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of the fact at the time the article is sent to us ; {2) accepted articles glucophage price are subject to the customary rules of editorial revision, and will be published as promptly as our other engagements will admit of — we can not engage to publish an article in any sjjecified issue ; (3) any conditions which an author wishes complied with must be distinctly stated in a communication accompanying tlie manuscript, and no new conditions can be considered after the manuscript has been put into the type-setters'' hands. We are often constrained to decline articles which, although they may be creditable to their authors, are ■ not suitable for publication in this journal, either because tfiey are too long, or are loaded with tabular matter or prolix histories of cases, or deal with subjects of little interest to the medical profession at glucophage generic large. We can not enter into any correspondence concerning our reasons for declining an article. All letters, whether hUended for publication or not, must contain the writer''s name and address, not necessarily for publication. No at- tention will be paid to anonymcncs communications. Hereafter, cor- respondents ctsking for information that we are capable of giving, and that can properly be given in this journal, will be answered by number, a private communication being p7-eviously sent to each cor- respondent informing him under what number the answer to his note is to be looked for. All communications not intended for publication under the author''s name are treated as strictly confidential. glucophage xr We can not give advice to laymen as to particular cases or recommend indi- vidual practitioners. Secretaries of m.edical societies will confer a favor by keeping us in- formed of the dates glucophage xr 500mg of their societies' regular meetings. Brief notifi- cntions of mailers that are expected glucophage buy to come up at particular glucophage tablets meet- ings will be inserted when they are received in time. Newspapers and other publications containing matter which tablet glucophage the perscK sending tliem. desires to bring to our notice should be marked. Mem- bers of the prof ession who send us information of matters of interest to our readers will be considered as doing them and us a favor, and, if the space at our dommand admits of it, we shall take pleasure in inserting the substance of such communications. All communications intended for the editor should be addressed to him in care of the publishers. All buy glucophage online communications relating to the business of the journal should be ad- dressed to the publishers. THE NEW YORK MEDICAL JOURJ^AL, April 20, 1889. >ri0htal Commummtions. ON THE TREATMENT OF RUPTUEE OF THE TENDON OF THE QUADRICEPS FEMORIS.* By cheap glucophage WILLIAM T. BULL, M. D., SURGEON TO THE NEW YORK HOSPITAL AND ST. LCKE'S HOSPITAL. At a nieetino; of the society four years ago I presented a patient who had been treated by Dr. C. A. Jersey at the Chambers Street Hospital for ruptured quadriceps tendon by means of the gypsum bandage. Three months and a half after the accident the functions of the limb were prac- tically restored, though flexion of the knee was possible only through three fourths its normal extent. Since then this deficiency has disappeared and the result is perfect. To- night I present a patient who has suffered a precisely simi- lar injury, but in whom the separated ends of the tendon generic for glucophage were united by suture. The following is a brief history : J. H. glucophage diabetes W., aged fifty-nine, expressman. While backing a wagon, patient fell with the leg flexed. He felt something give way. Suffered extreme pain and glucophage online was unable to walk. Was treated by glucophage mg rest and a posterior splint for price of glucophage three days, when he was admitted to St. Luke's Hospital, December 6, 1888. Examination showed a depression above right patella admit- ting finger easily. Absolute loss of extension. Slight effusion into joint. Unnatural mobility of patella. December l^th. — Patient etherized and an incision three inches long made from upper border of patella upward. Ten- don found to be ruptured transversely a quarter of an inch above glucophage 500mg its insertion. The direction of the rupture was from behind forward and above downward, and the upper end, beveled in this way, was curled up on itself, leaving a gap half an inch wide on the surface. The rupture extended into the rauscnlar fibers on either side of the tendon for a distance of two inches- the synovial capsule was freely opened, and a slight amount of bloody synovia found in the glucophage sr joint. The ends of the tendon were brought together with four catgut sutures, drainage was estab- lished, and the wound was closed. The parts were freely irri- glucophage cost gated with l-to-5,000 solution of mercury bichloride. An anti- cost of glucophage septic dressing was applied and the limb immobilized by a plaster-of-Paris splint. The drains were removed on the seventh day and the splint was renewed. The wound healed with a trifling amount of suppuration about the superficial sutures. January I5th. — Patient allowed to walk about on crutches. order glucophage All splints removed. 24th. — Walks without crutches. Rheumatism has devel- oped, affecting the foot of injured leg and the elbow of the op- posite side.

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