From a healthy man, set. forty-two. (Hospital, 39, 80.) Thigh amputated for necrosis, May 30th. Extensive sup- puration followed ; and, after a time, about 2 in. of bone were discharged, including the entire circumference where it had been sawed. (No. 1608.) July 21st, the end of the bone was removed ; surrounded by a thick mass of fleshy vegetations. The patient, having previously been much re- duced, recovered rapidly after the operation. 1849.
Dr. J. M. Warren.
1608. Exfoliation from the above case. 1849.
Dr. J. M. Warren.
1609. Longitudinal section of a portion of the femur after am- putation ; dried.
From a boy, set. thirteen years. (Hospital 118, 224, and Med. Jour. Vol. LXXIII. 218.) A horse-railroad accident. Amputated at once ; and there was profuse hemorrhage from the medulla. On the 9th day a portion of the stump was ununited ; and a large fungous growth, protruding from the medullary cavity, was removed. On the 13th day tetanus came on, and on the 18th the boy died.
A very exuberant growth of new bone surrounds the femur about a third of an inch above where it was sawed ; and above this, to the extent of about 3 in., is a thin periosteal deposit. The very extremity of the 'bone is smooth externally, and was preparing to exfoliate. The medulla, so far as the bone was removed, was of a dark chocolate color, infiltrated with lymph so as to render it firm and resistant ; filling the medullary cavity tightly as if swollen, and bulging out from the end of the bone in the form of a flattened button. No pus was anywhere found.
Dr. H. remarked upon the hemorrhage from the medulla, the late period at which the tetanus appeared, and their pathological connection with the osteo-myelitis ; referring to Dr. Allen's paper upon this last subject in the American Journal of the Med. Sciences, Jan., 1865.
1610. The other half of the femur, from the above case ; in spirit. 1865. Dr. R. M. Hodges.
1611. Portions of the tibia and fibula, from an old stump, and
�� �
