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Cellulitis of the sole of the foot may follow whitlow of the toes. In the region of the ankle cellulitis is not common; but around the knee it frequently occurs in relation to the prepatellar bursa and to the popliteal lymph glands, and may endanger the knee-joint.
He had only been a short time in prison when his leg required to be amputated, in consequence of disease in the knee-joint. He was told by the doctor, before the operation, that he would be liberated on recovery. Patient died. B. A regular thief, with many previous convictions. Lost a diseased limb.
Lo! this lather, is't not the pride of Shiraz? and the polish and smoothness it sheddeth, is't not roseate? my invention! as the poet says, O accursed flea! now the knee-joint, now the knee-cap, and 'tis but a hop for thee to the arm-pit. Fires of the pit without bottom seize thee! is no place sacred from thee, and art thou a restless soul, infernal flea?
As a rule it causes little inconvenience, and may be left alone. Otherwise it should be dissected out, and if, as is frequently the case, there is a communication with the knee-joint, this should be closed with sutures. [Illustration: FIG.
In the tertiary stage the joint lesions are persistent and destructive, and result from the formation of gummata, either in the deeper layers of the synovial membrane or in the adjacent bone or periosteum. Peri-synovial and peri-bursal gummata are met with in relation to the knee-joint of middle-aged adults, especially women.
As it happened a medical man was passing a few days afterwards with an insurance agent. Matah consulted him. 'Hum! Yes, yes. Hot fomentations to the place affected, poultices, a cooling draught. There's a stoppage of fluid at the knee-joint which must be dispersed. I thought Bootha ought to have been called in consultation.
At that time he only had a small surface-wound below the knee, but it was slightly gangrenous. The next day the gas-gangrene appeared above the knee-joint. The wound was excised a second time. But soon afterwards gangrene appeared again, still higher up, and a third operation was necessary. And now the wound stretched from below the knee almost as far as the hip.
That creak which lies hidden in every darkness, like a mysterious knee-joint. By three o'clock she was a quivering victim to these petty concepts, and her pillow so explored that not a spot but what was rumpled to the aching lay of her cheek.
Next time he spoke his voice was a bit throaty. "Will it stiffen?" "You've lost the knee-joint," the doctor said, "but with luck we'll save the leg." His voice sank to a whisper. "If you do, it won't be much good, will it?" "Not much." He lay for a couple of hours silent, readjusting his mind to meet the new conditions. Then he commenced talking with cheerfulness about returning to his family.
The gowns of the orderlies were stained and bespattered with blood and yellow picric acid. Each bucket was full of blood-sodden towels, splints, and bandages, with a foot, or a hand, or a severed knee-joint overhanging the rim. Two of us got pails of hot water and set to work with swabs, scrubbing brushes and soap.
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