Report of a committee of the associate medical members of the Sanitary Commission on the subject of amputations.

  • Slade, D. D. (Daniel Denison), 1823-1896.
Date:
[1861]
Catalogue details

Licence: Public Domain Mark

Credit: Report of a committee of the associate medical members of the Sanitary Commission on the subject of amputations. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    AMPUTATIONS, The following general rules in regard to Amputations, for the guidance of Army Surgeons in the field, are advocated by the best modern authorities on the subject. NECESSITY OP AMPUTATION. 1. Cases where a limb is nearly or completely carried away, leaving a ragged stump, with laceration of the soft parts, and projection of the bone. 2. Cases in which the soft parts of a limb are extensively lacerated or contused, the principal arterial and nervous trunks destroyed, and the bone denuded or fractured. 3. Cases in which a similar condition exists, without either fracture or denudation of the bone. 4. Cases of compound and comminuted fracture, particu- larly those involving joints. 5. Gun-shot wounds in which the ball does not actually penetrate the joint, but in which the bone being struck above or below, the fracture extends into the joint. 6. Gun-shot wounds between the phalanges of the fingers or toes, do not necessitate amputation. 7. Gun-shot wounds penetrating the wrist, unless great laceration has occurred, do not necessarily demand ampu- tation. 8. In gun-shot injuries of the shoulder and elbow joints, provided the main blood-vessels and nerves are not injured, excision may be practised witli a fair prospect of success. 9. Compound fractures of the middle and lower part of the thigh, occasioned by gun-shot, require amputation. As