The emergency treatment, is, of course, a simple antiseptic dressing with the leg held in the most comfortable position by muscular action.
The subsequent treatment is removal of the bullet when proper surgical conditions obtain.
Plate 60.
Rifle—Plate 60.
LOWER EXTREMITY.
Gunshot Fracture of the Tibia and Fibula,
with Lodgment of the Missile.
The course of the bullet was diagonal from within outward and backward about the middle of the leg, with the impact tangential on the tibia and direct on the fibula. The bullet lies just behind the tibia.
It is apparent that the bullet has been greatly deformed and that its jacket has been badly torn from the core. The force of impact on the object from which it ricocheted must have been contributed by the velocity of short range, which reduced the striking energy so greatly that the bullet was lodged by the resistance of the tibia and fibula.
The wound was not infected, and callus formation shows that repair has begun.