. Photographs of surgical cases and specimens . ding towards extremityof bone, one inch, only, remaining exposed. On January 20, 1861, a sequestrum was firstdetected, but not being sufficiently loose, it was allowed to remain for the present. Thethigh gradually enlarged four inches in circumference, and, on the 1st of April, the patientsuffering severely from the presence of necrosed bone, he was chloroformed, and Surgeon Vanderkieft, U. S. , seized the extremity with large forceps, and, by a combined motionof traction and rotation, removed the separated portion, entire. The operation


. Photographs of surgical cases and specimens . ding towards extremityof bone, one inch, only, remaining exposed. On January 20, 1861, a sequestrum was firstdetected, but not being sufficiently loose, it was allowed to remain for the present. Thethigh gradually enlarged four inches in circumference, and, on the 1st of April, the patientsuffering severely from the presence of necrosed bone, he was chloroformed, and Surgeon Vanderkieft, U. S. , seized the extremity with large forceps, and, by a combined motionof traction and rotation, removed the separated portion, entire. The operation was per-fectly successful; and, on May 21, 1864, the patient was discharged the service, and waspensioned for disability, rated at total. The specimen, which is tubular, and nearly fiveinches long, was contributed, with the history, by Assistant Surgeon W. S. Ely, U. S. V., andis numbered 2232 of the Surgical Section. Photographed at the Army Medical Museum. BY ORDER OF THE SURGEON GENERAL: GEORGE A. OTIS, AsstSurff. U. S. A., Curator A. M. iinit^ mm©ittra i§« Prepared zincler tfie supervision of ^Assistant £urgeon Peorge /t. p-ns, p. £. A-BT ORDER OF THE SOKGEON GENERAL, WAR ESE3PA3RXB«E3SrX. ^URGEON PENERAJLS PPFICE, (iRMY MEDICAL /WuSEUM. ARMY MEDICAL MUSEUM. Photograph No. 244. Necrosis and Exfoliation and Deposits°f Spon9y Oallvs after a Gunshot Fracture of the Left Femur. Private John E. Keith, Co. C. 13th Massachusetts Volunteers, agedtwenty years, received a gunshot fracture of the lower third of the leftfemur, at the second battle of Bull Run, August 30, 1862. He lay on thefield until September 2d, when he was removed to Washington in a wagonso heavily laden with wounded that the springs were no protection fromthe jolting of the wagon over the rough roads. The fracture being com-minuted and very oblique, the patient suffered intensely during thejourney, and when he was admitted to the Ascension Hospital, the lowerfragment of the femur was protruding through


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Keywords: ., bookcentury1800, booksubjectgeneralsurgery, booksubjectwoundsand