Transactions of the College of Physicians of Philadelphia . , sound man, started to walk to League Island. Mypatient was ready and able to walk the whole distance ; hisfriend gave out before they reached the Island. The limbbefore the operation was small and very thin. It has in-creased much in size and strength. His general health hasalso greatly improved. KXCISION OK IvNKK. 101 The result obtained in this case mosl strikinglyillustrates the benefits which may sometimes be ob-tained from excision, as a consideration of the follow-ing points will more fully show : — The time occupied in treatm


Transactions of the College of Physicians of Philadelphia . , sound man, started to walk to League Island. Mypatient was ready and able to walk the whole distance ; hisfriend gave out before they reached the Island. The limbbefore the operation was small and very thin. It has in-creased much in size and strength. His general health hasalso greatly improved. KXCISION OK IvNKK. 101 The result obtained in this case mosl strikinglyillustrates the benefits which may sometimes be ob-tained from excision, as a consideration of the follow-ing points will more fully show : — The time occupied in treatment after operation wasonly three months. The usual average is about eightmonths. The wound was entirely closed in that time, andhas never re-opened. The bones were then firmly united together, andhave remained perfectly linn ever since. The limb is straight. There is no bending or bow-ing in any direction. The shortening is three and one-halt inches, and is Fig. 102 BODGE, compensated by a thickened sole to hia shoe. Pari ofthe shortening is probably due to the fracture of thethigh Which occurred when he was twelve or thirteenyears old. lit- walks easily and with only a slight limp. Hecan walk long distances and rapidly, and docs not usecrutch or cane. Time has tested the usefulness of thelimb. It remains useful after three years, and ena-bles him to support himself and family by active labor. The photograph (Fig. 1) exhibits the condition ofthe limb one year alter the operation, and the Fellowsof the College will see by examination that during thelasl two years he has losl nothing. The limb is noweven stronger and better than it was then. [The patient was then presented.] Case II.—Alexander Johnson is in his nineteenth year. Hestates that his father and mother are healthy, and that heknows of no hereditary diseases in his family. One of hisbrothers, however, lias enlarged and inflamed cervical about eleven years of age, while r


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Keywords: ., bookcentury180, bookdecade1870, booksubjectmedicine, bookyear1876