400 SPRAINS OF THE SHOULDER AND HIP-JOINTS. 
The patient should not be submitted to any work during the 
cicatrization of the wound, but should be turned into a loose box : 
he may be led out from time to time, and his exercise gradually 
lengthened when the wound begins to heal : if he could be turned 
into a meadow it would be with considerable advantage. 
If, when the cicatrization is complete the lameness should 
be evidently diminished, the horse may be subjected to slow and 
gentle work. 
M. de Nanzio, who has authorised me to publish this account 
of his opinions, assures me that it very frequently succeeds in 
Naples, where these kinds of lameness are very common, on ac- 
count of the pavement of the streets being composed of flat 
stones, which necessarily occasion many slips and falls. 
I have seen this operation performed by M. de Nanzio on a 
horse with hip-lameness, and the animal was perfectly cured. I 
know that it has been adopted by some of the veterinary surgeons 
of Paris, and has been successful. I have had recourse to it 
twice on horses that had been treated in the customary manner, 
by frictions and charges. One of these horses I see every day. 
He goes much less lame, although only fifteen days have elapsed 
since the operation was performed. The other was sent into the 
country immediately after the operation. He belonged to a 
letter of horses in Paris, and had been lame more than a year. I 
shall see him at some future time, and I will give a faithful ac- 
count of the effect of the operation. I did not exactly follow 
the directions of M. Nanzio with regard to the dressing of the 
wound. I simply recommended to keep the edges of the wound 
together until suppuration was established. I also omitted the 
application of the pledgets of lint, and the digestive ointment, 
which M. de Nanzio doubtless recommended in order to hasten 
or to render more active the suppurative process, because I 
thought that the eschars of the cauterized wounds would answer 
the purpose of these foreign bodies, and would be productive of 
less pain ; and even without the eschars the very cauterization 
would set up a sufficiently speedy and active suppuration. I 
thought also that the cicatrix of the wound would be less apparent 
after the parts had healed, and also that it was desirable to torment 
the animal as little as possible by frequent dressings of the 
wounds, and which dressings would frequently and inconveni- 
ently irritate the tissues. I thought that it would be the full 
and perfect completion of the ingenious operation recommended 
by M. de Nanzio, an operation which has the double advantage of 
producing a vivid and profound action, and, at the same time, 
leave scarcely a perceptible trace of its having been performed. 
I know that, in order to avoid the indelible traces of the trans- 
