. General surgical pathology and therapeutics, in fifty lectures : a textbook for students and physicians. ages also ossified (where they stillexisted, that is, in young persons). When this takes place simulta-neously in the upper and lower ends (a very rare case), of course thesequestrum will be detached, and detached very early, so early thatno bone can have yet formed in the pus-cavity, or, if it has, it muststill be very weal?. If the bone be now extracted, there is nothingyet formed to replace it, nor does any thing form, because the irritationwhich gives rise to the production of bone is
. General surgical pathology and therapeutics, in fifty lectures : a textbook for students and physicians. ages also ossified (where they stillexisted, that is, in young persons). When this takes place simulta-neously in the upper and lower ends (a very rare case), of course thesequestrum will be detached, and detached very early, so early thatno bone can have yet formed in the pus-cavity, or, if it has, it muststill be very weal?. If the bone be now extracted, there is nothingyet formed to replace it, nor does any thing form, because the irritationwhich gives rise to the production of bone is absent, this cause of irri-tation being the sequestrum, as long as it remains as a foreign bodyin the bone; hence, under these circumstances, if the sequestrum beextracted early, the extremity becomes boneless and the epiphysis cartilage suppurates at one end, e. g\, the lowerend, the sequestrum remains firmly attached above, and the break-ing down of the bone must go on slowly as in other cases; it may,however, happen, as I saw in one case in the thigh,that the lower end. Fig. Necrosis of the lower half of the diaphysis of the femur, with detachment of the , and perforation of the skin. DETACHMENT OF THE SEQUESTRUM. 45^ loose in the epiphysis cartilage, presses strongly against the shin fromwithin and gradually perforates it, so that it appears externally; thelower epiphysis of the femur was at the same time drawn up by themuscles, so that the appearance was as follows (see Fig. 84). The sequestrum, subsequently removed, had the following form(Fig. 85) : Fia. 85.
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Keywords: ., bookcentury1800, bookdecade1870, booksubjecttherapeutics, bookyea
