. St. Louis courier of medicine. easy. So soon as it was prudent for the patient to travel, she left us forher distant home. Some weeks after her arrival she wrote me thatthe scar where one of the pins had been driven in had become soreand broken open with matter discharging. I at once suggestedthat the piece of broken pin left in was acting as an irritant andwould spontaneously come away or have to be removed. Laterinformation verified the truth of my opinion for the fragment Steele. Knee-Joint Excisions. 391 so presented itself as to be readily removed. It was sent me andfound to be consider
. St. Louis courier of medicine. easy. So soon as it was prudent for the patient to travel, she left us forher distant home. Some weeks after her arrival she wrote me thatthe scar where one of the pins had been driven in had become soreand broken open with matter discharging. I at once suggestedthat the piece of broken pin left in was acting as an irritant andwould spontaneously come away or have to be removed. Laterinformation verified the truth of my opinion for the fragment Steele. Knee-Joint Excisions. 391 so presented itself as to be readily removed. It was sent me andfound to be considerably eroded. The opening closed and haseiven no further trouble. A letter received within the pastmonth remarks: I am getting along splendid, I limp but a verylittle, and do not use the cane but a very little, and I can walkpretty fast. On another occasion she enthusiastically expressedher gratitude for the relief afforded by the operation and sug-gested how immeasurably preferable was her condition now towhat it was Case IE.—Result of Excision for Right-angled Anchylosis. Remarks.—As previously indicated, we have in these casesillustration of the two usual conditions for the relief of whichexcision is advised, viz., joint disease and anchylosis. And whilethey have met the same fate, they were alike also in having asimilar beginning, similar in having the same tissue or structureprimarily pathologically affected, inflamed, namely the syno- 1 The specimens removed were exhibited to the society, showing, in theone case extensive erosion of the three bones of the joint; in the othercase the adaptation of the bones to each other from their long fixednessin the flexed and the elongation downward of the condyles,especially the inner. 392 Original Article*. [Nov., 18S8. vial membrane, in the first case, assuming the chronic, pulpyform, extending ultimately to other tissues and resulting in de-struction and suppuration; in the second case acute and simplein ch
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectmedicine, bookyear188