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Fortyeight hours subsequently the whole limb was removed by the following modification of the other methods in vogue: The bone having already been removed subperiosteally sufficiently far down to allow the application of the Esmarch bandage, so that the tourniquet would come above the bone, the amputation was proceeded with by the mixed method; skin flaps, antero posteriorly, and circular inci-ion of course being required, as the circular division of the muscles corresponded with the upper end of the bone so nearly that the limb since four weeks after the operation, under the care of Drs: indomethacin and prevention of preterm labor.

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