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CASE 778.—FIG. 307), with the following
description and result of the injury: "The wound was of the right ankle joint, affecting the
internal malleolus and bones of the foot. The ball entered over the inner malleolus and was not
extracted. Incisions with the knife were made over the external malleolus, allowing the free
flow of pus, and fragments of bone were daily extracted. The leg was amputated at the lower
third on post-mortem
examination the stump was found to have become blackened, the epidermis being readily detached
from its base, and a large bleb full of brownish serum was discovered on the inner side of the
knee. The anterior flap was perfectly black, and the muscles in the posterior flap had become a
softened pultaceous mass. The periosteum of the fibula was detached and of a dark green color;
the muscles were affected as far up as the union of the tibia and fibula. The anterior portion
of the fibula and the crest of the tibia were dotted with a reddish color, the rest of the bones
being pure white." The specimen consists of the amputated lower extremities of the bones of the
leg, the external malleolus being broken off.