Burbridge, C. a machine readable transcription Susan C. Lawrence Kenneth M. Price Kenneth J. Winkle 2011 med.d2e20118 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: 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 21883521 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 middle third of the leg for shot injury recoveries after intermediary amputations in the middle third of the leg ball entered at internal malleolus of leg, comminuted fibular extremity and astragalustalus, lay bare tendon synovitis amputation at junction of middle and lower thirds of leg supplied with artificial leg general anesthesia, ether general anesthesia, chloroform 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 767.—Private C. Burbridge, Co. K, 88th Pennsylvania, aged 40 years, was wounded at SpottsylvaniaSpotsylvania, May 10, 1864, and entered Mount Pleasant Hospital, Washington, three days afterwards. Assistant Surgeon C. A. McCall, U. S. A., reported: "The injury was caused by a minié ball entering at the internal malleolus of the right leg, comminuting the fibular extremity and the astragalustalus and laying bare the tendon. The parts became swollen, tense, and discolored, and synovitis was fully developed. Amputation at the junction of the middle and lower thirds of the leg was performed by the antero-posterior flap method on May 24th, by Acting Assistant Surgeon P. C. Potter. The anæsthetic was made up of two parts chloroform and one part ether. At the time of the operation the patient was in a weak and debilitated condition and failing hourly, suffering from nervous trembling, restlessness, exhausting insomnia, and severe pain, which was lancinating and at times grinding and unsupportable. There was also copious discharge of ichor from the wound, and a sinus and abscess had extended up the limb and was opened a day or two before the operation. Interrupted sutures were applied to the stump, which broke out from ulceration of the flaps on the third day. Straps were then used and a tendency to slough counteracted by antiseptic poultices. Tonics and malt drinks were administered. By June 30th, the sloughing had stopped and abundant granulations were springing up. The greatest point of difficulty in this case was produced by the flaps falling asunder at each dressing, thus breaking up the nearly healed union and allowing the tibia to protrude." In the following month the patient was transferred to York, and subsequently he passed through various hospitals at Philadelphia, being ultimately discharged from service at Chester, June 27,1865, and pensioned. He had been previously supplied with an artificial leg. In his application for commutation, dated 1870, the pensioner described the stump as being "tender;" but in his subsequent statements he represented it in "good condition." The pensioner was paid June 4, 1880.