Barrett, Grey Y. a machine readable transcription Susan C. Lawrence Kenneth M. Price Kenneth J. Winkle 2011 med.d2e14588 Civil War Washington University of Nebraska–Lincoln Center for Digital Research in the Humanities
319 Love LibraryUniversity of Nebraska–LincolnLincoln, NE 68588-4100cdrh@unlnotes.unl.edu
 2011

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 The following are responsible for particular readings or for changes to this file, as noted: Kenneth M. Price AJ Howell Matthew Bosley Elizabeth Lorang Stacey Berry Elisabeth Tracey Sarah Synovec The Medical and Surgical History of the War of the Rebellion. (1861-65.)Washington, DCGovernment Printing OfficePart 3Volume 21883357 Medical and Surgical History of the War of the Rebellion wounds and injuries of the lower extremities injuries of the shaft of the femur amputations in the shaft of the femur intermediary amputations in the shaft of the femur for shot injury intermediary amputations in the middle third of the thigh fatal cases of intermediary amputation in the middle third of the thigh ball entered at outer condyle of femur, escaped posteriorly in lower third of thigh, bone much comminuted primary amputation of femur above wound of entrance, patella included in anterior flap gangrene, burrowing of pus secondary hæmorrhage from popliteal artery femoral surface of patella sawn off, two cut surfaces of bone brought in apposition blessed added figure encoding additional proofing of transcription and encoding, identified keyword terms case text extracted and transformed from larger file Enrich Encoding, Edit and validate Validated File initial checking of OCR text; encoded P5 Encoding

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.

FIG. 219.—The lower half of right femur amputated above the condyles. Spec. 536.
FIG. 220.—The same with the sawn surfaces of the patella and femur in apposition.