Medico-Chirurgical Transactions 48

Cover Medico-Chirurgical Transactions 48
Medico-Chirurgical Transactions 48
Royal Medical And Chirurgical Society of London
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3625 (Plate II, figs. 2 and 8) exhibits the head, neck, and part of the shaft of a right femur, illus- trating the effects of endosteitis after a gunshot injury. Am- putation was performed in the middle of the thigh soon after the injury.
The portion of the shaft exhibits a copious deposit of new bone, thickened towards the amputated end, and superficially presenting a strongly marked nodulated and laminated cha- racter. The osteophytic nodules and laminae are of various sizes and forms of outl
...ine, but nearly all present a direction as if their growth had been from below upwards. In this outer covering of new bone there are four doacal openings : three small and nearly circular in firont, and one irregularly longitudinal, three inches in length, posteriorly.
The trochanters, neck, and head of the bone are free fiom the osteophytic deposit. They also appear free from taint of endosteitis, but from the absence of usual weight are doubtless to a certain extent affected with porosis.
Within the covering of new bone is a sequestrum of the original shaft, extending from the line of amputation up to an inch, or inch and a half, below the small trochanter.


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