LIST OF PLATES, &c.

I. Figs. 1-4. Plastic Operations for Fission and Extroversion
of the Bladder. Case of William F. (Mr. JOHN
WOOD)

II. Figs. 1-4. Ditto. Case of Matthew I-. (Mr. JOHN
WOOD)

III. Figs. 1-3. Dissecting Aneurism of the Aorta.
HILTON FAGGE)

PAGE

132

132

(Dr.

358

IV. Enlargement of the Viscera occurring in Rickets-Sections of rickety and healthy livers and spleens. (Dr. DICK

INSON)

WOODCUTS.

378

Dislocation of the Head of the Femur, complicated with its
Fracture, Fig. 1. (Mr. BIRKETT)

134

135

362-72

Enlargement of the Liver and Spleen occurring in Rickets,
Figs. 1-4. (Dr. DICKINSON)

Printed Table of Cases of Iritis occurring in Syphilis treated without Mercury. (Mr. GASCOYEN.)

268*

ADVERTISEMENT.

THE Council of the Royal Medical and Chirurgical Society deems it proper to state that the Society does not hold itself in any way responsible for the statements, reasonings, or opinions set forth in the various papers which, on grounds of general merit, are thought worthy of being published in its Transactions.

REGULATIONS relative to the publication of the "Proceedings of the Society."

That, as a general rule, the Proceedings will be issued every two months, subject to variations dependent on the extent of matter to be printed.

That a Copy of the Proceedings will be sent, postage free, to every Fellow of the Society resident in the United Kingdom.

That "The Proceedings of the Society" may be obtained by nonmembers at the Society's House, 53, Berners Street, on prepayment of an annual subscription of five shillings, which may be transmitted either by post-office order or in postage stamps; -this will include the expense of conveyance by post to any part of the United Kingdom; to other places they will be sent, carriage free, through a bookseller, or by post, the receiver paying the foreign charges.

That a notice of every paper will appear in the Proceedings. Authors will be at liberty, on sending their communications, to intimate to the Secretary whether they wish them to appear in the Proceedings only, or in the Proceedings and Transactions; and in all cases they will be expected to furnish an Abstract of the communication.

That Abstracts of the papers read will be furnished to the Journals as heretofore.

ON

EXCISION OF THE LARGER JOINTS;

WITH A TABLE OF CASES.

BY

HENRY LEE, F.R.C.S.,

SURGEON TO ST. GEORGE'S HOSPITAL.

Received Sept. 9th.-Read Nov. 10th, 1868.

THE success of the operation of excision of the knee, introduced by Sir Wm. Fergusson in 1850, naturally led to a reconsideration of the subject of resection as applied to other joints. Up to that time cases of disease of the hip involving destruction of the cartilages were treated with counter-irritation and rest, in the hope that anchylosis would in time take place. When this did not occur the surgeon had no other resource, and the history of the cases was but too often recorded in the specimens with which our museums abound. Under certain exceptional circumstances, indeed, surgical operation was had recourse to, but this could not be said to form any part of the recognised mode of treating disease of the hip-joint. The great authority upon diseases of the joints, at the period to which I allude, says, "In an old case of diseased hip-joint the head of the femur may sometimes be felt lying on the dorsum of the ilium, and, in consequence of the general emaciation of the patient and the wasting of the muscles, with so little soft parts over it that it seems to be almost immediately beneath the common integuments.

VOL. LII.

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