Surgery Volume 2

Surgery Volume 2

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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. 1907 edition. Excerpt: ...of operation in use: (a) The Nicolodoni method, in which the healthy tendon is sewed into the paralyzed tendon. (b) The Lange periosteal method, in which the healthy tendon is inserted into the periosteum. The earlier method of Nicolodoni, although still defended,172 has the objectionable feature that paralyzed tendons stretch and that such a muscular insertion is less likely to last than an insertion into periosteum. Fig. 404.--Paralysis Of An-Terior Tibial Muscle; Transplantation Of En-Tire Extensor Halllicis Into Anterior Tibial (nicolodoni Method). a, Division of active mus-cle; 6. slit in paralyzed mus-cle for insertion of active mus-cle. In an experiment on the cadaver, tendons attached to tendons broke under a strain of 2 to 3 kg., whereas tendons attached to periosteum required a breaking force of 14 to 15 kg.17" Midler174 has modified the latter method by boring a hole in the bone, through which the tendon is passed. The whole tendon is generally used, but it may be split in its length175 and the two halves used for different purposes. For example, in paralysis of the tibialis anticus the extensor proprius hallucis might be split and half cut through, the distal end of the divided half inserted into the tibialis anticus, and the other half left to its original function. The objection to the method is that it is questionable whether the two halves of the tendon ever develop independent function, although it has been claimed.176 The soundest practice in general is toward the use of entire tendons and toward periosteal rather than tendinous insertion. Simple operations are preferable, except in the most experienced hands, to complicated ones. A plan of operation and a definite anatomic diagnosis are absolutely essential to success....show more

Product details

  • Paperback | 354 pages
  • 188.98 x 246.13 x 18.8mm | 635.03g
  • Rarebooksclub.com
  • Miami Fl, United States
  • English
  • black & white illustrations
  • 1236630726
  • 9781236630728