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For the approach to the I. items in the upper third of femur slit made inside or outside from projection of nerve according to direction and character of cicatrices. If it made outside after dissection of skin dissected fascia inside and bared periphery edge of the lengthy head of two-headed muscle of femur; slit inside from projection of nerve made in the opposite direction, evolve the same muscular edge. Prolong slit in depth and delay inside periphery edge of the lengthy head of two-headed muscle of femur, evolved the I. item (fig. 3). The covering of the operate nerve are provide with ligation of the lengthy head of two-headed muscle with bottom edge of the cuneal.
The approach to the I. the item in the middle of femur are ma inside or outside from projection of nerve, according to cicatrices. If the cicatrix transversal, to fit it are necessary to add two slits from whom the one should go inside, another outside from projection of nerve. After unit of skin with hypodermic tissue dissected fascia over semitendinosus muscle (inside from projection) or over two-headed muscle of femur (outside from projection). In that and other event after slit of fascia found muscular cleft between two-headed muscle of femur on the one hand both semitendinosus and to floor – plumose – with another. Projection slit made, orient on this cleft. Move apart hooks cleft and ma through into depth bared the I. item. Excising of the penetrating cicatrices and excretion of nerve in this field was often accompanied by the strong bleeding from probate branches of the penetrating artery of femur. Bleeding intercepted ligatures and the gauze napkins moisten with hot normal saline solution. Recently to hemostasis with success applied electrocoagulation. As bed for nerve muscles routinely served.