The Sun.
London, England, 1862-11-05 00:00:00

- - -
(FEZ TING BONE 0(17 OF TISSUE.

Dr. Philipeaux narrates a case which ocourred in the
practice of M. Blandin. A young man became a patient of
the Hotel Dieu on account of a fistulous wound in the
upper and front part of the chest, and in the direction of
the left collar bone. On probing the wound, M. Blanditi
found that it proceeded from a caries of nearly all the in-
terior half of the bone: Emollients and dissolving po-
made, having no effect upon the obstinate malady, and
the patient growing meagre and resolving to risk the
worst, an operation was determined on. Familiar with
the results of the physiological experiments of 11..
Flourens on the periosteum,
or surrounding tissues,
Blandin made up his mind to be guided by them in his sur-
gical operations.
He would try his utmost skill to extir-
pate the decayed bone and preserve the periosteum. lie
made an incision into the upper surface of the collar-bone,
from the middle to the internal or sternal part, at each end
of which he made another incision resembling a T with two
branches. Then, laying the collar-bone bare without and
within, he inserted an instrument made on purpose to pro-
tect the periosteum and the soft parts around it. Suc-
ceeding in these precautions, he successfully extracted the
diseased bone, and disjointed it at its sternal end. Half the
collar-bone having been extirpated, the patient begged the
surgeon to examine the remaining half, as, if it were tainted,
he would prefer losing the whole at once to undergoing
another operation. When the surgeon examined the re-
maining half of the bone, he was obliged to tell the patient
that it was seriously attacked by caries, and ought to be ex-
tirpated. The remaining half of the collar-bone was extir-
pated, and thus tho whole bone was extirpated. So success-
fully, however, had the operations been performed, that a
short time afterwards the young man left the hospital cured.
Eight months later this patient returned to the hospital for
another disease, and all the students had opportunities of
examining him. A new collar-bone had been made by the
periosteum ; and this new bone was already almost perfect,
and the young man could execute every natural movement
with his arm, nearly as well as ever he could in his life.
Still more marvels. The series of experiments from Belcher
to Duhamel, from Duhamel to Troja, and from Troja. to
Flourens, has been continued by M. Oilier. The perms-
wa
and aelxwtar ayes rbdei
ifferent ways
toum, let us always remember, is the future bone. If
healthy, and kept healthy, this membrcaitnneed
come a sound bone, in the most unexpe
st _ s
of
nary circumstances. M. Oilier took to
in
rdip penos..
ni*
11:1 elvarious for •
• al°shapes, bones forms
bones
in circular forms, bones in
_sp
threeir or four days after
even in the
obtained eadndbontwesistoinf twisting
aroundrost cur..l Y
tad. periosteum s ec
figure of eight. cut
A
aomer bbeoinneg,
off, a rag of ikanen completely away f
bit of periesteunt .fied roll? the bone, and
he skin, has oast , producing placed uncle!. t bony secre-
tions tissues. For the membrane •
is to the bone,_ it
tions
might almost be said, what the seed is to the plant, and the
p egg to the animal,--Dickens's "All the par Bound."