" Case 656. — Corporal G. Ditch, Co. D, 82d Ohio, aged 21 years, received a shot wound of the right leg, with injury to the tibia, at Gettysburg, July 1, 1863. He was admitted to Satterlee Hospital, Philadelphia, eight days after the injury. Acting Assistant Surgeon M. Lampen contributed the pathological specimen, represented in the annexed cut (FlG. 256), with the following report: ''The injury was caused by a round ball, which entered the leg anteriorly at the junction of the upper with the middle third of the tibia. On admission the wound was in a healthy condition. Hospital gangrene first appeared on July 23d, and spread rapidly for several days. Creasote mixture and yeast poultices were used to the wound and tonics internally, which treatment *'as continued for two weeks, when all signs of the disease had disappeared, a small portion of the tibia being left exposed. The patient's general health was good with the exception of an obstinate intermittent fever, which yielded but temporarily to quinine. On September 26th, a segment of bone about five inches long, one and a half inch in width at its widest part, and from one-eighth to one-fourth of an inch thick, was removed from the wound, the entire exfoliation of it having taken place in a few days from the time it was first observed. During the succeeding days several small spiculae of bone were removed, after which exfoliation still progressed downwards, indicating that more bone would have to be removed." In October the patient was transferred to Seminary Hospital, Columbus, and lastly he was sent to Camp Dennison, where he was discharged March 30, 1864, and pensioned. Examining Surgeon R. L. Sweeney, of Marion, Ohio, describes the injury as follows: "A gunshot wound by a musket ball impinging on the leg just above the junction of the middle and upper thirds of the tibia. Contraction and adhesion of the muscles afterwards resulted from gangrene." The same Examiner reported, in 1870, that the wound had reopened and afterwards again closed imperfectly. On June 21, 1874, he stated that "the wound is still open and the bone diseased;" and in September, 1877, he reported a "large, adherent, and irritable cicatrix over the spine of the tibia, with malformation of the bone." The pensioner was paid December 4, 1879." -- The Medical and Surgical History of the War of the Rebellion. Part III, Volume II. (3rd Surgical volume) by U.S. Army Surgeon General's Office.
" Case 656. — Corporal G. Ditch, Co. D, 82d Ohio, aged 21 years, received a shot wound of the right leg, with injury to the tibia, at Gettysburg, July 1, 1863. He was admitted to Satterlee Hospital, Philadelphia, eight days after the injury. Acting Assistant Surgeon M. Lampen contributed the pathological specimen, represented in the annexed cut (FlG. 256), with the following report: ''The injury was caused by a round ball, which entered the leg anteriorly at the junction of the upper with the middle third of the tibia. On admission the wound was in a healthy condition. Hospital gangrene first appeared on July 23d, and spread rapidly for several days. Creasote mixture and yeast poultices were used to the wound and tonics internally, which treatment *'as continued for two weeks, when all signs of the disease had disappeared, a small portion of the tibia being left exposed. The patient's general health was good with the exception of an obstinate intermittent fever, which yielded but temporarily to quinine. On September 26th, a segment of bone about five inches long, one and a half inch in width at its widest part, and from one-eighth to one-fourth of an inch thick, was removed from the wound, the entire exfoliation of it having taken place in a few days from the time it was first observed. During the succeeding days several small spiculae of bone were removed, after which exfoliation still progressed downwards, indicating that more bone would have to be removed." In October the patient was transferred to Seminary Hospital, Columbus, and lastly he was sent to Camp Dennison, where he was discharged March 30, 1864, and pensioned. Examining Surgeon R. L. Sweeney, of Marion, Ohio, describes the injury as follows: "A gunshot wound by a musket ball impinging on the leg just above the junction of the middle and upper thirds of the tibia. Contraction and adhesion of the muscles afterwards resulted from gangrene." The same Examiner reported, in 1870, that the wound had reopened and afterwards again closed imperfectly. On June 21, 1874, he stated that "the wound is still open and the bone diseased;" and in September, 1877, he reported a "large, adherent, and irritable cicatrix over the spine of the tibia, with malformation of the bone." The pensioner was paid December 4, 1879." -- The Medical and Surgical History of the War of the Rebellion. Part III, Volume II. (3rd Surgical volume) by U.S. Army Surgeon General's Office.
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