Barrett, Grey Y.a machine readable transcriptionSusan C. LawrenceKenneth M. PriceKenneth J. Winkle2011med.d2e14588Civil War WashingtonUniversity of Nebraska–LincolnCenter for Digital Research in the
Humanities319 Love LibraryUniversity of Nebraska–LincolnLincoln, NE 68588-4100cdrh@unlnotes.unl.edu2011
The following are responsible for particular readings or for changes to
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Kenneth M. PriceAJ HowellMatthew BosleyElizabeth LorangStacey BerryElisabeth TraceySarah SynovecThe Medical and Surgical History of the War of the Rebellion.
(1861-65.)Washington, DCGovernment Printing
OfficePart 3Volume
21883357Medical and Surgical History of the War of the Rebellionwounds and injuries of the lower extremitiesinjuries of the shaft of the femuramputations in the shaft of the femurintermediary amputations in the shaft of the femur for shot injuryintermediary amputations in the middle third of the thighfatal cases of intermediary amputation in the middle third of the thighball entered at outer condyle of femur, escaped posteriorly in lower third of thigh, bone
much comminutedprimary amputation of femur above wound of entrance, patella included in anterior
flapgangrene, burrowing of pussecondary hæmorrhage from popliteal arteryfemoral surface of patella sawn off, two cut surfaces of bone brought in
appositionblessedadded figure encodingadditional proofing of transcription and encoding, identified
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CASE 503.—Private Grey Y.
Barrett, Co. F, 5th New Hampshire, aged 20
years, was wounded at Fredericksburg, December 13, 1862, by a musket ball, which entered at the outer
condyle of the femur, passed inward and upward, and, escaping posteriorly in the middle of the
lower third of thigh, left the bone much comminuted at its exit. He was admitted to the hospital
of the 1st division, Ninth Corps, where, on December
16th, Assistant Surgeon J. W. S. Gouley, U. S. A., amputated the femur a short distance above the
wound of entrance, the patella being included in the anterior flap; the line of section not
having escaped the wound, another third of an inch was removed (FIG.
219); the femoral surface of the patella was then sawn off, and the two cut surfaces of the bone
were brought in apposition (FIG. 220). The laminated portion of the
femur, however, was fractured half an inch above this point, and fissures extended two inches
further. The operation was well borne, and the case continued to do well until the sixth day,
when sloughing commenced; on the eighth, signs of gangrene were noticed; and, on the ninth,
December 25th, Surgeon J. P. Prince, 36th Massachusetts
Volunteers, amputated the femur in the middle third, on account of the burrowing of pus,
for secondary hæmorrhage from the popliteal. No plastic deposit could be observed
immediately after the operation. On the next day he was transferred to Washington, and admitted to the Douglas Hospital, where he died on December 27,
1862. The pathological specimen, which was contributed to the Army Medical Museum by Dr. Prince, with
a history of the case, is numbered 536 of the Surgical Section.