atient,
one case recovering.

Wharton reports a case of triple major amputation on a negro of
twenty-one, who was run over by a train. His right leg was crushed at
the knee, and the left leg crushed and torn off in the middle third;
the right forearm and hand were crushed. In order to avoid chill and
exposure, he was operated on in his old clothes, and while one limb was
being amputated the other was being prepared. The most injured member
was removed first. Recovery was uninterrupted.

There are two cases of spontaneous amputation worthy of record.
Boerhaave mentions a peasant near Leyden, whose axillary artery was
divided with a knife, causing great effusion of blood, and the patient
fainted. The mouth of the vessel was retracted so far as to render
ligature impossible, and the poor man was abandoned to what was
considered an inevitable fate by his unenlightened attendants.
Expecting to die every moment, he continued several days in a languid
state, but the hemorrhage ceased spontaneously, and the arm decayed,
shrunk, and dried into a mummified stump, which he carried about for
quite a while. Rooker speaks of a fracture of the forearm, near the
lower part of the middle third, in a patient aged fourteen. Incipient
gangrene below the seat of fracture, with associate inflammation,
developed; but on account of the increasing gangrene it was determined
to amputate. On the fifth day the line of demarcation extended to the
spine of the scapula, laying bare the bone and exposing the acromion
process and involving the pectoral muscles. It was again decided to let
Nature continue her work. The bones exfoliated, the spine and the
acromial end of the scapula came away, and a good stump was formed.
Figure 212 represents the patient at the age of twenty-eight.

By ingenious mechanical contrivances persons who have lost an extremity
are enabled to perform the ordinary functions of the missing member
with but slight deterioration. Artificial arms, hands, and legs have
been developed to such a degree of perfection that the modern
mechanisms of this nature are very unlike the cumbersome and intricate
contrivances formerly used.

Le Progres Medical contains an interesting account of a curious contest
held between dismembered athletes at Nogent-Sur-Marne, a small town in
the Department of the Seine, in France. Responding to a general
invitation, no less than seven individuals who had lost either leg or
thigh, competed in running ra