Modern surgery, general and operative . Fig. 139.—Compound comminuted fracture of the lower third of right leg, the result ofa high-explosive shell wound, involving ankle-joint and foot. Treated satisfactorily in amodified Blake splint, \\-ith extension from an anklet secured around dressing. Thediscolora-tion shown in the photograph is due to the silver-nitrate solution used to control especially thevirulent infection (Fauntleroy, Ibid.) men near such an explosion to escape being struck but to be hurled about or to bethrown a number of feet in the air. A man who is not killed instantly gets u
Modern surgery, general and operative . Fig. 139.—Compound comminuted fracture of the lower third of right leg, the result ofa high-explosive shell wound, involving ankle-joint and foot. Treated satisfactorily in amodified Blake splint, \\-ith extension from an anklet secured around dressing. Thediscolora-tion shown in the photograph is due to the silver-nitrate solution used to control especially thevirulent infection (Fauntleroy, Ibid.) men near such an explosion to escape being struck but to be hurled about or to bethrown a number of feet in the air. A man who is not killed instantly gets up,although he is terribly weak and shaken, but in a few hours he is apt to pass into 324 Contusions and Wounds collapse and perish. Shell concussion may cause cerebral or spinal bleeding(as indicated by bloody cerebrospinal fluid), rupture of the lung or rupture ofthe hollow organs (Brit. Med. Jour., Aug. 14, igi5). It has been suggested. Fig. 140.—Hand-grenade wounds of the face and other parts of the body (Fauntleroy, Ibid.). that either an enormous and temporary increase of atmospheric pressure, orthe ensuing temporary vacuum is responsible for the physical injury.
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