The anterior tibial artery was fortunately uninjured.

The remaining portions consisted of a strip of skin two inches in breadth in front of the wound, the muscles which it covered back of the wound, the Achilles tendon, and another piece of skin, barely enough to cover the tendon.
The wound was treated by a bran-dressing, and the limb was saved with a shortening of but 1 1/2 inches.
There are several anomalous injuries which deserve mention.

Markoe observed a patient of seventy-two, who ruptured both the quadriceps tendons of each patella by slipping on a piece of ice, one tendon first giving way, and followed almost immediately by the other.

There was the usual depression immediately above the upper margin of the patella, and the other distinctive signs of the accident.

In three months both tendons had united to such an extent that the patient was able to walk slowly.