264 pain in the day-time. He takes his food well; sleeps com. fortably without the draught; his bowels are regular; PUlSE 100, of fair power; and the tongue is clean. Eleven weeks after admission, the apparatus was removec and the leg bandaged from the foot upwards, preparatory t( the patient's getting about a little on crutches. As yet it i, not easy to determine whether the joint is anchylosed; th( fracture not being as yet quite firm, no force is used. We saw this patient on the 25th of

more »

... ary, being about fourteen weeks after the accident; the knee-joint was ther completely anchylosed, the callus around the fractured ends 0] the femur very thick, and the bone so far consolidated thal the patient can bear the weight of his body upon it. We have been more than usually particular respecting the details of this case, as it is important that the actual risk; of the course adopted should be known. It is clear, then, that Mr. Wakley had here to contend against inordinate inflammation, impending delirium tremens, high traumatic fever, erysipelas, subsequent debility, large collections oj matter, tedious suppuration, pent-up purulent fluid, sloughing of parts, bed-sores, irritative state of the system, &c. The weapons at his command were antiphlogistics, sedatives; stimulants, appropriate apparatus, the careful evacuation of pus, the obliteration of fistulous tracts, the support of the