[ * 9 6 ] 
paft, he neither could bend his Arm, nor ufe it in 
Pronation and Supination. The whole Bone felt 
thick and unequal up to the Shoulder, where the 
Articulation was free. The Patient now did not 
complain much. The Difcharge from the Wounds 
was moderate 5 his Reft, Stomach, and Pulfe, as well 
as could be expe&ed ; and therefore he was deter- 
mined to forego any thing, rather than fubmit to the 
Amputation that was propofed. 
In Confultation with Mr. Pawlet , Mr. Wilkie, Mr; 
Middleton , and Mr. Hawkins , we agreed to make an 
Incifion from the Deltoid Mufcle down to the Elbow r , 
thereby to lay the diftemper’d Bone bare, fo far as it 
appear'd to be affedted* and, with the exfoliative 
Trepan , to make a fair Opening into the medullary 
Cavity of the Bone, by taking off fo much of it as 
was perforated in the external Part of the Arm, and 
fo to make way for the Application of the aftual 
Cautery, if that was found neceffary. 
The two firft Operations were performed with 
Eafe : For, as in the Incifion the Teriofteum was^readily 
detached from the Bone, fo the Bone in View, being 
nearly of a cartilaginous Nature, and making little 
Refiftance, was foon removed, by the repeated Ap- 
plication of the exfoliative Trepan . In theCourfe of 
the Operation, Mr. Middleton found a Bone loofe, 
which hitherto had lain concealed under the Cortex 
of the Bone 5 which, being taken out intire, mea- 
fured above fevcn Inches in Length, and more than 
two in Circumference 5 the Centre forming a tubu- 
lar Chanel, wherein the Medulla of the Bone had 
formerly been inclofcd. This was an Exfoliation 
fairly fcparatcd from the Surface of all the medullary 
Cavity 
