. The collected papers of Joseph baron Lister . sion, j)ronati()n and sujMnation. Kvcn now (^hirch 1865)tlie limb is still increasing in strength, in prooi of wliich she lately raised withoutstretched hand a ]:»ail of coals weighing i();\ i-iounds. She has for the last 420 ON EXCISION OF THE WRIST FOR CARIES six weeks entirely discarded the support, having found the hand exactly asstrong without it. The new wrist is now as firmly knit as the sound one, butmore slender in consequence of the radius and ulna having been so freely resected. Case 2.—Margaret W , aged fourteen, a sewing-machine work
. The collected papers of Joseph baron Lister . sion, j)ronati()n and sujMnation. Kvcn now (^hirch 1865)tlie limb is still increasing in strength, in prooi of wliich she lately raised withoutstretched hand a ]:»ail of coals weighing i();\ i-iounds. She has for the last 420 ON EXCISION OF THE WRIST FOR CARIES six weeks entirely discarded the support, having found the hand exactly asstrong without it. The new wrist is now as firmly knit as the sound one, butmore slender in consequence of the radius and ulna having been so freely resected. Case 2.—Margaret W , aged fourteen, a sewing-machine worker, was ad-mitted on the 2oth of March, 1863, when she stated that a swelling had appearedfive months previously on the back of her right hand, which, however, remainedfree from pain till within about three weeks, when suppuration occurred. Anincision was made by her medical attendant, but this failed to relieve her ; andwhen she came into the infirmary she was still suffering severely, while therewas also considerable swelling of the Fig. I. The limb was placed on a splint and poulticed, but additional abscesses formedand opened, and at length the probe distinctly indicated caries of the carpus. On the 23rd of May I excised the parts represented in Fig. i. The carpuswas chiefly affected by the disease, but the metacarpal bones of all the fingerswere implicated, and the radius was anchylosed to the scaphoid and attention being subsequently paid to supporting the wrist and bendingthe fingers, she progressed steadily, though slowly. Thus seven weeks afterthe operation, the hand no longer drooped when the arm was extended hori-zontally ; three months and a half later she could take up a roll of bandagebetween the finger and thumb ; and when three months more had elapsedshe knitted part of a stocking without using any splint. About this time, asshe had never learned to write, the nurse of the ward taught her the art, which,being a clever girl, she soon
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