British medical journal . leg being raised fromthe bed by pillows. After this progress was satisfactory. On October 12ththere was still a freely discharging siuits, but the positionof the broken ends was good, aud the total shorteningreduced to about an inch. When the fomentations werefirst applied there was considerable fever, but in a fewdays this subsided. Case v. The chief injury in this case a bidlet wound of theknee-joint (Fig. 5), accidentally caused. The patieut, aprivate in a British iufai>ry regiment, was engaged indigging a trench when a comrade a few jards off acci-dentally
British medical journal . leg being raised fromthe bed by pillows. After this progress was satisfactory. On October 12ththere was still a freely discharging siuits, but the positionof the broken ends was good, aud the total shorteningreduced to about an inch. When the fomentations werefirst applied there was considerable fever, but in a fewdays this subsided. Case v. The chief injury in this case a bidlet wound of theknee-joint (Fig. 5), accidentally caused. The patieut, aprivate in a British iufai>ry regiment, was engaged indigging a trench when a comrade a few jards off acci-dentally discharged his riile. First aid dressings wereapplied forthwith, aud the iiatient x>assed the night in afield ambulance; then he was taken in a horsed ambu-lance to a railhe-ad hospital, where the knee v\ ound wasredressed, and he remained two days. After this he wassent doxvn to Paris by an ambulance train. On his arrival, on the sixth morning after his injury, itwas found that the bullet had passed through the Inner. Fig. 3—Giin/uot wound of right knee: compound comminutedfractuic of internal condyle of femur and of internal tiiberosity oftibia, with involvement of joint. Side of the right knee, exposing the joint and blowingaway jiart of the inner condyle of the femur and the innertuherosity of the tibia. It had then passed through theulnar side of the arm and out at the back of the wrist,apparently without fracturing bone. The knee wound,which was lacerated and septic, was cleaned np anddrained by a coimter opening, the lateral patella ligamentsutured with catgut, and the leg put on a back splint. Forthe first six days after adliission the patients conditionWHS not satisfactory, the knee woitnd being painful, thepatieut sleepless, and the temperature rising to nearly103 F. By the fourteenth day, however, from the date ofthe injury the temperature had dropped to 100= F., butthe kuee wound was still discharging verj- freely. This last case seems to illustrate the explos
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Keywords: ., bookcentury1800, bookdecade1850, booksubjectmedicine, bookyear185
