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gut. 4 Hartley. M., 34. 1888 Slipped and fell. Rupture of tendon ; joint opened ; left leg kamagra jelly online ; fragment of pa- tella (f by 1 in.) con- tained in ligament. Suture of tendon ; wiring of kamagra oral gel patella fragment. 3d month, adhesion of patella to femur broken up Ijy ras- patory ; 4 th month, only slight power of e-\tension. 5 Bull ; kamagra fast reported in this article. of flexion, and equally so of the general strength of the limb, which is undoubtedly increased as the leg has freer motion at the knee and the exercise of the extensor muscle is promoted. The situation and extent of the rupture have not been given with such definiteness that one could tell what influence these features had on the final recovery, and we may accept Maydl's conclusion that the prognosis is more unfavorable the nearer the point of rupture to the patella. It is a matter of regret that only such general statements as to the final result can be given buy kamagra jelly by kamagra online uk even careful study of these twenty cases. The reports are too imperfect; and this further investigation leaves us where Maydl's tables did, six years ago, with the kamagra on line conviction, already expressed, that in about half the cases an imperfect result may be ex- pected. It would be advantageous for purposes of comparison if we had an equally large number of ruptures uk kamagra which had been treated by suture. But the operation has been rarely done. The first case I find recorded was reported to this society by McBurney kamagra to buy in 1887 ("Annals buy kamagra in uk of Surgery," vi, 170). The injury was caused by a heavy basket falling on the thigh. The tendon buy kamagra was ruptured near its insertion, and the capsule of the joint torn. The tendon was sutured with catgut and the joint cavity drained. Prompt healing of the wound followed, and at the end of three months the patient walked with ease and strength, but flexion was impei'fect. At the end of a year the functions were completely restored (Case I, table). A second case has been reported to me by Dr. Hartley (Case IV of the table). Here the injury was caused by a fall. The tendon was ruptured at its insertion, a kamagra cheap small fragment of the patella being found in its torn end. The kamagra kamagra co uk joint capsule order kamagra was torn. Suture of the tendon with wire was followed by satisfactory healing, but the patella became ad- herent to the femur, and kamagra in uk the joint was stiff. At kamagra paypal the end of the third month the adhesions were separated with the raspa- tory and forced motion was made. At the end of the fourth month there was good flexion, but the power of extension was deficient. It is, however, improving. The third case (Case V, table) is the one I have reported in full. Besides these there are two cases in which suture of the tendon has been done with catgut, for kamagra quick incised wound penetrating the joint, by Liining and Wilkin (Cases II and III of the table). In Wilkin's case purchase kamagra the result was reported at the kamagra now end of the kamagra online

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