the femora, when it appears in adult
women is a prominent factor in dystocia. There is a dislocation found
at birth, or occurring shortly after, due to dropsy of the joint in
utero; and another form due to succeeding paralysis of groups of
muscles about the joint.

The interesting instances of major amputations are so numerous and so
well known as to need no comment here. Amputation of the hip with
recovery is fast becoming an ordinary operation; at Westminster
Hospital in London, there is preserved the right humerus and scapula,
presenting an enormous bulk, which was removed by amputation at the
shoulder-joint, for a large lymphosarcoma growing just above the
clavicle. The patient was a man of twenty-two, and made a good
recovery. Another similar preparation is to be seen in London at St.
Bartholomew's Hospital.

Simultaneous, synchronous, or consecutive amputations of all the limbs
have been repeatedly performed. Champeuois reports the case of a
Sumatra boy of seven, who was injured to such an extent by an explosion
as to necessitate the amputation of all his extremities, and, despite
his tender age and the extent of his injuries, the boy completely
recovered. Jackson, quoted by Ashhurst, had a patient from whom he
simultaneously amputated all four limbs for frost-bite.

Muller reports a case of amputation of all four limbs for frost-bite,
with recovery. The patient, aged twenty-six, while traveling to his
home in Northern Minnesota, was overtaken by a severe snow storm, which
continued for three days; on December 13th he was obliged to leave the
stage in a snow-drift on the prairie, about 110 miles distant from his
destination. He wandered over the prairie that day and night, and the
following four days, through the storm, freezing his limbs, nose, ears,
and cheeks, taking no food or water until, on December 16th, he was
found in a dying condition by Indian scouts, and taken to a
station-house on the road. He did not reach the hospital at Fort
Ridgely until the night of December 24th--eleven days after his first
exposure. He was almost completely exhausted, and, after thawing the
ice from his clothes, stockings, and boots,--which had not been removed
since December 13th,--it was found that both hands and forearms were
completely mortified up to the middle third, and both feet and legs as
far as the upper third; both knees over and around the patellae, and
the alae and tip of the nose all presented a dark bluish