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

The course of the shrapnel ball was antero-posterior, with an impact on the shaft of the femur, which fragmented both the ball and bone through the imparting or the entire striking energy of the ball to the bone by the lodgment of the ball. The sharp outline and density of the shadows of the missile, in contrast with the dense shadows of the bone, indicate that the missile lies closer to the plate than does the bone, although the flattened ball does not permit a comparison between its shadow and the normal size of the ball.

The advanced stage of convalescence is shown by the formation of callous.

The treatment in such cases is conservative and the results are good if proper position can be maintained.

Plate 127.

Shrapnel—Plate 127.

LOWER EXTREMITY.
Gunshot Fracture of the Shaft of the Femur.

The impact of the missile was delivered with the energy of high (shrapnel) velocity at close range, as is indicated by the signs of another shrapnel wound, just above the outer tuberosity (in the lower left corner of the plate), where a deposit of metallic particle is evidenced.