. St. Louis courier of medicine. Fig. 3. King.] Practical Points in Railroad Surgery. 39 impossible. We made amputations in both at different times(both operations being done by my first House Surgeou F. Yancey) with the result seen in fig. 3. In both of these operations the cicatrix was cut out, and theskin and other tissues dissected back and the ends of the bonessawed off so that the flaps were brought together without ten-sion. He suffered no inconvenience in either case except fromthe ether. There is not a particle of cicatricial tissue in eitherstump, and he is now wearing artif
. St. Louis courier of medicine. Fig. 3. King.] Practical Points in Railroad Surgery. 39 impossible. We made amputations in both at different times(both operations being done by my first House Surgeou F. Yancey) with the result seen in fig. 3. In both of these operations the cicatrix was cut out, and theskin and other tissues dissected back and the ends of the bonessawed off so that the flaps were brought together without ten-sion. He suffered no inconvenience in either case except fromthe ether. There is not a particle of cicatricial tissue in eitherstump, and he is now wearing artificial limbs without pain, andis enabled to go upstairs and get on and off street cars, usingonly a cane wTith which to steady Fig. 4. Case IV. B. F. Young, American, set. 545, engineer. Wascaught under a derailed engine and held fast for 30 minutes,while boiling water was pouring over his left leg and foot, fromsome part of the engine which had been broken. This was , 1887, and he was admitted to the hospital the same day. Itwas found that there wTas a deep and extensive scald, embracingthe foot and the anterior surface of the leg over the lower andmiddle thirds. The soft parts were literally cooked, so that af-ter a few days we cut away the superficial veins above and be-low and threw them away, as so many impervious was plain to be seen that this leg could not be saved soas to make a useful limb. Amputation was proposed and de-clined, and the limb was kept under treatment for eight anterior surface of the tibia for six inches in length was ex- 40 Orig in a I A rt ides. [July. 1888. posed, eroded and black. After about eight months Mr. Y. be-came satisfied that he could never use
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