Gunshot injuries : how they are inflicted : their complications and treatment . ent and about the same care and attention. If we group thecases of the two wars together we have 302 cases of gunshot fractureof the femur which under modern conditions give a mortality of cent. By deducting this percentage from per cent., whichwas the mortality of gunshots of the femur in the Civil War, we findthe gratifying reduction of per cent, in the mortality of gunshotfractures of the thigh under modern conditions as compared to themortality in preantiseptic times. Treatment by Conservation
Gunshot injuries : how they are inflicted : their complications and treatment . ent and about the same care and attention. If we group thecases of the two wars together we have 302 cases of gunshot fractureof the femur which under modern conditions give a mortality of cent. By deducting this percentage from per cent., whichwas the mortality of gunshots of the femur in the Civil War, we findthe gratifying reduction of per cent, in the mortality of gunshotfractures of the thigh under modern conditions as compared to themortality in preantiseptic times. Treatment by Conservation.—Under modern conditions the 1 Annual Report S. G., U. S. A., S. Hickson, op. cit. GUNSHOT INJURIES OF THE DIAPHYSES OF THE LONG BONES 391 large majority of gunshot fractures of the femur are treated by con-servation. This mode of treatment is applicable in all cases exceptthose attended by extensive comminution, laceration of soft parts,and destruction of the main vessels and nerves. Until 1848, the treatment followed by military surgeons in fractures. Fig. 147.—Figs. 147, 148 and 149 show the happy results in a gun-shot fracture treated by-modern conservative methods. Pvt. Harvey B., 27th Co. U. S. Coast Artillery was shot at 100 yards range by the U. S. Armypointed, Springfield rifle, full-jacketed bullet. A clean dressing and immobilization were em-ployed at once. No infection ensued. Slight displacement of fragments, with 1 inch is strong and serviceable. A slight limp renders patient unfit for military service. Dis-charged on S. C. D., at U. S. A. Letterman General Hospital, Nov. 13, 1911. Fig. 147 shows femurimmediately after injury. Figs. 148 and 149 give postero-anterior and side views of femur with 1inch shortening at time of discharge. Reported by Major R. M. Thornburg, M. C, U. S. A., fromLetterman General Hospital. of the femur was amputation in all cases. Doubtless the rule wasestablished after mature experience in earlier
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Keywords: ., bookcentury1900, bookdecade1910, booksu, booksubjectgunshotwounds
