Fractures of the Femur. 133 



irregular, and has left more of the bone above the outer than 

 above the inner condyle. G. C. 2475. 



Presented by W. A. Finlay, F.R.C.S.E., 1876. 



3. 246. Compound Comminuted Fracture of the Lower 



Ends of the Condyles. — Lower end of the right femur of 

 an old woman — macerated, showing the above. 



The knee was crushed between a cart-wheel and a wall. The 

 patient was about 60 years of age, and lived six weeks after the accident, 

 when she died from diseased aorta producing hydro-thorax. 



The condylar portion of the bone has been broken oflf 

 from the shaft, and an oblique fissure has separated the inner 

 and a small piece of the outer condyle from the rest of the 

 condylar fragment. 



There has been an extensive formation of new periosteal 

 bone upon the lower end of the shaft, but only a slight 

 amount upon the lower fragments. The appearance of this new 

 periosteal bone indicates septic irritation. It is probable, 

 therefore, that the fracture has been compound. 



F. P. C. 137. 



Presented by Professor J. W. Turner and A. Watson, Esq. 



3. 247. Fracture through the Condyles, followed by Sar- 

 coma. — Inner half of the bones forming the right knee-joint 

 — muscles dissected oflf, in spirit, showing the above. 



The fracture has been oblique from behind downwards 

 and forwards. The lower end of the upper fragment has 

 protruded into the front of the knee-joint. Between the 

 fragments soft material is seen which in some places is fibrous, 

 and in others is "fungus hsematodes" (sarcoma). 



B. C. I. 1. M. 33. b. 



3. 248. Separation of the Lower Epiphysis of the Femur, 



