Studies from the laboratories of the Deptof Surgery . GOG ACUTE :matogexous osteomyp:litis came into the hospital extremely ill. with a temperature of io6°,marked leucocytosis and prostration. At the primary operation theentire anterior portion of the cortex of the tibia was removed. Therewas a fracture of the upper third due to the complete destruction ofthe bone. Periosteum was separated by pus from the greater partof the shaft. In this case Carrel tubes were inserted posteriorlybetween the necrotic shaft and the periosteum. The shaft appeareddead. It was not removed because it was though
Studies from the laboratories of the Deptof Surgery . GOG ACUTE :matogexous osteomyp:litis came into the hospital extremely ill. with a temperature of io6°,marked leucocytosis and prostration. At the primary operation theentire anterior portion of the cortex of the tibia was removed. Therewas a fracture of the upper third due to the complete destruction ofthe bone. Periosteum was separated by pus from the greater partof the shaft. In this case Carrel tubes were inserted posteriorlybetween the necrotic shaft and the periosteum. The shaft appeareddead. It was not removed because it was thought advisable tomaintain this portion of the shaft to prevent deformity. This was. Fig. 20.—Clinical case Xo. lo. X-ray February 7. ipjo. Operation December 9. 1919. .interior surface of the cortex of the tibia removed. Dramage tube in popliteal space shown. See case history. the child who had a streptococcus ha?molyticus blood infection andwas treated with intravenous injections of peptone. After aboutfive weeks, granulations were seen springing ui) on the surface ofthe formerly necrotic shaft. X-rays taken two months after theprimary operation showed new bone formation about and appar-ently incorporating the remnant of the old necrotic shaft. At thepresent time the patient has a small discharging sinus in the upperthird, but the X-rays showed marked new bone proliferation with-out the sign of any sequestrum. Comment.—This patient, who was too sick to stand any opcra- 697 FREDKRIC W. HAXCROIT
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