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CASES ILLUSTRATING TEE TREATMENT. 143
mercurial ointment, but the result of the illness was a stiff
knee. A month or two later, the patient put himself under
the care of Mr. Kellgren of Eaton Square. He remained one
month under his treatment, but only made slight progress. Mr.
Wood then went to Cardiff, and his medical advisers there
partially broke down his knee in two separate operations under
chloroform and ether. After the operations the knee was put
up in a bent splint.
In the autumn of 1884 the patient returned to Eaton Square,
and, in the absence of Mr. Kellgren, the treatment which he
had before received was recommenced by Mr. Arvid Kellgren.
He made but slow progress, and suffered great pain. It was then
suggested to him that the knee might be more forcibly broken
down under chloroform. I accordingly put him deeply u.nder
chloroform, while Mr. Arvid Kellgren broke down the adhesions
round the knee. The operation was performed twice, at an
interval of a fortnight. The first breaking down was only
partial, but on the second occasion, on the 10th of September, the
knee adhesions were completely broken down, the leg being flexed
on the thigh as much as it can be under normal conditions. The
pain after the operation was very severe, and the swelling around
the joint considerable, but after pt^trissage and effleurage had been
applied, the pain almost disappeared.
Thursday, Sept. 11th. The patient passed a tolerably good
night, though he was rather feverish. The pain only gave slight
discomfort. Spasmodic jerks were felt during the night at the
knee-joint.
On examination, the joint was found to be more swollen than
on the previous evening, and there was slight discoloration in
front, just below the patella. The joint was then moved, active
and passive movements being tried. After the movements
petrissage was given. Pulse, 82 ;
temperature, 99°. The patient
expressed himself much relieved after treatment.
Friday, Sept. 12th. The patient felt feverish. Temperature,
99-5°; pulse, 84. The tension in the knee was greater, and
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