Williams, E. a machine readable transcription Susan C. Lawrence Kenneth M. Price Kenneth J. Winkle 2011 med.d2e19781 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 Winkle 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 21883515 Medical and Surgical History of the War of the Rebellion wounds and injuries of the lower extremities wounds and operations in the leg shot fractures of the bones of the leg amputations in the continuity of the leg for shot fractures intermediary amputations in the continuity of the leg for shot injury intermediary amputations in the upper third of the leg for shot injury fatal intermediary amputations in the upper third of the leg ball entered middle third of tibia, fractured tibia and wounded anterior tibial artery, emerged through gastrocnemius muscle profuse recurring hæmorrhage, amputation performed at upper third of leg hæmorrhage from anterior tibial artery in stump tibia comminuted in middle third but little displacement of fragments oblique fracture of tibia, piece of bone driven into anterior tibial artery inter-muscular tissues of limb distended by pus pyæmia 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 762.—Private E. Williams, Co. F, 136th Pennsylvania, aged 45 years, was wounded at Fredericksburg, December 13, 1862. Surgeon C. J. Nordquist, 83d New York, reported his admission to the field hospital of the 2d division, First Corps, with "shot wound of right leg." Surgeon O. A. Judson, U. S. V., contributed the pathological specimen with the following description: "The wound was caused by a minié ball entering the upper part of the middle third of the tibia, passing obliquely downward and backward, fracturing the bone in its course and wounding the anterior tibial artery, and emerging through the gastrocnemius muscle. The patient was admitted to Carver Hospital, Washington, December 21st. The leg was placed in a fracture box and the bone kept well in apposition. Water dressings were applied. The patient progressed favorably until December 28th, when a profuse and continually recurring hæmorrhage set in which resisted ordinary measures for its control. Amputation was accordingly resorted to, and performed at the upper third of the leg by flap operation. On Januray 1, 1863, hæmorrhage to the amount of thirty ounces occurred from the anterior tibial artery in the stump, which was laid open and the bleeding vessel was secured. But the patient gradually sank, and died the evening of the same day. His system was also infected with pyæmia. Examination revealed an oblique fracture of the tibia, also that a piece of bone had been driven into the anterior tibial artery. The inter-muscular tissues of the limb were distended by pus." The wood-cut (FIG. 299) is a representation of the amputated shaft of the tibia (Spec. 634), which was comminuted in the middle third but shows very little displacement of fragments.

FIG. 299.—Fracture in middle third of right tibia. Spec. 634.