The surgical treatment of the diseases of infancy and childhood / by T. Holmes.
- Timothy Holmes
- Date:
- 1868
Licence: Public Domain Mark
Credit: The surgical treatment of the diseases of infancy and childhood / by T. Holmes. Source: Wellcome Collection.
526/700
![the tibia, can be taken away, and if the pulley-like anterior surface of the femur appears also to require removal, this can be done by sawing ob- liquely upwards or down- wards, so as to remove a thin slice from the front of the bone. Great care ought to be taken to make the principal section truly horizontal, for which pur- pose the saw ought to be inclined to such an angle as shall bring it perpendi- cular to the femur, in what- ever position the bone may for the moment be. As to [Kg. 74. A section made through the centre of the femur and tibia, in a child ret. 5, to show the position of the epiphysial lines, and the point at which the section ought to be made in excision. It will be noticed that in the femur, if the section is made above the troch- lear surface (as is very generally done), at the level of the dotted line, the whole epiphysis will be removed, and the shaft trenched upon. In the tibia, on the other hand, the whole articular surface may be removed without any risk.] [Fig. 75. The same femur shown in an anterior view.] the section of the tibia, there is less difficulty about this. It must bo made just below the articulating surface, not lower](https://iiif.wellcomecollection.org/image/b20416325_0526.jp2/full/800%2C/0/default.jpg)
