Disease of Tarsus, with Soupart's Amputation. -Mary Q., thirteen years old, entered the hospital May 20, 1875. Two years and a half before this she fell from a sled while coasting, and one of the runners passed over her left foot. She walked home, and continued to use the foot for several days, when it became painful and swollen. After a time sinuses formed, and a portion of the cuboid bone was removed. At the time of entrance sinuses communicated with the tarsus below both malleoli and on the

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... ole and dorsum of the foot. The ankle-joint was movable without pain. The patient was cachectic, and a generous diet was ordered and use of the foot prohibited. In December the patient's health was very good, but this foot was smaller than the other, the toes were somewhat drawn up, and five sinuses communicated with the centre of the tarsus. Under these circumstances operative interference was deemed advisable, and January 1, 1876, Soupart's amputation was performed. This method consists in taking a long internal flap and saving the internal plantar artery. An incision is begun on a level with the scaphoid bone, carried down the inner side