. The Medical and Surgical History of the War of the Rebellion. Part III, Volume II. (3rd Surgical volume) . Sphacelus of the foot andleg afterward necessitated amputation, which was performed, just below the knee joint, by Acting Assistant Surgeon R. The patient died of pyaemia August 3, 1864. Recurrent haemorrhage from the lower end of the wounded vessel was what com-monly necessitated amputation in these cases. Flesh Wounds of the Lower Limbs unattended by Primary Injury of the LargeNerves or Blood-vessels.—While in the two hundred and fifteen cases discussed in thetwo foregoing su
. The Medical and Surgical History of the War of the Rebellion. Part III, Volume II. (3rd Surgical volume) . Sphacelus of the foot andleg afterward necessitated amputation, which was performed, just below the knee joint, by Acting Assistant Surgeon R. The patient died of pyaemia August 3, 1864. Recurrent haemorrhage from the lower end of the wounded vessel was what com-monly necessitated amputation in these cases. Flesh Wounds of the Lower Limbs unattended by Primary Injury of the LargeNerves or Blood-vessels.—While in the two hundred and fifteen cases discussed in thetwo foregoing subsections, direct shot injury of the larger blood-vessels or nerves wasregarded as the paramount lesion distinctively characterizing them, there were many otherinstances in the immense category of recorded shot flesh wounds of the lower extremitieswhere the nerves and vessels shared in the laceration of the muscular and other soft partsby large projectiles, or were indirectly involved in the morbid processes following penetra- of the War of the Rebellion hirt II Vol II Plate XXVIII. Srlniltzi- jniix .1 Hu-ii IhromoliUi CANCRENE FOLLOWING A SHOT LACERATION OF THE FEMORAL ARTERY SECT. SHOT LACERATIONS OF THE SOFT PARTS. 19 ting or perforating wounds by small missiles. These are included in this third subsectionof shot flesh wounds of the lower extremities, a group of fifty-eight thousand four hundredand eighty-seven reported cases, which (as stated on page 8) it is difficult to instances remarkable for the extent of laceration of the soft parts will be cited, someof lodgement of foreign bodies, and some distinguished by the complications of pyaemia,tetanus, gangrene, erysipelas, haemorrhage, secondary involvement of joints, etc., will beadverted to. In a hundred cases, ligation of the larger arterial trunks was resorted to, andin a hundred and sixty-one recourse was had to amputation. It will be recollected that inthe two preceding subsection
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