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The following case is deemed worthy to be placed on record on account of its interest from a surgical point of view, and also on account of its rather unusual course and termination.
Fred W., colored, set. 15; parents had never had syphilis or struma. He was considered a healthy child until his fifth year, when there was a simple fracture of the tibia of the right leg at the middle third, caused by falling out of bed; two or three months after union the limb began to swell, the bone enlarged, and continued to enlarge for two years without suppuration ; then two large ulcers formed, on the internal and external surfaces of the leg. From one, two small spiculae of bone were discharged at different periods up to the date of my first visit.
His condition at that time was hectic, he was suffering with an acute attack
JENKINS R. CHRONIC NECROSIS OF FIBULA AND TIBIA, OF TEN YEARS DURATION; AMPUTATION AT LOWER THIRD OF FEMUR; RE-AMPUTATION AT UPPER THIRD; RECOVERY. JAMA. 1885;V(3):69. doi:10.1001/jama.1885.02391030013001d
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