L'histoire chirurgicale de la guerre navale entre le Japon et la Chine : en 1894-95 ; traduit du rapport japonais original . de l'articulation de droite et d'une blessure lacérée longitudinale, 3 c. M. de long, entre l'index de bande de droite ; et une plaie sérieusement lacérée sur l'articulation du genou de 5 c. in. de long, qui tourne latéralement juste au-dessus de la rotule. Les marges étaient lacératedsous une forme striée, le tendon quadriceps étant partiellement déchiré la cavité articulaire ouverte et la rotule déplacée vers le bas : une partie de fracture soutenue osseuse, de sorte que la surface théaraculaire du fémur a été exposée.

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The Surgical history of the naval war between Japan & China : during 1894-95 ; translated from the original Japanese report . of the rightwrist joint and a longitudinally lacerated wound, 3 c. m. long, between the thumband index finger of the right hand ; and a seriously lacerated wound on the knee-joint 5 c. in. long, running laterally just above the patella. The margins were laceratedin a serrated form, the quadriceps tendon being partly torn the joint cavity openedand the patella displaced downwards : a part of bone sustained fracture, so that thearticular surface of the femur was exposed. However, both the femur and tibia wereuninjured. The wound was searched and several tiny pieces o( bone and a shellfragment were extracted. The wounds were all treated autiseptically, and the limbkept at rest on a splint. The patient was taken on the 19th on board a transport, andadmitted to the Sasebo Naval Hospital on th< 21st. By that time, the burn of the was found already healed, and almost all the other wounds on the head, face andarm bad developed granulation without suppuration, lint the wound of the knee- V. INJURIES OF THE LOWER EXTREMITY. g{ joint discharged pus, and Lad a dirty looking surface. The conjunctiva of the left eyewas also congested attended with pain. On examination a small iron fragment wasfound at the outer part of the conjunctiva and rem >ved directly. On the 22ud, thedressing of the knee was changed, pus was discharged copiously, in the eveningthe temperature rose to 3S°C, so a counter-opening was made on the outer andinner side, and a drainage tube introduced. On October 3rd the wounds on the head, face and the right forearm were healed, and those on the back of the hand hadbecome small owing to the development of granulation. The wound of the knee haddeveloped granulation, so that the cavity of the joint was closed, the pus dischargenearly ceased, and the temperature became normal. On November 9th both woundson the back of the hand were cure

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