. The Roentgen rays in medicine and surgery as an aid in diagnosis and as a therapeutic agent; designed for the use of practitioners and students . eft leg presentsa marked enlargement. X-rays showed involvement of the periosteumat the upper portion of the tibia (see Fig. 325). Operation by Dr. Munro on November 13, cavity curetted i, 1901, a second operation; periosteum split down about10 centimetres. For centimetres the periosteum was lined with acrackling, rough, new bone 3 to 4 millimetres thick, ending below in ,normal periosteum. The periosteum with its new bone was peele
. The Roentgen rays in medicine and surgery as an aid in diagnosis and as a therapeutic agent; designed for the use of practitioners and students . eft leg presentsa marked enlargement. X-rays showed involvement of the periosteumat the upper portion of the tibia (see Fig. 325). Operation by Dr. Munro on November 13, cavity curetted i, 1901, a second operation; periosteum split down about10 centimetres. For centimetres the periosteum was lined with acrackling, rough, new bone 3 to 4 millimetres thick, ending below in ,normal periosteum. The periosteum with its new bone was peeled from jthe shaft and the shaft sawn through just below the beginning of the |normal periosteum, and the fragment was removed. A rough necroticfragment about millimetres in diameter was removed from the ■epiphyseal end, and the epiphysis curetted wherever the bone seemeddiseased. The edge of the periosteum was sutured with catgut,and the leg compressed laterally so that the periosteum fell togethermore or less closely. A temporary drain was placed at the upperend, the skin below being sutured. X-ray photograph taken Janu-ary 17, II liiif Fig. 324. Alexander S. Osteomyelitis of the tibia, .tero-posterior view.
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