CuneAn TENOTOMY 



219 



RESTRAINT. — Cunean tenotomy can be performed in 

 both the standing and the recumbent positions. The former 

 is ample restraint if the patient is not restive and if the seat 

 of operation is well cocainized subcutaneously. The twitch 

 for the nose, the single side line to lift the opposite leg from 

 the floor, and the liberal use of the cocaine solution along 

 the line of incision, will effectually restrain the ordinary 



Fig. 117 — Surgical Anatomy o£ the Internal Aspect of the Tarsus. 



horse for cunean tenotomy. If for any reason the recum- 

 bent position is found necessary, the operating table will be 

 found most suitable. It is much more difficult to secure 

 and retain the legs in a convenient position when the patient 

 is cast with the harness, and harness restraint is always more 

 or less dangerous in spavined horses ; if aged, fracture of 

 the lumbar vertebrae is not an unlikely accident. 



TECHNIQUE.— First Step.— Locating the Line of In- 



