Fractures of the Patella. 137 



^. 257. Ununited Fracture of the Patella— Fibrous Union 



torn across. — Knee-joint — in spirit, showing the above. 



"The patella had been fractured, and ligamentous substance had 

 formed betwixt the fractured portions, as in several specimens, and the 

 muscles, adapting themselves to the lengthened tendons. The man could 

 walk, but, walking under a heavy burden, he fell, and his leg bent under 

 him, so that the new ligament was torn up, and the integuments which 

 had united with it, and by consolidating had lost their elasticity, were 

 torn also, so that, as is seen here, the interior of the joint was disclosed. 

 The inflammation did not rise in the manner or to the extent I have seen 

 take place from the puncture of the capsular ligament. Was this owing 

 to there being disease previously ? " 



From the thinning and irregularity of the margins of the 

 skin "svound, there seems to have been considerable suppuration 

 after the accident. B. C. i. 1. M. 63. 



3. 258. Ununited Fracture of the Patella. — Plaster cast of 



a right knee-joint, showing the above. 



The ends of the bone were about two inches apart. 



F. P. C. 2940. 



3. 259. Fracture of the Patella. — Plaster cast of left knee- 

 joint. 



The patient had evidently suffered from fracture of the 

 patella, with a very wide separation of the fragments. 



G. C. 3314. 



FRACTURES OF THE TIBIA AND PROCESS OF UNION. 



3. 260. Normal Tibia. — Section of a normal tibia — macerated. 



The specimen is mounted for comparison with the follow- 

 ing fractured tibise. G. C. 3560. 



3. 261. Recent Fracture of the Tibia, involving- the 



Knee-joint. — Upper end of a right tibia and lower end of 



