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LIST OF PLATES.

I. Figs. 1-2. Cases of Excision of Joints for Disease (from
Photographs). (Mr. F. J. GANT)

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II. Figs. 1-2. Ditto, ditto (from Photographs). (Mr. F. J.
GANT)

III. Supra-condyloid Amputation of the Thigh for extensive
Carious Disease of the Bones of the Left Leg, Ankle-
joint, and Metatarsus (from a Photograph). (Dr. Wм.
STOKES, Jun.)

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IV. Case of Extroversion of the Bladder in a Female, treated by Operation. (Mr. EDWARD BARKER)

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V. Figs. 1-2. Adenoid Vegetations in the Naso-pharyngeal
Cavity. (Dr. W. MEYER)

VI. Molluscum Fibrosum. (Dr. HILTON FAGGE)

Fig. 1. Portion of the under Surface of the Skin of the
Back affected with Molluscum Fibrosum (natural size).
Fig. 2. Microscopic appearance of one of the smallest
Tumours.

(The Scale represents Hundredths of an Inch.)

VII. Figs. 1-7. Changes in Nervous System associated with

Diabetes (Dr. DICKINSON)

VIII. Figs. 1-8. Ditto, ditto. (Dr. DICKINSON)

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WOODCUTS.

Plate with Artificial Teeth, swallowed, detected in the Stomach,
and extracted (Mr. L. S. LITTLE)
Instrument for removing Adenoid Vegetations in the Naso-
pharyngeal Cavity (Dr. MEYER)

Changes in Nervous System associated with Diabetes (Dr.
DICKINSON).

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Fig. 1. Outline, showing Enlargement of Central Canal of
Cord in Hudson's case (diameter)

Fig. 2. Lumbar Region, showing Enlargement of Central
Canal, case of W. Rock (diameter)

Fig. 3. Corpus Dentatum of Cerebellum (1⁄2 diameter)

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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

AMPUTATION AT THE KNEE-JOINT.

BY

GEORGE POLLOCK, F.R.C.S.,

SURGEON TO ST. GEORGE'S HOSPITAL.

Received Oct. 21st.-Read Dec. 14th, 1869.

AMPUTATION at the knee-joint is, perhaps, one of the very few subjects in practical surgery which has not already been brought to the notice of the Royal Medical and Chirurgical Society. Partly on this account, but especially on account of the importance of this operation, and of its comparatively recent revival, I have been anxious to place on record some few cases which have come under my care, and to relate the circumstances which have induced me to advocate and adopt the operation under certain conditions.

The subject has appeared to me well worthy the consideration of the Fellows of the Society, and I trust the facts herein related will justify this conclusion.

To trace the history of amputation at the knee-joint is not the object of this communication. Though the operation dates back to the 16th century, for a long period of time it was only occasionally advocated, but as frequently discarded. Nor can it be considered to have been more favorably enter

VOL. LIII.

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