Reviews and Notices of Books

1856 The Lancet  
515 shaft to the distance of two or three inches from the dead portion. Its presence is limited strictly by the existence of healthy periosteum and bone, between which two it has been deposited as a layer. At one point, firm spiculæ project from the free edge, of the layer, and overlap the dead bone. It is obvious that, although a period of thirty days only had elapsed between the receipt of the injury which gave rise to the necrosis and the examination of the bone thus described, a very
more » ... ibed, a very extensive amount of reparative action has been set up. From the apparent vascularity, not only of the periosteum, but of the healthy bone, it might be inferred that both structures have contributed, perhaps equally, to the formation of this new layer interposed between them. A portion of the newly-formed osseous tissue was placed under the microscope, showing the deposit of earthy matter to be taking place into a fibrous matrix, precisely after the manner of the ossification process as it occurs in the flat bones, and which is distinguished by the term intra-membranous ossification.)' " Mr. FERGUSSON showed A FOREARM AND HAND, IN WHICH EXCISION OF THE WRIST WAS PERFORMED. The case from which it was removed came under his observation eight months before. The bones and joints were extensively diseased. The case was one in which amputation would probably have been performed, but he suggested resection, to which the patient consented, and the operation was performed. Erysipelas supervened, from which recovery soon took place. Disease of the lungs was suspected, and the patient was sent into the country. On his return to London, the patient was re-admitted to the hospital, when disease of the lungs was clearly found to exist, of which he died six months after the operation. The case was interesting as showing that it would be supposed that all the bones were still present, but there were only the trapezium and pisiform. The operation was performed by only one incision on the ulnar side of the joint, which Mr. Fergusson said he had ascertained, from the experience of many other cases, was more easy of performance than if one free incision and two smaller ones were had recourse to, as is usually done. He said that in this case no anchylosis was in progress, and it was doubtful which event Would be most desirable after the operation.
doi:10.1016/s0140-6736(02)60270-3 fatcat:wnnimcduqbabtpodbswqphlc2u