sue joining the two ends of the nerve
together revealed a few nerve fibres; the general appearance was that
of granulation tissue, containing capillary vessels, which were fairly
plentiful, and comparatively large in size.'[A]
[Footnote A: _Veterinary Record_, vol. iv., p. 386 (Hobday)]
_Chronic Oedema of the Leg_.--In some cases there is a distinct swelling
of the leg some time after the operation. This exposes the limb to the
infliction of sores from striking with the opposite foot, with, of course,
the difficulty in healing we have just described.
_Persistent Pruritus_.--This annoying sequel occurs in the neurectomized
limb, with or without gelatinous degeneration, and appears to be without a
remedy. The itching in some cases is so intense as to lead the animal to
constantly gnaw at the top of the foot. As one observer has remarked, the
animal may begin literally biting pieces out of his limb. The result of the
irritation and gnawing is fatal. Great sloughing of the parts takes place,
and the animal has eventually to be slaughtered.
_Fracture of the Bones_.--The sudden loss of sensation in a foot may cause
the animal to use violently the limb he has for months past been carefully
nursing. It may be that the lameness for which the operation has been
performed has been due to disease existing in the navicular bone, and
extending, perhaps, to the os pedis. By the disease the bone has already
been made brittle, its substance and ligamentous attachments perchance
weakened and broken up by a slow-spreading caries, and rarefaction of the
remaining bone substance rendered almost certain. In this instance, the
free use of the foot, and the application to the diseased structures of an
unwonted pressure immediately after the operation results in fracture. With
the rupture of the structures we get the elevated toe and soft swelling in
the heel, as described in gelatinous degeneration. Treatment, of course, is
out of the question.
_Neuroma_.--A further sequel is the appearance at the seat of the operation
of what is termed an 'amputational neuroma.' This is a tumour-like
growth occurring on the end of the divided nerve. It is composed of
connective-tissue elements permeated by nerve fibres which have grown out
from the axis-cylinders of the nerve stump. It may vary in size from a pea
to a hazel-nut, and is frequently the cause of much pain. This must be cut
down upon and cleanly removed, taking away at the same time as mu
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