465 stump no bleeding point could be seen, and no indications were manifested of any collection of blood between the flaps. The subsequent progress of the case was apparently favourable up to the evening of Nov. 16th, when the dressing-! were found to be stained with blood. Early on the following morning, after renewal of the haemorrhage, the posterior portion of the extremity of the stump was found to be distended by a large and distinctly pulsating tumour. The edges of the flaps were at this

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... ate quite united, save at the outer angle, where there was a small and long sinus, which led to a patch of necrosed bone at the ext.remity of the fragment of tibia. ,