600 The Limhs as a Whole. 



An amputation through the leg was required for secondary 

 haemorrhage some weeks after the first one ; the limb had been 

 a paralysed one (see No. 6. 59.) The stump has healed well. 

 The excellent covering for the bone afforded by the heel pad 

 may be contrasted with that formed by the skin of the leg at 

 the seat of election (previous specimen). G. C. 3173. 



Presented by A. G. Miller, F.R.C.S.E., 1890. 



11. 86. Stump after Syme's Amputation. — Parts from a 

 recent case of Syme's Amputation — in spirit. 



Reamputation was required on account of sloughing of the heel 

 flap. 



The posterior tibial artery was represented by only a very 

 fine twig, and its place was taken by a large branch growing 

 outwards from the posterior peroneal artery. Granuiation 

 tissue covers the end of both bones ; and the periosteum above 

 the section is thickened and has been forming bone. The end 

 of tlie tendo-Achillis is seen to be covered with lymph. The 

 cut end of the posterior tibial nerve is enlarged. G. C. 2802. 

 Presented by P. H. MacLaren, F.R.C.S.E., 1888. 



11. 87. End of Bones after Syme's Amputation.— Portions of 



the tibia and fibula from the above case — macerated. 



New bone is seen to be forming on the cut surface of the 

 tibia and on the surface of the shaft of both bones. 



G. C. 2802. a. 

 Presented by P. H. MacLaken, F.R.C.S.E., 1888. 



11. 88. Stump after a Syme or Pirogoff 's Amputation.— 



Knee-joint and stump of the leg below — dissected, and in spirit,, 

 illustrating the above. 



Syme or Pirogoff's amputation had been performed early in life. 

 Re-amputation was performed above the knee for disease of the knee- 

 joint. 



