CASE 859.—Private T. Lister, Co. B, 20th Michigan, aged 26 years, was wounded at Spottsylvania​, May 12, 1864. Surgeon J. E. Pomfret, 7th New York Artillery, reported his admission to the field hospital of the 1st division, Second Corps, with "wound of foot caused by a musket ball." Surgeon R. B. Bontecou, U. S. V., who operated in the case, described the injury as a gunshot wound of the left leg, lower third, the missile fracturing the tibia, entering about one inch above the ankle joint, and lodging in the head of the astragalus​. The wounded man was admitted to Harewood Hospital, Washington, May 26th. On July 5th sulphuric ether was administered, and the lower end of the tibia as well as the head of the astragalus​, which had become necrosed, were excised. The constitutional state of the patient at the time of the operation was very poor; the tissues had become infiltrated with pus. Five days after the operation the fibula protruded and was somewhat necrosed, the parts otherwise progressing favorably. The treatment was supporting. The result was unfavorable. Death occurred on August 7, 1864.¹

¹ CULBERTSON (H.), Excision of the Larger Joints of the Extremities, in Trans. Am. Med. Association, 1876, Supplement to Vol. XXVII, p. 312.