[Anomalies and Curiosities of Medicine by George M. Gould]@TWC D-Link bookAnomalies and Curiosities of Medicine CHAPTER XI 18/48
There was comparatively little hemorrhage and no shock; a ligature was applied to the vessels, the edges of the wound were drawn together by wire sutures, and the cut surfaces of the tibia were placed in as good apposition as possible, although the lower fragment projected slightly in front of the upper.
The wound was dressed and healing progressed favorably; in three months the wound had filled up to such an extent that the man was allowed to go on crutches.
The patient was discharged in five months, able to walk very well, but owing to the loss of the function of the extensor tendons the toes dragged. Washington reports in full the case of a boy of eleven, who, in handing a fowling piece across a ditch, was accidentally shot.
The contents of the gun were discharged through the leg above the ankle, carrying away five-sixths of the structure--at the time of the explosion the muzzle of the gun was only two feet away from his leg.
The portions removed were more than one inch of the tibia and fibula (irregular fractures of the ends above and below), a corresponding portion of the posterior tibial muscle, and the long flexors of the great and small toes, as well as the tissue interposed between them and the Achilles tendon.
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