. Operative surgery. ted. Fig. 463 shows the long internal condyle of genuvalgum; Fig. 464 represents a section of about threefifths of the diameter; Fig. 465 illustrates the ap-pearance of the bone with the line of section closed,showing the curvature as rectified. The prognosis ofthis operation, with reference to usefulness of theliml), cure of the deformity, and danger to life, is mostflattering. The Results.—In about six hundred and fifty supra-condyloid osteotomies but three fatal cases are reportedthat can be attril^uted to the operation: one each fromsepticaemia, haemorrhage, and carbol


. Operative surgery. ted. Fig. 463 shows the long internal condyle of genuvalgum; Fig. 464 represents a section of about threefifths of the diameter; Fig. 465 illustrates the ap-pearance of the bone with the line of section closed,showing the curvature as rectified. The prognosis ofthis operation, with reference to usefulness of theliml), cure of the deformity, and danger to life, is mostflattering. The Results.—In about six hundred and fifty supra-condyloid osteotomies but three fatal cases are reportedthat can be attril^uted to the operation: one each fromsepticaemia, haemorrhage, and carbolic-acid the patients were benefited, and many were en-abled to take an active part in affairs from which they had been deljarred. The Operation of Osteo-artlirotomy for Genu Valgum (Ogston).—Theoperation of osteo-arthrotomy consists in dividing the elongated condyle ofthe femur by sawing (Ogston), or hy cutting (Eeeves), sufficiently to admitof the rectification of the deformity (Figs. 466 and 467).. Fig. 462.—Supracondy-loid osteotomy, of incisionof soft parts, h. Lineof bone section, Epiphysis. 4M OPERATIVE SURGERY. The Operation hy Saiuing.—Place the patient in the dorsal position; flexthe leg upon the thigh fully. At a point two or three inches above the tipof the inner condyle introduce a tenotome upon the flat, carry it down-ward, forward, and outward until its point can be felt anteriorly in the inter-


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Keywords: ., bookauthorbryantjosephdjosephde, bookcentury1900, bookdecade1900