. Photographs of surgical cases and specimens . lsurface of the patella was then sawn off, and the two cut surfaces of thebone were brought in apposition. The laminated portion of the femur,however, was fractured half an inch above this point, and fissures extendedtwo inches further. On the sixth day sloughing commenced; on theeighth, signs of gangrene Averc noticed; and on the ninth, December 25th,Surgeon J. P. Prince, 36th Massachusetts Volunteers, amputated thefemur in the middle third, on account of the burrowing of pus, forsecondary haemorrhage from the propliteal. No plastic deposit coul


. Photographs of surgical cases and specimens . lsurface of the patella was then sawn off, and the two cut surfaces of thebone were brought in apposition. The laminated portion of the femur,however, was fractured half an inch above this point, and fissures extendedtwo inches further. On the sixth day sloughing commenced; on theeighth, signs of gangrene Averc noticed; and on the ninth, December 25th,Surgeon J. P. Prince, 36th Massachusetts Volunteers, amputated thefemur in the middle third, on account of the burrowing of pus, forsecondary haemorrhage from the propliteal. No plastic deposit could beobserved immediately after the operation. On the next day he wastransferred to Washington, and admitted to the Douglas Hospital, wherehe died on December 27, 1862. The pathological specimen, which is , Surgical Section, was contributed, with the history, by Surgeon Prince, 36th Massachusetts Volunteers. Photographed at the Army Medical Museum. BY ORDER OF THE SURGEON GENERAL: GEORGE A. OTIS, Asst Surg. U. S. A., Curator A. M. liiiiiiwi WfiiiiM w§. Trepared under the stipervision of Assistant ^urgeon Peorge A. Otis, JJ. S, ^BY OliDER OP THE SURGEON GENERAL. ^URGEON pENERALs pFFICE, ^RM Y yAEDICAL ^MUSEUM- ARMY MEDICAL MUSEUM. Photograph No. 232. Shaft of the Left Femur, exhibitingComminution in the Middle Third, loith Extensive LongitudinalFracture, produced by a Conoidal Mushet Ball. Private Thomas Holmes, Co. D, 1st Michigan Sharpshooters, agedtwenty years, was wounded at Spottsylvania Court House on May10, 1864, by a conoidal musket ball, which entered the inner aspect ofthe left thigh, one inch above the patella, and, passing upwards and out-wards, made its exit ou the outer surface of thigh at the middle was carried nine miles in an ambulance to the general hospital atFredericksburg, and was, afterwards, admitted to the Armory SquareHospital at Washington on May 26, 1864. No apparatus had beenapplied to the limb. Shortly after admission chlorofo


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