The treatment in such cases is conservative, with good results to follow except as they may be imperiled by infection.

Plate 123.

Shrapnel—Plate 123.

LOWER EXTREMITY.
Gunshot Fracture of the Femur,
with Lodgment of the Missile.

While the missile in this case may have been other than a shrapnel ball, the fracture is one produced by the impact of a missile delivering great striking energy, with a predominant cross-section factor in its composition. The fragments are due to the application of an energy in which the mass was distributed over a relatively large area on bone, which resulted in the displacement of the large fragments.

The treatment in such cases is conservative.

Results are favorable; infection is generally controlled.

Plate 124.