Necrosis from Septic Wounds. 275 



6. 185. Septic Osteomyelitis and Necrosis, following Gun- 

 shot (Compound) Fracture of the Ribs.— Portion of 



a chest Avall — in spirit, illustrating the above. 



The ribs are broken and greatly comminuted, and some 

 portions have apparently been necrotic. The pleura is thick- 

 ened and covered with lymph. A small portion of lead was 

 found in the soft parts, thus giving a clue to the possible cause 

 of the condition. G. C. 3356. 



(6.) Where the dead piece has become loose, but has remained in iwsition, and 

 has acted as a source of irritation. 



6. 186. Septic Osteomyelitis and Necrosis of the Tibia 

 following Fracture (Compound?).— Lower end of the left 



femur of a child, along with the tibia and fibula — partially 

 cleaned and dried, to illustrate the above. 



"The injury was received on 1st February 1805, and the limb 

 was removed on 10 th October in that year. The process of regeneration 

 being exceedingly slow, amputation was performed in order to save the 

 patient." 



The upper two-thirds of the shaft of the tibia is smooth, 

 and has been separate from the epiphysis and adjacent soft parts. 

 Its lower end is concealed by a shell of new bone in which 

 there is a cloaca. The sequestrum shows a sharp margin at the 

 back just above the level of the new shell. The fracture has 

 therefore probably been at the lower end. The texture of the 

 lower end of the femur is thin and light. G. C. 1178. 



Presented by Professor James Russell. 



6. 187. Septic Osteo-myelitis, Necrosis, and Chronic En- 

 largement of the Femur following Amputation.— 



Portion of the shaft of a femur— macerated, illustrating the 



above. 



There is a large deficiency at the back and lower end of 



