. Atlas of clinical surgery; with special reference to diagnosis and treatment for practitioners and students. ost the whole shaft of the tibiabecame necrosed. Fig. 107 shows the yellow ne-crosed bone, with the open medullary cavity contain-ing slimy granulations. Between the necrosed boneand the healthy bone are granulation tissue and the leg had not been properly fixed, a fractureoccurred at the lower part of the tibia. The condi-tion of the child on admission to hospital was verybad, owing to the prolonged suppuration. Examina-tion by the X-rays showed that the sequestrumextended fur
. Atlas of clinical surgery; with special reference to diagnosis and treatment for practitioners and students. ost the whole shaft of the tibiabecame necrosed. Fig. 107 shows the yellow ne-crosed bone, with the open medullary cavity contain-ing slimy granulations. Between the necrosed boneand the healthy bone are granulation tissue and the leg had not been properly fixed, a fractureoccurred at the lower part of the tibia. The condi-tion of the child on admission to hospital was verybad, owing to the prolonged suppuration. Examina-tion by the X-rays showed that the sequestrumextended further down, and that a thick, bony cap-sule had already formed behind and at the sides. Under an ansesthetic, the wound was extendeddownwards, the necrosed bone removed, the cavityscraped and plugged, and the leg put up on a splintwith extension, to correct the position of equinus position of the foot, due to insufficientfixation, was gradually corrected. Such extensive necrosis could have been avoidedby early gouging of the bone and proper after-treatment. 260 Bockenheimer, Atlas. Tab. Fig. 107. Osteonnclitis tibiae - Necrosis totalis. Rcbman Company, New-York. Bockenheinier, Atlas. Tab. LXXXVI.
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