Licence: Public Domain Mark
Credit: Text-book of operative surgery / by Theodor Kocher. Source: Wellcome Collection.
Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.
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![of the thigh, which draw the femur forwards and inwards, would cause it to press against the inner angle of the wound. A modification of this operation (which is frequently called for) is G-kitti's supra- \ condyloid amputation (Fig. 172). / /^~\ An oblique incision is made with its upper end situated posteriorly immediately above the condyles; its lower end extends anteriorly to two finger-breadths below the patella. The ligamentum patellae is divided at its upper end. The articular surface of the patella is sawn off, and is applied to the sawn surface of the femur, and if necessary firmly nailed down to it. Along with Gritti's operation is to be placed that of Sabanejeff, which according to Ehrlich is well spoken of by W. Koch. It consists in sawing horizontally through the broadest part of the condyles, and apply- ing to them a flap of bone removed from the anterior surface of the upper end of the tibia. For this purpose an anterior flap must be made extending as far down as the middle third of the leg. The knee- joint is opened from behind. 228. Amputation through the Middle of the Thigh. In muscular limbs two short a \/ flaps are made, and after retracting them, a clean cut is carried transversely through Crureus. Rectus femoris. Vastus r->:t-'ni]is Outer surface. Fig. 173.—Amputation of the thigh below the trochanters; through the middle of the femur ; above the condyles (supracondyloid). Semitendinosus. Virtus inten: Int. saphenous n. I ^/Y^Femoral a. Inner surface. Scmiineiiiliniin'suy. Fig. 174.—Transverse section through the thigh (from a photograph).](https://iiif.wellcomecollection.org/image/b21216125_0315.jp2/full/800%2C/0/default.jpg)
