382, §=69The Management and Diseases of the Dog. 
joint. Reduction is effected by drawing the leg forward, 
and then with the fingers forcing the patella back into its 
place. In the case named, after reduction I fixed on an 
outside splint, and bound the joint round with a pitch 
bandage. The case did well, and no return of the luxation 
though three years have since elapsed, has taken place 
whereas previously it was continually out of position. 
Mr. James Rowe, of London, reports dislocations of the 
patella as not unfrequent in his practice, and tells me he 
has successfully treated them in a similar manner to that 
adopted by me. One case occurred in a cat. 
Dislocation of the Hock—The same remarks made with 
reference to the knee will apply here. 
Dislocation of the Toes —This accident is sometimes met 
with, and is generally occasioned by leaping or tumbling 
from heights. Reduction is easily effected by extension, 
and the subsequent maintenance of the parts in their 
proper position by bandaging the whole foot, and, if need 
be, small splints on either side and in front of the affected 
toe. 
Dislocation, having once taken place, is exceedingly 
liable to recur. For this reason, excitement and un- 
necessary movements should be strictly avoided. The 
after-treatment consists in observing much the same rules 
as those laid down in fracture. The patient should be 
kept quiet. If inflammatory symptoms, with excessive 
swelling round the affected joint, ensue, warm fomentations 
or a bran poultice may be applied, and a dose of aperient 
medicine administered, and if the local inflammatory action 
is extreme, leeches may be used. Such symptoms, how- 
ever, rarely occur, except in protracted and aggravated 
reduction. 
Dislocations should always be reduced under chloroform, 
both for humanity’s sake, and the greater ease with which 
during anesthesia, it can be accomplished. 
