Editorials and Medical Intelligence

1851 Boston Medical and Surgical Journal  
his boots, suffered extremely with swelling and a burning sensation in the feet. He had been a man of intemperate habits, and had, at a former time, lost several of the toes of the left foot from a previous attack of mortification. Diagnosis.-Mortification by ossification of the arteries. Prognosis.-Of course, very unfavorable. Treatment.-Amputation presented to our minds the only possible hope of staying the dilapidation so fast ensuing. Hence the immediate removal of the right.(the worst) leg
more » ... ght.(the worst) leg was determined upon ; and at 6 o'clock, I amputated the leg by the circular operation at about the junction of the upper with the middle third-the patient under chloroform. The arteries opposed a considerable resistance to the knife, the passage of which conveyed an unusual grating sensation, as from collision with petrified rather than ossified vessels. Their ligation was effected with more than usual facility, inasmuch as they protruded beyond the contracted surrounding tissues, instead of retracting within them. We left the patient comfortable, having lost very little blood, and experienced no pain during the operation ; nor would he be convinced of its execution until his attention was directed to the absence of the limb.
doi:10.1056/nejm185108270450410 fatcat:etp66ynspzafpmegjfj2rz5zqe