" The trochanter was found broken into several portions, detached and imbedded in the contused muscles around, from which they were at once removed. The fracture was found to extend obliquely inwards, about an inch and a half along the shaft of the bone. The femur was now protruded through the wound, and I &UN-8HOT nff tin- win ilf it' tlufractured In mo, leaving a smooth clean surfac.; I then proceeded to disarticulate tin- head of the femur, which was effected witliout difficulty. Sran.lv three ounces of blood were lost, and little or no shock was induced." This patient was seized with rigors, and died <f exhaustion on the night of the tinlii'teenth day in mi being wounded.
The internal viscera do not seem to have been examined, hut as to the state of the femur. Dr. Crerar E " nature had not made the slightest attempt to repair the The n< was the only one where success followed the operation, was that of private Tlnmias M <-k.-nena of the 68th Li-ht Infantry, operated on by Mr. ()'Lcary, surgeon of that regiment. The age of the nt was 25, and he was wounded on the 19th of August, ly a fragment "f which struck him over the great trochanter and tract un-d it. It was ili.trartiire ran into the joint, a supposition which was disproved at the pi-ration, as the head of the lmr was nninjun-d.
Five iiu-ln-s wnv in all removed. After operation, the liml was slimi: to the l>eam of the hut. patient recovered in three months. I have lately hear man through the kindness of Lieut.-Col. Stuart, eoiiiiiiandinir the p-ii.-ioin-rs in the N.-wry district. Dr. > igna the report, states that "the limb is two inches than tin- correspond inu- one. and also considcral.ly small. -r: n can be carried on partially. Kut he cannot tle.x the limli upon the thiu'h without his hand "ii the muscles of the diseased can be only to a lin quite healed. The man's general health is good, but he cannot walk without the assistance of crutches." Dr. Hyde operated on another case after the taking of the fortress.
His patient, a private of the 41st, had the neck of the bone severely comminuted by a grape shot, and died on the fifth day after operation. The cause of death is not given, nor can I discover it from the report of the case. Dr. Combe of the Royal Artillery performed the sixth and last operation, on account of a gun-shot wound of the neck of the femur, in which, however, the head of the bone was not implicated. This operation was not a primary one, but the patient survived a fortnight, and died of exhaustion; the most marked feature in the case being, that the pulse remained very high never below 120 during the period he lived, while his aspect was calm, and such as " might have led one to expect a more subdued state of the circulation." Death thus followed in (1?) from exhaustion, in 1 (2?) from pyoemia, in 1 from cholera, and in 1 from a cause that is unknown.