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Achillis tightly strained. On the outside the externalmalleolus projected in a very marked manner, the skin beinghere also tightly strained over it. The dislocated bone wasquite immovable.Chloroform having been administered, a round towel with

a clove-hitch at one end was passed over the heel and acrossthe instep. To the other end pulleys were attached, andcounter - extension made over the pelvis. After a fewminutes’ extension the bone slipped into place with anaudible click, and with the effect of at once removing all thedistortion which had previously been so marked.The after-treatment was of the simplest kind, and the

patient rapidly recovered with a useful and undamaged limb.In the process of reduction I had the benefit of the co-

operation of Mr. Stockwell, Dr. Carter, and Mr. Scott, ourhouse-surgeon.

I need scarcely say the result was highly satisfactory, asthe distortion was extreme, and the prospect of replacing thebone apparently very problematical.

I am, Sir, your obedient servant,Bath, March, 1880. R. T. GORE.R. T. GORE.

TRICHINOSIS v. ENTERIC FEVER.To the Editor of THE LANCET.

SIR,—Having read your article, " Trichinosis v. EntericFever," I would suggest that the temperature charts of thebest-marked cases of trichinosis should be published, as

these might afford a valuable guide to the differentialdiagnosis of these diseases in the future.

I am, Sir, yours, &c.,PYREXIA.

EDINBURGH.(From our own Correspondent.) )

IN hospital Dr. John Duncan has had two cases of laterallithotomy. One of these, performed in the Glasgowmethod with the rectangular staff, presented some difficulty,for the extreme narrowness of the pelvic outlet and the largesize of the stone hindered extraction. The patient is doingwell.Dr. Keith’s series of successful consecutive ovariotomies-

over eighty in number-has been interrupted by a death.This occurred in a case where operation had been performedas a last resort, at the earnest solicitation of the patient’srelatives. In the wards in the Royal Infirmary there havebeen two interesting operations of late-one for removal of alarge fibro-cystic tumour over forty pounds in weight, andanother where a large single cyst with many adhesions burstduring the operation. It is to be hoped the managers mayattend to the further illumination of the great theatre, sothat Dr. Keith may again give pleasure and instruction byoperating publicly. It is also a matter of doubt whetherthere is any advantage derived from the use of the twoclinical theatres as operating rooms. Formerly in the oldInfirmary a student might see various surgeons at work afterone another in the same arena; he might enter at the com-mencement and leave at the conclusion of any operation hefelt a special interest in ; now, however, in the new buildinghe is perplexed sometimes by seeing three operations adver-tised. Each of these is carried on in a separate theatre, butall takes place at the same time. He cannot convenientlysee them all, as he might have done had old customs beenadhered to ; he must take his choice of one, and one only.The system may be more convenient for the surgeon ; it doesnot seem to be better for the student, and is apt to lead tothe establishment, as it were, of three or more small schools,under one common roof, each following its own leader.A third house physician will be appointed to the Univer-

sity clinical wards, and the junior house surgeon will becomeresident after the month of October.Following the example of the University, the resident

physicians attached to the extra-mural medical wards will,in future, be selected by competitive examination.

THE salaries of the district medical officers of St.Pancras have been increased as follows :-Dr. ThomasSayer’s, from £100 to £140 per annum ; Dr. Walter Smith’s,from noo to £130; and that of Mr. Sydney L. Smith, fromf130 to fl40.

Obituary.ALFRED LEGGATT, F.R.C.S. ENG.

By the death of Mr. Leggatt the profession and societyhave alike lost a practitioner of no common order. The

profession has lost a member who sustained its dignity, up-held its honour, and exemplified its best characteristics withsingular fidelity and success; and society, in its highestwalks, has lost a trusted, able, and conscientious medicaladviser, whose death has left a void scarcely likely, in someinstances, to be adequately filled.For over thirty years Mr. Leggatt enjoyed a practice in

the most aristocratic quarter of the metropolis such asseldom falls to the lot of any man ; and he retained it asonly a man of ability and high character could do. Hispractice was extensive and lucrative, being almost exclu-sively among the upper classes. He enjoyed the confidenceof Cabinet Ministers of both parties, and was the trustedmedical adviser of some of the most distinguished person-ages in the State.Of singularly fine presence and gentle manners, he had

also the charm of honest purpose ; for the uprightness ofhis mind shone through all his acts. Of him may be saidthat which can be truthfully said of very few, that he livedwhat he professed-a Christian life. Such as his belief was,he faithfully strove to live up to it; and it can truly be saidof him that his life was one of unobtrusive and gentle piety.Mr. Leggatt’s practice, like that of the majority of gene-

ral practitioners, was chiefly medical and obstetrical, withvery little surgery. For such work a medical qualificationwould have appeared the most appropriate leading licence,but, like so many others who are never called upon to prac-tise surgery after acquiring their licence, he only held theM.R.C.S., and after that the L.S.A. A few years ago,however, the honorary F.R.C.S. Eng. was conferred uponhim; and no one more truly merited a distinction than hewhose blameless life had brought honour to his calling.Mr. Leggatt was a good, but kindly, judge of men; and

it may be mentioned in illustration that two of his old assist-ants who lived with him when quite young men, are nowFellows of the Royal College of Physicians of London andteachers in Metropolitan Schools of Medicine - viz.,Dr. B. Yeo of King’s College and Dr. Wiltshire of St.Mary’s. Mr. Leggatt leaves a widow and large family tomourn his loss. He died at the age of sixty-five, after aaborious and successful life.

Medical News.ROYAL COLLEGE OF SURGEONS OF ENGLAND. -

The following gentlemen passed the Primary Examinationin Anatomy and Physiology at Meetings of the Board ofExaminers on the 8th, 9th, 12th, 13th, and 14th inst. :-Edward D. Thring, William H. Horrocks, Charles R. Elgood, ErnestHudson, William C. Wilkinson, William R. Buckell, Frederick J.Bollen, and Francis F. Culhane, University College ; George Frost,John B. Sutton, Hugh R. Neblett, John F. McMillan, Edgar R.Dimsey, William E. Ransom, M. W. Russell, Walter E. Wynter,Alan E. Tate, J. H. Douty, William Hern, Charles G. Brodie, andSidney R. Dyer, Middlesex Hospital; Frederick L. Nicholls,William C. Beatley, William Tibbles, James Donald, John L.Rodwell, David L. Jones, James K. Lewis, and Samuel Wyborn,Charing-cross Hospital; William A. W. Smith, Percy Pope, ArthurF. G. Codd, Percy Edgelow, and George Y. Eales, St. George’sHospital; Henry F. Iliewiez, Robert F. Fox, Michael Angelo,Robert Black, Oliver W. Sharood, John H. Thomas, John Sinclair,George Adkins, John C. Davies, Frederick H. Kenny, WilliamCoates, Walter F. Dale, Ralph Holyoake, R. Buksh, and John W.Davis, London Hospital; Thomas D. Pryce, James Berry, EdwardJ. Jenkins, R. J. Collyns, D’Arcy Power, and Alfred J. Anderson,St. Bartholomew’s Hospital; Harry L. R. Dent, Robert G. Lynam,Hugh R. Beevor, James J. C. Dounet, John W. G. Kealy, SidneyEllis, and Walter T. Brooks, King’s College; John H. H. Williams,Louis A. Dunn, Charles H. L. Meyer, and John H. Booth, Guy’sHospital; Oliver F. N. Treadwell, Arthur Goulston, Walter Hull,and David W. H. Llewellyn, St. Thomas’s Hospital : John R. Cater,St. Mary’s Hospital; Joseph Pollard, Cambridge and King’sCollege ; Edward A. G. Doyle, Westminister Hospital: S. T. Pruen,Francis J. Walker, Harold Hendley, and H. E. Bateman, St.Bartholomew’s Hospital; Frederick Knight, Edward Skipper,Edward W. Von Tunzelmann, and Frederick H. Lane, UniversityCollege ; G. D. Porter and Bertram H. L. Stivens, King’s College ;Henry Green and Alfred H. Willoughby. St. Mary’s Hospital;Robert Sanderson and Gilbert E. Butler, Westminister Hospital ;