Identifier: textbookofoperat01koch (find matches)
Title: Text-book of operative surgery
Year: 1911 (1910s)
Authors: Kocher, Theodor, 1841-1917
Subjects: Surgical Procedures, Operative Surgery, Operative
Publisher: New York : Macmillan Company
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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Text Appearing Before Image:
ternal plantar artery (Fig. 69). An incision ismade from immediately infront of the ball of the heel forwards in the direction of a line from the point of theheel to the fourth toe. On division of the skin, abundant fat, the streng jDlantarfascia, and the muscular fibres of the adjacent edges of the flexor brevis digitorumand abductor minimi digiti are exposed, with the artery lying between them. (ß) The plantar arch at the first i7iterosseous space (Fig. 69). An incision ismade backwards in the hoUow outside the ball of the great toe, in the direction of aline from the second toe to the point of the heel, through skin, abundant fat, and thestrong plantar fascia. Upon the inner side of the wound is the tendon of the flexorlongus hallucis along with, posteriorly, the muscular fibres of the abductor hallucis, 158 (1) Ist luiubrical m. A.bductor hallucis m Peroneus ^longus tendon. j (2)Abductor hallucis m. Int. plantar a. and n. Flex. longushallucis tendon. f Flexor brevis )_digit. m. j
Text Appearing After Image:
Plantar arcli.Int. plantar ru Flex. brevis digit. m. Tendon flex. long,digit. to 2nd toelying on flex.brevis. (3) fFlex. brevis(_ digitorum m. Fig. 69.—(1) Plantar arch. (2) and (-3) Internal and e.xternal plantar artery and SURGERY OF THE VENO US SYSTEM 159 and, anteriorly, those of the flexor brevis hallucis: these structures are drawn inwards.Upon the outer side of the wound is the large internal plantar nerve with its branchesto the second and third toes : these are drawn toAvards the little toe. The nerve tothe great toe does not come into view. The short flexor tendon of the second toeand the subjacent long flexor tendon with the first lumbrical muscle are exposed anddrawn outwards, the powerful adductor hallucis muscle which lies still deeper beingthen exposed. After cutting through this muscle the artery will be found lyingdeep at the first interosseous space where it joins the dorsal is pedis artery. Theartery lies upon the interosseous muscles. To the inner side of its ter

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