Bismuth paste in chronic suppurations, its diagnostic importance and therapeutic value . Fig. 21. Complete closure of sinuses and perfect restoration of function ofarm. (Case shown in Fig. 16.) 78 BISMUTH PASTE IN CHRONIC SUPPURATIONS. The accompanying tracings explain the various pathologic changesin the humerus shaft. An operation was performed by Dr. Carl Beck, seven sequestra(Fig. 18) being removed, and the cavity packed with gauze. Twenty-four hours later the gauze was removed and the cavity filled withbismuth paste. A second radiograph (Fig. 19) was taken, which shows. Pig. sclero
Bismuth paste in chronic suppurations, its diagnostic importance and therapeutic value . Fig. 21. Complete closure of sinuses and perfect restoration of function ofarm. (Case shown in Fig. 16.) 78 BISMUTH PASTE IN CHRONIC SUPPURATIONS. The accompanying tracings explain the various pathologic changesin the humerus shaft. An operation was performed by Dr. Carl Beck, seven sequestra(Fig. 18) being removed, and the cavity packed with gauze. Twenty-four hours later the gauze was removed and the cavity filled withbismuth paste. A second radiograph (Fig. 19) was taken, which shows. Pig. sclerosis. Typhoid osteomyelitis of tibia. A, granulating cavity ; B, hyperplas- that all sequestra had been removed, and that the entire cavity hadbeen filled with the paste, leaving only the lighter zone of the granu-lation tissue. With few additional injections of the paste the cavity has entirelyfilled with healthy granulations and new formation of bone (Fig. 20);sinuses have closed within three weeks after the operation, and re-mained so. SINUSES FOLLOWING OTHER DISEASES. 79 The boy now has perfect motion of his arm, as shown in Fig. 21,and sufficient strength to do ordinary hard work. A typical case of typhoid osteomyelitis of the tibia is shown in aradiograph. (Fig. 22.) The disease in the bone appeared four monthsafter the typhoid fever subsided. The pus contained typhoid small area of infection is filled with granulation tissue (A), andthe entire diseased process is surrounded by a layer of hyperplasticsclerosis (B), which acted as a barrier against sp
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