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MR. PARTRIDGE'S REPORT TO THE GARIBALDI ITALIAN UNITY COM- MITTEE. SPEZZIA, SEPT. 20.- The reports received in England of General Garibaldis health, and of the state of his wounds, were so various, contradictory, and alarming, that I was commissioned by some of the General's friends to visit him professionally, and to ascertain from actual observation his real condition. I arrived at Spezzia on the 16th of September, and I have since that time daily visited the General at Varig- nano, in company with Dr. Prandina and his other medical attendants, and I have been constantly present at the morning dressings of the wound. I have been further permitted, through the courtesy of the surgeons, to make a personal examination into the nature and ex- tent of the injury. The accident may be described shortly as a transverse compound fracture of the right internal malleolus (ankle bone), produced by a rifle shot, which, though it opened the joint by a small aperture, did not enter it, nor lodge itself in any other part of the limb. The other ankle bone remains uninjured, nor does the astragalus (the great pulley-like bone of the foot which sustains the leg) appear to have been injured the most careful examina- tions made immediately after the accident, and since have kd to the conclusion that no other bone except the tibia (or greater bone of the leg) was implicated in the injury. At first, severe inflammation, swelling, and excessive pain, followed upon the infliction of the wound. But L these were subdued by cold applications, cataplasms, leeches, and rest, so th:1t now the ankle and surrounding parts present nearly their natural size and form, the f"Jot being almost at a right angle with the leg, and other wise in excellent position. The wound, the circumference of which (on its super- ficial aspect) is rather larger than that of half a franc, looks well, and discharges healthy matter mingled with molecular fragments of exfoliating bone, which are rarely larger than ersins of sand. The present unswollen state of the ankle and of tha parts around it permits of an examination which has confirmed the assurance, given by other circumstances, that the bullet did not enter the joint Lor effect a lodgment elsewaere. Theiojured parts are now free from inflammation, and, unless moved, are no longer painful. The wound is simply dressed with charpie, spread with cerate, and covered by a light poultice, the foot being maintained at rest and in position hy a suitable apparatus of smail pads, pillow, and ban- daged. The wound of the left thigh, which wa.s slight and superficial, is well. The General's manner is very patient and tranquil; his health is fairly good, though he is much emaciated his appetite is tolerabLe, his pulse is quiet, his tongue is clean and moist, and, upon the whole, tie sleeps well. He has within the last two days been removed iuto & larger, more airy, and quieter chamber than that which he at first occupied. Everyone about the General seems attentive to his wants and wishes; and his friends have supplied him (and I hope will continue to do so) with those neces- saries and comforts which his situation demands. My opinion is that (bearing in mind bis habitually abstemious habirs), if mental as well as bodily repose are steadily en- forced, if the injured limb be kept at perfect rest, if the general health and strength be sustainel by suitable nourishments (and if need be, by stimulants), by well- aired, well-kept, and quiet rooms, and, lastly by a con- tinued supply of those comforts necessary to his present condition, the General will, with time (certainly some months) and care, have a good useful foot, though the ankle joint may become stiff, or, at the best, ba only partially moveable. I beg to express my entire concurrence in the treatment pursued by the surgeons who attend General Garibaldi, aud who dress his wound with solicit- ous care and skill. Upon one occasion I had the good fortune to see General Garibaldi in company with Professor Zanetti, of Florence, and I was gratified to find that my view of the past and of the prospective treatment (under certain con- tingencies) of this anxious case coincided with those of that eminent surgeon, I cannot conclude this report without expressing my grateful sense of the prompt aid afforded me by the authorities here in furtherance of the objects of my visit; and I would also especially acknowledge the frank reception and kindness of General Garibaldi's medical attendants, Drs. Ripari, Prandina, Albanese, lLsile, and otters, with whom, for the time being, I have had the pleasure of being thrown into daily association. KIOHAKD PARTRIDGE, F.R.S., Surgeon to King's College Hospital, Professor of Anatomy in King's College, London, and Member of the Council of the Royal College of Surgeons of England.





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