ministering anæsthetics, with statement of cases showing the results of its use. On motion, voted that, at succeeding elections, no one shall be eligible to office in this Association not present at the election. It was voted to hold the July meeting at Bellows Falls, Vt., and the October meeting at Brattleboro, Vt. And also that the next annual meeting be of two days' duration, and that all meetings held at Bellows Falls be called at two P.M., the better to accommodate those residing in different parts of the Valley. Throughout the entire session there was pretty general and free discussion of various medical topics, and the meeting finally adjourned on Thursday at two P.M., after a two days' session of unusual interest and profit. Correspondence. MEDICAL MATTERS IN PARIS. of a brother physician, who considered the case remarkably favorable. M. Richet, however, pronounced an unfavorable prognosis, on account of a circumstance, which he has been subsequently led to consider sufficiently characteristic to serve as a formal contra-indication to an operation. The abdomen of the patient was the seat of a fluctuating tumor, apparently a unilocular cyst; but it had not the form which should have been given by a cyst of so considerable size. Instead of being prominent towards the middle, and advancing as it were in a point, the belly was rather flattened, and much enlarged at the sides, but not at all prominent in the middle. In the meantime the surface was even, and no sign existed of a division of the cyst into cavities; the unequal juxtaposition of whose walls might explain the flattening of the abdomen. M. Richet could not well account for this circumstance, but it inspired him with an indefinable apprehension of evil consequences, an apprehension only too well realized. For when, after incision through the integuments and subperitoneal tissue, both of which were thickened by adipose tissue and much infilA FOREIGNER'S ESTIMATE OF THE MEDICAL RESOURCES OF trated, the surgeon arrived in the cavity of the peritoAMERICA-TWO INTERESTING CASES OF OVARIOTOMY-neum, the most solid adhesions were discovered, uniTHE USE OF DRAINAGE TUBES-GUERIN'S PNEUMATIC OC THE CATALOGUE OF THE U. S. ARMY MEDICAL MUSEUM, AND CLUSION. TO THE EDITOR OF THE MEDICAL RECOrd. PARIS, February 9, 1868. SIR-The Archives of Medicine, in a very complimentary note, acknowledges the gift of the catalogue of the United States Army Medical Museum. "Every one interested in the advancement of medicine and the amelioration of the health of armies, ought to feel indebted to the American Government for the gigantic and costly enterprise which it has just undertaken. The magnificent volume which has been sent us by the liberality of the Surgeon-General, cannot fail to be of immense utility, even to us to whom the rich Museum is inaccessible. Thanks to the summary observations which it contains of each piece registered in the Museum, we are able, in a great measure, to study the collection as if it were under our eyes, and shall in the future have the means of controlling the quotations of American surgeons who shall take their illustrations from the Museum. "Our administration is not accustomed to such generous initiative in the distribution of official reports to the journals. It has been necessary for the American Government to have the honor of giving the example, and of meeting, with the most laudable munificence, the silent wishes of the medical press." A FOREIGNER'S ESTIMATE OF THE MEDICAL RESOURCES OF I met, the other day, a young Norwegian surgeon, with hair as yellow and eyes as blue as became a countryman of the Viking, who had been spending some months in the study of this Museum, and expressed for it the most unqualified admiration. "I cannot understand," he said, "why you Americans should take the trouble to come to Paris to study surgery; your facilities at home are worth fully as much, if not more, than all you can get here." CASES OF OVARIOTOMY. Certainly no one need come to Paris to study ovariotomy. M. Richet, than whom a more distinguished surgeon is hardly living, has just had the misfortune to add another to the list of failures in this formidable, but sometimes successful operation. He had undertaken the extirpation of the cyst, to comply with the urgency ting the cyst to the abdominal walls. The first could be turned with the hand, but they presently became so solid as to resist all efforts. Convinced that localized adhesive peritonitis and fibrinous adhesions were more readily formed in the pelvic cavity than towards the abdominal walls, M. Richet inferred that the obstacles met with in this latter locality would be re-encountered, and on even a more formidable scale, towards the base of the tumor. He therefore resolved to abandon the operation, and the incision was united with a few metallic sutures. The patient, however, died of peritonitis the next evening, and the autopsy fully confirmed the prevision of M. Richet. The cyst could only be separated from the abdominal wall by tearing a part of this latter; and in the pelvic cavity the adhesions were so close, that a slow and careful dissection was required to remove them. The bladder and uterus were involved with the tumor. This had no pedicle, properly speaking; it was composed of a principal cavity, from whose wall were suspended, floating, several smaller cysts; it was nourished by means of its intimate and extensive adhesions, especially with the uterus. It is certain that the continuance of the operation would have been completely impossible, since the isolation of the cyst was so difficult, even on the cadaver. The remarkable flattening of the abdomen was therefore accounted for by the very solid adhesions which maintained it solidly fixed, and drawn downwards. In such cases, concludes M. Richet, ovariotomy should never be attempted. It is interesting to notice also, that in spite of the repeated attacks of peritonitis which must have occurred to produce the adhesions, the patient had never suffered any abdominal pain, a fact which had greatly conduced to excite the false hopes for the success of the operation. From Strasbourg, however, comes a note of better cheer. M. Koeberlé has succeeded in saving a patient operated upon for an ovarian cyst, and that in spite of the most formidable complications. The patient was 43 years old, the mother of three children, and endowed with a vigorous constitution. She was affected with a multilocular cyst of the right ovary, of which one of the subdivisions had ruptured eight months previous to the operation, and occasioned a grave peritonitis. From that time had set in ascites, emaciation, anæmia, and hectic fever. Towards the end of September tapping was performed, and about six litres of brownish liquid, partly serous and partly stringy, were withdrawn. After this the general health of the patient was notably ameliorated. Ovariotomy was practised on the 26th of November, under the influence of chloroform. An incision was made, twenty-five centimetres in length, giving issue to three litres of reddish serum. Puncture successively of three divisions of the cyst, of which one furnished a yellowish, one a brown, and one a grayish liquid, altogether amounting to eight litres. There remained a multilocular mass, weighing two kilogrammes, which was easily removed after division of a few adhesions, which united it to the omentum and abdominal wall. The former adhesion, which contained large vessels, was destroyed with the actual cautery. The pedicle of the tumor, four centimetres long, was divided by a wire loop, by means of a slip knot. The abdominal cavity was well sponged out, and the incision united by means of four deep, and six superficial sutures. A glass tube, ten centimetres long, plunging in the pelvic cavity along the posterior wall of the uterus, was placed in the lower angle of the wound, to admit of a free escape of the liquids. The operation lasted three quarters of an hour. About 400 grammes of blood were lost. A pelvi-peritonitis occurred, which remained localized and disappeared rapidly under the influence of the free escape afforded to the liquids, and the half sitting position given to the patient. But the fourth and fifth day the patient became restless, and the pulse counted 130. On the sixth day the sleep was interrupted at two in the morning, the restlessness augmented to agitation and anxiety; the pulse, still at 130, became variable small, and irregular; inspirations thirty-six; sweats, coated tongue, diminution of the urine, and tympanitis of the abdomen, all announced grave change for the worse. By the 7th the condition of the patient was extremely menacing. At five o'clock in the afternoon, the surgeon discovered dulness in the right flank, between the iliac crest and the hypochondrium, extending over a space about as large as the palm of the hand. There was evidently a collection of serum, formed during the last fifteen hours, and dependent upon a local peritonitis (probably connected with inflammation of the ovarian vessels), and which would not delay to become general. Bold measures were necessary, and on the spot, M. Koeberlé made an incision in the centre of the dulness, about seven centimetres above the iliac crest. The patient was too feeble to be chloroformized, so recourse was had to a local apparatus for the vaporization of ether, which sensibly diminished both the pain and the hæmorrhage. After division of the tissues to the depth of six to seven centimetres, the peritoneum was discovered, and being opened, gave issue to about 150 grammes of reddish serum. This was completely withdrawn by means of a canula, the exterior wound united by a single suture, and a tress of lint, replaced subsequently by a glass tube, served to maintain external communication with the cavity of the peritoneum. The local dulness had disappeared. The patient was placed in a half-sitting position and in a lateral decubitus towards the right side, in order to facilitate the escape of the liquids. The next day, the patient, who had been in a subcomatose condition, exhibited a marked improvement. The pulse was between 118 and 125, and the respiration twenty-two. On the fourth day after the incision, the borders of the wound were invaded by an erysipelas, which extended about twelve centimetres. Treated with tincture of iodine on the limits of the inflamed parts, the erysipelas was arrested on its third day. The third crisis attended or consisted in the evacuation by the rectum of gray purulent stools. The patient afterwards became more comfortable, but the tumefaction in the right flank reappeared, and continued, and the surgeon was unable to reach it by sounds introduced into the wound. Finally, on the eighteenth day after the original operation, the purulent collection opened spontaneously by means of the large tube which had been left in the wound; and a great quantity of pus escaped, and the flow continued during two or three days. The tumefaction diminished in proportion, and disappeared entirely. The tube was gradually shortened, and at the end of a fortnight the cicatrization of the iliac wound was complete, as well as that on the median line, made for the extirpation of the cysts, and where a tube had constantly remained. In a month and a half after the operation, the health of the patient was perfect. The striking peculiarities of this remarkable case unquestionably belong to the successful plan of leaving the drainage tubes in communication with the peritoneum; and to the boldness which risked an incision of that membrane, to give issue to the products of a local peritonitis. General peritonitis was thus warded off, three distinct times-first, in connection with the original operation, then at the moment of the subsequent tumefaction, and finally during the formation of the abscess. M. Koeberlé remarks, that when in the course of peritonitis a collection of liquids has been formed, opening of the peritoneal cavity is far from presenting the same gravity as when the membrane is healthy. The pseudo-membranes which agglutinate together the intestines, have rendered possible the formation of circumscribed cavities in which the exuded liquids have been able to accumulate, and these serous or purulent foci may be opened, without interesting the remainder of the peritoneal cavity. When these liquids, which have a great tendency to decompose and become fetid, have been evacuated, there is nothing to prevent washing out the cavity with injections of sulphate of soda or of phenic acid. By this means, the affection is reduced to a simple local peritonitis. M. Koeberle has performed NINE Ovariotomies during the last six months, and only lost one patient, and she was fifty years old, and had submitted eight times to paracentesis. THE BENEFITS OF THE DRAINAGE TUBES. The immense advantage to be derived from the practice of leaving a tube inserted in a cyst, to provide for the complete evacuation of its contents, is shown in a remarkable case of hydatid of the liver, cited by the Archives from an observation of Dr. John Harley. When the patient first consulted the physician, he was affected with an abdominal tumor of four years' duration, continuous with the liver in the hypochondrium, and extending to within two fingers' breadth of the pubes and Poupart's ligament. Dulness extended from this point to the level of the right nipple. On percussion, fluctuation was evident in all parts of the tumor. Three times in the course of the first eighteen months of the development of the tumor, the patient had suffered attacks of sharp pain in the abdomen and epigastrium, of which the first attack had lasted twenty-four hours, and the last fifteen days. He had never been jaundiced. From the seat of the tumor and its development, Dr. Harley diagnosticated an hydatid cyst of the liver. No treatment was instituted. Two years later the patient returned, with the tumor somewhat increased in size. The girth measured forty-two and five-eighths inches, and under the influence of a slight attack of local peri tonitis, the cyst increased so rapidly, that in ten days the measure of the girth had increased to forty-four and a half inches. In view of this rapid development, it was decided to tap the cyst, which was done on the level of a line going from the xiphoid cartilage to the umbilicus. A clear colorless liquid escaped, whose complete evacuation occupied two hours. Eleven litres of this liquid were collected, and found to contain several broken cysts, the size of a filbert, and cysts unbroken, as large as a pea. The operation was well supported, and relieved the patient. The abdomen retracted, and by palpation, below the umbilicus, could be perceived the lower border of the cyst. The canula was left in place. The patient remained without fever till the eighth day, when the canula escaped from the wound, and all flow of liquid ceased during twelve hours. The cyst became distended and perceptible in both hypochondria, the skin hot, pulse 120. The canula was replaced, and immediately there escaped 250 grammes of a turbid liquid, dark yellow in color, and with a fetid odor. The febrile symptoms disappeared, while the flow was only interrupted by the fragments of hydatid cysts that from time to time blocked up the canula. When the obstruction became definite, the cyst was distended a second time, and grew painful, and the fever returned. On this occasion, an elastic sound, nine inches long, was introduced into the cavity by the canula, and 600 grammes of liquid were collected. About the same amount escaped during the course of the following fortnight, and occasionally, owing apparently to the rupture of some secondary cyst, the flow would become more abundant. heart had resumed its proper position. No trace re Dr. Harley follows the recital of this interesting case with some general remarks on the treatment of hydatid cysts, in which he particularly insists on the necessity for favoring the complete evacuation of the cavity. He thinks that nearly all failures are due to neglect of this precaution and of any attempt to obliterate the hydatic membranes. If any liquid be left, it is sure to putrefy sooner or later, and infect the blood. Then follows a synoptical table of about 100 cases gathered from different authors. In thirty-four, a single open ing had been made, followed by complete or partial evacuations of the liquid and immediate closure of the wound. There were eleven cures, thirteen ameliorations, and ten deaths. In the second table are thirteen cases treated by successive openings, with or without iodine injections; eight ameliorations, two cases without result, and three deaths. In the third table, containing thirty cases treated by one or several openings followed by prolonged communication with the exterior, there are twenty-three cures, of which at least eighteen may be considered radical, and only seven deaths, five of which must be attributed to a new accumulation of liquids which had been unable to escape, and had putrefied. In ten cases in which the tumor was opened by caustic potassa, were observed three cures, three ameliorations, and four deaths. Dr. Harley thinks, moreover, that the caustic presents no real advantage, and has the disadvantage of being much more painful than the other treatment. These results therefore tend to confirm the views expressed in connection with the operation for ovarian cysts, namely that the dangers do not depend upon the admission of air into, but the imprisonment of liquids within the cavities, natural or artificial. Escape, escape, escape for all these vile and noxious fluids-such is the watchword of a host of modern surgeons, in a host of cases, and the doctrine is perhaps best applied by M. Maisonneuve, in his apparatus that fulfils at once the double purpose of occlusion of the wound, and aspiration of the liquids at its surface or burrowing in its recesses. I believe I have already described to you this apparatus, or at all events it is well known to you, if only for the reason that every American physician who comes to Paris goes straight to the Hotel Dieu, to see it in operation. The forty-third day the canula was entirely removed, but the elastic sound left in place. Up to this date injections had been made of water mixed with iodine or creasote, forty drops to a litre. On the fifty-first day, a considerable hemorrhage was produced in the cyst. The pulse immediately mounted from 96 to 140, and in the evening was 160. The skin became hot, dry, and yellowish, the cyst hard and distending the epigastrium and hypochondria, and the patient vomited repeatedly. 500 grammes of thick fetid sanguinolent liquid, resembling the blood which flows after the section of the liver, were withdrawn from the cyst, which was then carefully washed out with water, containing some creasote. During the following week, the iodine injection was replaced by a solution of twenty-five to fifty centigrammes of nitrate of silver, in some ounces M. Gosselin, at La Charité, carries out the principle of of water; afterwards an injection was made every free drainage for other purposes than that of preventing morning and evening of a solution of four grammes of purulent infection. In case of cold and burrowing sulphate of zinc in 300 grammes of creasotized water. abscesses, with or without fistulas, he generally inAfter several days, during which the stools were quite serts a small perforated drainage tube by the origicolorless, there was suddenly evacuated by the rectum nal opening, at the same time exercising steady presa quantity of pultaceous matter, of a color analogous to sure upon the dilated walls of the cavity. In this that of the liquid coming from the cyst. A few days way he has recently treated with marked success a later, a great quantity of pure bile flowed from the case of indolent abscess burrowing under the great pecwound, fifteen grammes being collected in some min-toral muscle, and has now under treatment an abscess utes. Communication was therefore evidently established, on the one hand with the intestine, on the other with the gall bladder. This was the fifty-third day. After various less important vicissitudes, it is noticed on the 123d day, that no more bile escaped from the wound, that the cyst was greatly diminished in size, so that the sound, which had penetrated 9 and 10 inches, now extended only 4. On the 148th day, the flow had ceased, and the sound was withdrawn. Shortly afterward, the health of the patient being entirely re-established, he resumed his ordinary occupations. The girth had diminished 13 inches. The dulness of the liver was normal, but the spleen remained hypertrophied. The at the malleolus, and another resulting from axillary GUERIN'S SYSTEM OF PNEUMATIC OCCLUSION. of his system of pneumatic occlusion,-essentially the same as that of Maisonneuve to which I have just alluded. He ranks these applications under four categories. 1st. Wounds and simple surgical operations such as incisions, ablations of cicatrices or of subcutaneous tumors, extractions of foreign bodies from articulations. 2d. Grave operations, such as amputations of limbs, and accidental wounds of the same importance. 3d. Contused wounds, openings of the skin, and simple complicated fractures, that is with perforation of the skin, while the bones are simply broken. 4th. Wounds from fire-arms with dilacerations and destruction of the tissues, fractures with crushing of the bones, and wounds uniting the gravest complications of traumatic lesions. In the most favorable condition, the pneumatic occlusion produces cicatrization without traumatic fever, and without suppurative inflammation; that is to say, it realizes union by first intention. or motto, and accompanied by a sealed envelope bearing the same device or motto, and containing the name and address of the writer. 3. The Essay selected by the Committee shall be transmitted by them, together with its accompanying envelope, to the Council of the N. Y. Academy of Medicine, under whose direction the envelope shall be opened and the name of the writer announced at the first meeting of the Academy in May, 1869. 4. This prize is open for universal competition. 5. The Committee have a right to reject whatever does not come up to a proper standard of merit. Alfred C. Post, M.D., President of the Academy, on behalf of the Council. Committee of Awards: J. C. Dalton, M.D.; A. Flint, Jr., M.D.; Alfred L. Loomis, M. D. of contagious and infectious diseases made to the office CONTAGIOUS DISEASES IN NEW YORK.-The reports of the Sanitary Superintendent of the Metropolitan Board of Health by practising physicians in this city In less favorable cases, and when the wound has of scarlet fever, 153 of which were under the age of during the two weeks ending June 15, show 178 cases already been a long time exposed, or contains foreign 10 years; 5 cases of typhus fever, the ages varying bodies, or, finally, is complicated with anterior morbid from 7 to 58; 11 cases of typhoid fever, between the conditions, pneumatic occlusion cannot prevent a certain degree of suppurative imflammation; but in virtue of ages of 9 and 47; 13 cases of diphtheria, 7 of which the continuous aspiration which it exercises, it opposes between the ages of 2 and 25. The reports do not inwere under the age of 6 years; 7 cases of small-pox, all accident resulting from the putrefaction and absorp-dicate the special prevalence of any of the above distion of altered fluids, and in all cases favors, and renders much more rapid, the cicatrization, and consecutive oreases in particular localities. ganization of wounds. P. C. M. Medical Items and News. ORTHOPEDIC INFIRMARY.-The Trustees of the Brooklyn City Hospital have tendered the use of their PathoIcgical Hall for the establishment of an Orthopedic Infimary, for the gratuitous treatment of deformities of all kinds, and diseases of the joints, under the direction of the surgeons of the hospital. The institution will be open every Monday, Wednesday and Friday hereafter, at 12 M. DR. THOS. C. BRINSMADE, of Troy, N. Y., died suddenly on the 22d ult., from heart disease. THE Trustees of the New York State Institute for the Blind held a meeting at Batavia, on the 10th ult. The President, Treasurer, and Secretary were reelected. The Board fixed upon the first Wednesday in September as the day for opening the new institution for the reception of pupils. PROF. PFLÜGER, of Boun, has received a call to the chair recently vacated by the death of Prof. Von Bezold, in the University of Würzburg. MORTALITY OF PHYSICIANS FROM TYPHUS FEVER.Up to May 9, twenty physicians had fallen victims to the typhus fever epidemic at present prevailing in East Prussia.-Allgemeine Med. Central Zeitung. THE JEWETT AND RUSSELL PRIZES having been awarded to one gentleman, Prof. Roberts Bartholou, of Ohio, we are requested to state that the unsuccessful authors can procure their Essays from the gentlemen of the com THE STATE MEDICAL SOCIETY OF PENNSYLVANIA. The nineteenth annual meeting of this Society was held at Harrisburg, Penn., June 10, 11, and 12. The attend-mittee to whom they have been sent. ance was unusually large. The usual routine society business was transacted, and the customary receptions and hospitalities were tendered the delegates. Perhaps the most interesting feature of the meeting was the discussion upon the right to consult with female physicians, A very earnest effort to support a resolution appropriate to this end was made by Dr. Atlee, but after a warm debate it was defeated. Dr. John Curwen, the well known alienist, and the Superintend ent of the State Lunatic Asylum of Pennsylvania, was elected President. O'REILLY PRIZE.-Dr. John O'Reilly, of New York, having offered, through the N. Y. Academy of Medicine, a prize of six hundred dollars for an Essay on the Physiology and Pathology of the Sympathetic or Ganglionic Nervous System, the Committee of Award, appointed by the Council of the Academy, have adopt DEATH OF PROFESSOR JARJAVY.-The Paris Faculty of Medicine again has lost a prominent light, by the death of Professor Jarjavy, who formerly taught anatomy in that institution, and was promoted the present year to the chair of clinical surgery formerly filled by M. Nélaton. AN AMPLE FEE.-M. Nélaton has left for Stockholm, to operate upon Baron de Hoepner, the Grand Marshal of the Swedish Court, for a tumor. This eminent surgeon is to receive $20,000. His travelling expenses also are to be paid. New Publications. BOOKS RECEIVED. ed, with the concurrence of the Council, the following THE SURGICAL TREATMENT OF THE DISEASES OF INFANCY regulations.-1. The competing Essays shall be sent in to the Chairman of the Committee, Prof. J. C. Dalton, M. D., No. 101 East Twenty-third street, New York, on or before the first day of March, 1869. 2. Each Essay shall be marked with some distinguishing device AND CHILDHOOD. By T. HOLMES, M.A. Cantab., Surgeon to the Hospital for Sick Children; Surgeon and Lecturer on Surgery to St. George's Hospital; Surgeon-in-Chief to the Metropolitan Police, etc., etc. London: Longmans, Green, Reader & Dyer. 1868. 8vo., pp. 648. Original Communications. ORIGINAL ADAPTATION OF posite the thigh are fenestrated, and nuts are inserted capable of sliding longitudinally, through which play the screws which can be used for the exact application of detached moulded metallic "splints of coaptation." Extension and counter-extension are obtained by RECEIVED PRINCIPLES OF TREATMENT IN broad straps of adhesive plaster extending from the FRACTURE OF THE THIGH; WITH DESCRIPTION AND ENGRAVING OF APPARATUS, AND REPORT OF CASE. BY HENRY S. HEWIT, M.D., SURGEON TO CHARITY HOSPITAL, LATE MEDICAL DIRECTOR U. S. ARMY, AND DEPARTMENT OF THE OHIO, ETC., ETC. IN October of last year I was called to a distance in the country to a case of fracture of the left femur in the person of a boy 11 years of age. The injury was the result of indirect violence applied by jumping from a height of fifteen feet. The bone snapped with an audible report, and the thigh nearly doubled upon itself. Much difference of opinion arose among the gentlemen who were first called in, and I found him temporarily arranged with the limb lying on its outer aspect, and extended by the weight and pulley. Displacement and shortening were present and ob vious. Upon careful consideration of the circumstances, the extreme natural irritability of the subject, the distance, and other minor but influential particulars, it was determined to adopt the starch bandage with constant extension. The fracture was accordingly put up in the immovable apparatus on the third day. Measurement and inspection gave satisfactory evidence in regard to length and symmetry, extension was applied in the usual manner, and the case promised an excellent conclusion. As it progressed, however, it was demonstrated that no power within the capacity of the means at command could control the movements of the child, without injury from undue pressure and constriction. It was discovered that the padding was secretly removed as fast as replaced, and that he had acquired the art of relieving himself from the extending weight at pleasure. There was no surveillance equal to the emergency, and when the dressings were finally removed consolidation had taken place with shortening of 3-4ths of an inch, and slight external angular obliquity. This defective result was by no means in excess of many which are counted good cures; it produced no lameness, and was indistinguishable when the child was dressed. The attention which the case required, and the difficulties and discouragements by which it was attended, induced much reflection, and I resolved during its progress to adopt on any future occasion the method which I am about to describe. I A few weeks subsequently the little patient fell and refractured the same thigh at the same point. He was brought to the city and again placed under my care. now caused the new apparatus to be made by Mr. Tiemann, and applied it seven days from the date of the second accident. It consists of two light flat lateral bars of steel connected by a cross-bar below the sole of the foot. The exterior bar or splint extends from its angle with the cross-bar, six or eight inches below the foot, to the side of the chest opposite the nipple. Two flat bands of steel well padded secure it to the chest and body. The inner bar reaches nearly to the perineum, but does not impinge, and the floor of the splint is of flexible metal carefully padded by a continuation of the bands which secure it to the limb and buckle in front. The two lateral bars op groin in front and nates behind, secured by additional |