268 
AMERICAN VETERINARY COLLEGE. 
around the edges with nitrate of silver, and of the granulation 
with a saturated solution of chlo. zinc, with an oakum dressin 
placed over this, and held firmly in place by a ticking bandag 
This was kept up for some time without any diminution in siz< 
in fact, the fungus growth was spreading, and in some respec 
now resembling a mushroom. 
On the first of May an elastic ligature was applied tight' 
around the now almost strangulated granulations. After thr 
days the ligature had cut through all but a small pedicle, whit 
was amputated with a knife, it being still dressed the same j 
before the ligation, with the exception that iodoform was powdere 
over the surface of the wound. The granulations in a short tin 
commencing again to bulge, a second elastic ligature was place 
around them, which amputated them so closely as to leave the edj 
of the ulcer lower than the surrounding skin and causing son 
hemorrhage. A small surgical sponge was now placed in the sor 
over which a pad of oakum was laid and the whole bandaged wii 
linen and woolen, the sponge being replaced by a new one 
every dressing, which took place every other day. But litt 
improvement was noticed in the size of the wound, it remainic 
about the same. An ulcer now broke out on the anterior pa 
of the leg over the bone, produced by the continued pressure 
the bandages. To combat this now ugly complication a pie* 
of “Russian felt” was moulded to fit the metatarsus on all sid 
except the back, a window being left in that part corresponds 
to the ulcer. The inside of this splint being padded with oakut 
firm pressure was once more brought to bear over the growt 
which was coated around the edges with collodion, cauterized wi 
chlo. zinc, and covered by a compressed sponge the exact size 
the ulcer, and kept in place by firm bandaging. 
Under this treatment improvement began to take place at 
cicatricial tissue to form on the upper border. Great care h 
to be exercised in removing the sponges to prevent hemorrha^ 
which took place from the slightest cause; even raising the fc 
was sufficient to cause profuse bleeding. This form of dressi 
was continued for three weeks, at the end of which time the c 
lodion was discontinued, its efficacy being no longer noticeable. 
