Gangrene having resulted from the bruise, and metatarsal luxation produced by the fall of a forge hammer on the top of the foot; he had occasion to amputate it. "Finding the cuneiform bones diseased, and the os cuboides fractured trans versely in the line of the scaphoido-cuneiform articulation, he made his amputation through that joint, and the fissure of the broken bone. The flap was formed out of the soft parts beneath, so as to place the scar on the top of the foot." Nearly all the wound healed by the first intention, and in four weeks the recovery was entire. This suggests to the author an improvement in the method of amputating the foot; first, to cut through the scaphoido-cuneiform articulation, and then to saw through the os cuboides in a line with it.
The Medical Recorder of Original Papers and Intellgence in Medicine and Surgery.
Conducted by James Webster, M.D., Caleb B. Matthews, M.D., and Isaac Remington, M.D. Vol. XII. Philadelphia, 1827.