Gunshot injuries : how they are inflicted : their complications and treatment . act from large projec-tiles or their fragments. Primaryamputation as a result of gunshotfracture from the projectiles of handweapons will be seldom comminuted fracture of bothbones with destruction of both tibialarteries would constitute a causefor amputation, but such an injuryis seldom seen from the effects ofhand weapons except in the case ofrifle shots delivered at close rangeexhibiting explosive effects, or as aresult of shot from a shot gun de-livered at contact or methods of tre
Gunshot injuries : how they are inflicted : their complications and treatment . act from large projec-tiles or their fragments. Primaryamputation as a result of gunshotfracture from the projectiles of handweapons will be seldom comminuted fracture of bothbones with destruction of both tibialarteries would constitute a causefor amputation, but such an injuryis seldom seen from the effects ofhand weapons except in the case ofrifle shots delivered at close rangeexhibiting explosive effects, or as aresult of shot from a shot gun de-livered at contact or methods of treatment havematerially modified military prac-tice concerning amputation of theleg. After the battle of Waterloo, Thompson recommended amputa-tion (1) when a ball had fractured both bones of the leg; (2) for gun-shot fracture near the knee or ankle with joint involvement; (3)when a ball was deeply lodged in the tibia; and (4) for fracture ofthe tibia with injury to the blood supply. In our Civil War themortality for 5452 amputations of the leg was per cent., while the 26. Fig. 153.—Skiagram from case of W. , Co. I, 3rd Wis. Vol. Inf., shotduring Civil War 1861-65. Missile notstated. Recovery took place after muchsuppuration. Skiagram taken in 1911. School collection. 402 GUNSHOT WOUNDS mortality for 3938 cases treated without operative interference per cent. Improvement as a result of conservative treatment had become evi-dent even in the days of the Civil War, since Otis shows in a tabularstatement, in which there appear 2989 cases from the time of the ThirtyYears War to and including the Russo-Turkish War of 1876-77, whichhas a mortality rate of per cent, or per cent; greater than theresults of our Civil War. But the remote and ulterior effects of con-servative treatment as practised at that time should not be late as 1881 the Reports of the Pension Examiners are replete withaccounts of extensive caries and necrosis with continu
Size: 1130px × 2211px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksu, booksubjectgunshotwounds
