Plate 62.
Rifle—Plate 62.
LOWER EXTREMITY.
Gunshot Fracture of the Upper Third of the Tibia,
with Large Longitudinal Fragment.
The course of the bullet was anteroposterior and slightly diagonal from without inward through the shaft of the tibia.
The injury was due to the energy of impact of a bullet, in the high velocity of short range, striking the axis of the diaphysis, in which the greater part of its energy was expended in pushing away a wall of the canal.
Convalescence is well established without infection, as shown by callus formation.
The treatment in such cases is invariably conservative, with the removal of such fragments as may be detached by suppuration and sequestration.
Plate 63.