142 Inji irks of Bone. 



3. 274. Recent Compound Fracture of the Tibia.— Section 



of a left tibia and adjacent soft parts — injected, and in spirit 

 — to show the above. 



The patient was a rather "done" man of 56. He was knocked 

 over by an engine, and sustained a compound fracture of both bones of 

 the left leg. An effort was made by antiseptic means to save the limb, 

 but suppuration set in, and amputation became necessary. The stump 

 was affected by a persistently spreading cellulitis, which resisted all treat- 

 ment and eventually carried him of!'. 



The broken ends of the bone are smooth and bare, and 

 would probably have necrosed in time. There was consider- 

 able congestion of the medulla at and near the seat of fracture. 



G. C. 3200. 

 Presented by Chaeles W. Cathcakt, F.R.C.S.E. 



3. 275. Ununited Compound Fracture of the Tibia and 



Fibula. — Lower two-thirds of the shafts of a left tibia and 

 fibula (blackened by putrefaction) — macerated, showing the 

 above. 



The tibia has been broken about the middle, and the fibula 

 lower down. The fracture has evidently been compound, and 

 must have been followed by extensive suppuration, continuing 

 for weeks and months. There has been great periostitic 

 enlargement of both bones. 



The lower fragment of the tibia near the fracture is greatly 

 eroded, and was probably necrotic, but no fragments are loose. 

 The upper fragment of the tibia is enlarged, and its broken 

 surface is hollowed out and very irregular. The upper frag- 

 ment of the fibula is enlarged and condensed. A mass of new 

 bone unites the lower end of the tibia to that of the fibula, but 

 there has been no union between any of the other fragments. 



r. p. C. 158. 



3. 276. Compound Fracture of the Tibia.— Portion of a 

 fractured tibia — macerated, showing the above. 



