Treatment and results would be about the same as in plates [49] and [50].
Plate 57.
Rifle—Plate 57.
LOWER EXTREMITY.
Gunshot Fracture About the Middle of the Femur,
with Lodgment of the Fragments of a Deformed Bullet.
The course of the missile was transverse. All of the remaining energy of the retarded velocity of the short range of a ricochet shot was stopped by the bone with the result of a long splitting fracture, and the lodgment of one large and a few small fragments of the missile.
The small notched metal fragment lying to the right of the upper bone fragment is a small bent piece of the jacket, detached from the greatly deformed lead core, which can be faintly seen lying behind the lower end of the left side of the upper bone fragment.
The treatment is extension with lateral compression, although this case, showing by callus formation advancing convalescence, reveals very bad position.
Results as to life and limb are favorable in such cases, but some deformity is to be expected.