Excision of the knee joint with report of twenty-eight cases . ta-ture and delicate in appearance,she could not bear any weighton the leg. The operation wasperformed in November, 1880,.and consisted in the removal ofthe entire synovial membraneand cartilage, from the face ofthe joint, the saw was not used,but the disease was all remov-ed with a good sized limb was put up in perma-nent dressings after Dr. P. method, paraffine beingused. The operation was per-formed with full antiseptic pre-cautions, and the antisepticdressings were kept up through-out the case. Perfect uni
Excision of the knee joint with report of twenty-eight cases . ta-ture and delicate in appearance,she could not bear any weighton the leg. The operation wasperformed in November, 1880,.and consisted in the removal ofthe entire synovial membraneand cartilage, from the face ofthe joint, the saw was not used,but the disease was all remov-ed with a good sized limb was put up in perma-nent dressings after Dr. P. method, paraffine beingused. The operation was per-formed with full antiseptic pre-cautions, and the antisepticdressings were kept up through-out the case. Perfect union of Fie. 1. Shows the union of the bones, .-i Oi. „ i.„ „ „„j,-i,. -r^n^^r^j which was firm and well covered ^be SOft parts Speedily followed. with soft structures. and in the course of six weeks the splint was removed, and the bones found firmly united. Thischild died at the end of nine months, from heart complication,after an attack of acute rheumatism, but before the attack shewas able to walk about the ward, without the aid of crutch EXCISION OF THE KNEE JOINT. 11 Experience has amply proved in my own cases the advan-tages of section of the bones afterthe manner described above. Ithas yielded most satisfactory re-sults, speedy union has taken placein the majority of the cases herereported, the limbs have beenstraight, neither bowing to theouter or inner side, the ankylosis hasbeen firm, there has been no ten-dency in the thigh bone to pushforwards, nor does it change its axisand rotate outwards. At the International Congressheld in London, England, in 1881Mr. Oilier, of Lyons, in referringto the general subject of excisionof joints, is reported to have saidthat the imperfection of some ofthe results in the human subjectwas an indirect but conclusivedemonstration of the necessity ofattending to the known laws ofrepair of bones and joints. Healso remarks, that the earlier anexcision is performed the betterthe result, and that the antiseptictreatment made
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