A Treatise on Gunshot WoundsLongmore, T. (Thomas), Sir
History
A Treatise on Gunshot Wounds
Longmore, T. (Thomas), Sir
Gunshot wounds
soldier’s greatcoat as far as the opening of the trenches, and thence
on a stretcher to camp. He was very cold and prostrate on his arrival.
The wound in his left thigh had been caused by a ball, which had passed
out. It entered posteriorly at the fold between the left nates and
thigh, three inches from the tuberosity of the ischium; passed forward,
downward, and outward, and made its exit seven inches below the
trochanter major. The femur was broken in the line of passage of the
ball, which, from entrance to exit, appeared to be about six inches.
From the trochanter major to the seat of fracture was four inches; to
the external condyle on the same side was 15–1/2 inches. The amount of
comminution appeared slight, but, from its vicinity to the joint, the
great swelling about the limb, and desire to avoid aggravating pain,
the precise condition of fracture was not further ascertained. The
upper fragment projected forward, but any attempts at reduction caused
great suffering; and some restoratives being given, wet compresses
applied to the thigh, and the limb secured against additional
movement, the patient was left to rest. At a consultation the following
morning, from the patient’s age, so favorable for reparative action,
very healthy constitution, and the fact that, the siege being over,
full attention could be paid to the case, conservation of the limb
was settled to be attempted, and the patient was therefore treated
with this view. In addition to the wound just named, he had received
an extensive contusion of the right thigh by the fall of some heavy
substance from the explosion which occurred at one A.M., after the
Russians left the Redan.
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