Fractures of the Tibia. 141 



The fracture has been oblique, but the broken ends have 

 been in fairly good position. There is very little external 

 callus, and the medullary cavity has been restored. 



B. C. I. 1. M. 46. i. 



3. 271, United Oblique Fracture of the Shaft of the 



Tibia. — Sections of the lower end of a left tibia — macerated, 

 showing the above. 



The line of fracture has run obliquely from the inside and 

 above downwards and outwards. The ends over-ride, and are 

 set at an angle which projects forwards. The broken ends are 

 united by firm callus where they are in contact. The 

 medullary cavity, where exposed, has been closed in, but in 

 the interior the continuity of the canal has not been re-estab- 

 lished. B. C. I. 1. M. 46. h. 



3. 272. Badly united Fracture of the Tibia.—Plaster cast 



of a right leg and foot, showing the above. 



The patient had sustained a compound fracture by the fall of a 

 heavy box on his leg. As the result of imperfect setting this displace- 

 ment resulted, and he was admitted to the Royal Infirmarj', 13th Ajiril 

 1869, under Dr J. D. Gillespie, to have it put right. "A triangular 

 piece of the tibia was cut away at the spot. No trace was to be found of 

 the fibula, which must have been broken and mended merely by fibrous 

 tissue. " 



The mal-position of the fracture must have rendered the 

 leg quite useless for walking. G. C. 2675. 



Presented by J. D. Gillespie, F.R.C.S.E. 



2. 273. Badly united Fracture of the Tibia.— Plaster cast of 



the same limb as the last, after operation. 



This cast was taken in June 1869. The patient could then use his 

 leg perfectly. 



G. C. 2676. 



Presented by J. D. Gillespie, F.R.C.S.E. 



