Rifle—Plate 63.
LOWER EXTREMITY.
Gunshot Wound of the Middle of the Tibia,
with Few Large Fragments.
The course of the bullet was transverse from without inward.
The direct impact of the bullet, in high velocity of short range, has produced the typical “X” fracture due to the radiating lines of force.
The wound was infected, as is shown by the drainage tubes in the wound.
The emergency treatment in such cases is simple antiseptic dressing and temporary splint immobilization.
The subsequent treatment is the management of the infection.