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the last crushing and evacuation the interior of the bladder was carefully explored, and no fragments could be detected. Towards the last a small lithotrite was used for seizing and crushing of small frag ments. The whole operation lasted nearly an hour. The fifth case was a genu valgum. I had seen so many cases of osteotomy for this deformity that I was very anxious to witness a bloodless procedure for the correction of the false position. Professor Gussenbauer has for a long time abandoneddoi:10.1001/jama.1887.02400070026012 fatcat:m7fu3rtm5ra4rnategdiyir36i