REPORT OF CASES. 
105 
REPORT OF CASES. 
-*♦ •- 
CASES TO SERVE TO THE HISTORY OF FRACTURES. 
By A. Liautard, M. D. V. S. 
[>Continued from Page 65.] 
C. Dislocation of Patella —Fracture of Femur —Dislocation and 
False Articulation—Destroyed. 
On the 10th of July, 1876, I was requested to visit a horse lame 
for the last two months; he was in the country, some thirty miles from 
New York, and was found one morning in the same condition as at the 
time of my visit. A practitioner called on the day of the injury, pre¬ 
scribed frictions of tinct. of iodine over the stifle joint, where he located 
the lameness. 
When I saw him his condition was as follows: his left hind leg is 
stretched backward, resting on the front of the toe, without flexibility 
at the stifle joint or at the hock. The animal in walking drags his toe 
along, carries his leg in abduction, and by a jumping movement on the 
right leg would then carry the left extremity forward. There is a slight 
atrophy of the gluteal muscles. The ischio-tibialis externus is project¬ 
ing outward and on the outside of the stifle, the patella is readily felt 
surrounded by plastic exudation, and having but a very limited facility 
for motion. By seizing the entire mass with the hand a slight up and 
down motion can be produced with the patella. . The general condition 
of the patient is otherwise healthy. 
Diagnosis —Dislocation of the patella with adhesions 
Prognosis —Doubtful. Treatment —On that day the animal was 
cast with some difficulty, and after much struggling he was partly 
brought under the influence of ether and chloroform mixed. I say 
partly, as having no assistant, and the people around being much timid; 
between giving the anesthetic and trying to reduce the dislocation, I 
was unable to produce perfect relaxation, and after two hours of hard 
efforts I gave it up. 
However, at one time of the operation, and when the anesthesiae 
was probably greater, I had perceived that the patella was more mov¬ 
able, that I could partly flex the femoro-tibial joint; and from this I 
concluded that there was indication for another attempt. I left 
