Oct. I8, I879.] THE BRITISH MEDICAL 7OURNAL. 607 wound having been closed with a' pad of lint, this was firmly retained by plaister and bandage. Then the limb was brought down to a straight position, and, the section-ends of the femur being in apposition, although with some angular inclination forwards, a long external interrupted splint was applied. The pad was not removed for ten days, when the wound had healed without any suppuration, the lint only sticking to the puncture. At the end of six

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... weeks, the boy was able to get about the ward on crutches, the bone having firmly united; and in three weeks more, the limb could bear weight with equal balance on the other, and he was discharged from the hospital. A few days ago, after a year's result, he could walk well, with a high heel and thick sole to his boot. THERE are several points, in addition to those already published, concerning the operation which I have advanced for the relief of genu valgum by transverse incision through the femoral diaphyses, which are considered worthy of attention. A. Directiont ofthe Osseous Incision: Avoid encroachinig on the External Condyle.-Some surgeons have expressed a difficulty experienced by them, in endeavouring to carry out my operation by division of the femoral diaphyses, first of all, while dividing the bone, and, secondly, while bending or snapping the outer layer, after they considered it sufficiently divided. Not only so; but, as a result in some cases, a projection, which