82 ANTISEPTIC TREATMENT OF WOUNDS. 
evacuated. However, an opening, or a further filling up of the 
lower tendon sheath of the perforans could not be ascertained. 
Besides, the mentioned solutions of continuity, the recurrent 
metatarsal artery, as well as the outer branch of the plantar 
nerve was cut through. 
The state of the wound clearly indicated the following 
treatment: If we did not succeed in preventing the infection 
of the wound, a suppuration in the wound and in the opening of 
upper tendon sheath of the flexor pedis perforans, would 
necessarily result, and then certainly a recovery of the patient 
would be out of the question. " 
After the hair in the vicinity of the wound was trimmed and 
the leg cleansed with soap from the ankle joint upwards and 
washed with a 1 per cent. sublimate solution, it was then thor- 
oughly rinsed out with a I per cent. sublimate solution and 
then in its rear angle three, and in the front two sutures of - 
sublimate silk were inserted. In the remaining cavity, a car- 
bolized jute tampon, powdered with iodoform, was inserted, 
and the whole metatarsus was surrounded with several layers 
of sublimate wood wool wadding, and wrapped around by 
means of cambric bands. 
On the 19th of May I visited the patient again and found 
a regular agglutination of the wound as far as the sutured parts 
were concerned, the cavity of the wound was covered with nice 
pale red granulation; however, the synovial flow still con- ' 
tinued. The temperature was 38.2 degrees (REAUMUR), 
and there was no trace of suppuration. The bandage was 
again put on exactly as on the 15th of May, and the owner * 
was ordered to saturate same once daily with a 1 per cent. sub- 
limate solution. 
The tendon of the flexor pedis perforans on the injured spot 
and the tendon of the flexor perforatus at the top of the sesa- 
moid was totally torn asunder; the wound was gaping owing 
to the sutures being torn out about 10 cm. and the tendon 
stump of the perforatus protruded out of the wound about the 
length of 10 cm. The lower tendon sheath of the perforans 
was also open and synovia flowed from it. 
