198 MORBID ANATOMY.
between the living and the dead bone. A considerable
quantity of new and soft bone connects this upper frag- ment with the shaft above the inner condyle.
From an intemperate man, set. thirty-seven years, who slipped and fell with the whole weight of his body upon this limb. On entrance into the hospital (28, 331) Dec. 20th, 1844, there was a shortening of 2 or 3 in., consider- able swelling and emphysema about the knee, and a pro- trusion of the upper fragment nearly an inch, with great pain, and considerable bleeding. The fracture was re- duced, but the bones could hardly be kept in place ; and on the third day, the extension being discontinued, on account of the pain and swelling, the limb was simply laid in a fracture box. Suppuration and sloughing followed. Feb. 5th the limb was much shortened, and the upper frag- ment seemed to have penetrated the knee-joint beneath the patella. On the llth of March it protruded below this bone, and on the llth of April the man died. 1847.
Dr. J. C. Warren.
1119. A portion of the femur, 2 in. in length, and evidently separated from one of the fragments in a case of compound fracture ; being a completion of the process that was going on in the last case. 1847. Dr. J. C. Warren.
1120. A portion of femur, more than an inch in length, and probably sawed off in a case of compound fracture ; there being no appearance of necrosis, nor of its having been previously amputated. The canal is closed by a deposit of new bone. 1847. Dr. J. C. Warren.
1121. Eecent oblique fracture of the lower third of the shaft. Lower fragment much comminuted, and looks as if the individual may have been run over by a loaded wagon. 1856. Dr. H. J. Bigelow.
1122. The lower portion of the femur, showing an extensive breaking down of its surface, in and near the popliteal re- gion, with flattened shot sticking in the bone.
From a young man, set. eighteen, who accidentally re- ceived a charge of shot from a fowling-piece. Dr. B. found
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