6000 sublimate solution. The next point is to get rid of the adhesions already existing. When the patella is bound down to the femur, the adhesions may be divided with a knife. Any other adhesions in the supra-patellar pouch which prevent the upper fragment from coming down, should also be divided by means of a probe-pointed knife passed into the pouch; the knee should then be forcibly bent, so as to break down any remaining adhesions. Before bending the limb it is well to replace the flap to some extent and to cover the wound with two or three large flat sponges, as otherwise a quantity of unfiltered air would be worked into the joint cavity. It is important to remember that the adhesions should not be broken down until the fibrous tissue connecting the two fragments has been removed. We have seen cases in which violent flexion was employed before the fibrous tissue had been taken away; the result was that the upper fr...
Read Less
Choose your shipping method in Checkout. Costs may vary based on destination.
Seller's Description:
PLEASE NOTE, WE DO NOT SHIP TO DENMARK. New Book. Shipped from UK in 4 to 14 days. Established seller since 2000. Please note we cannot offer an expedited shipping service from the UK.
Choose your shipping method in Checkout. Costs may vary based on destination.
Seller's Description:
PLEASE NOTE, WE DO NOT SHIP TO DENMARK. New Book. Shipped from UK in 4 to 14 days. Established seller since 2000. Please note we cannot offer an expedited shipping service from the UK.
Choose your shipping method in Checkout. Costs may vary based on destination.
Seller's Description:
PLEASE NOTE, WE DO NOT SHIP TO DENMARK. New Book. Shipped from UK in 4 to 14 days. Established seller since 2000. Please note we cannot offer an expedited shipping service from the UK.
Choose your shipping method in Checkout. Costs may vary based on destination.
Seller's Description:
PLEASE NOTE, WE DO NOT SHIP TO DENMARK. New Book. Shipped from UK in 4 to 14 days. Established seller since 2000. Please note we cannot offer an expedited shipping service from the UK.