Gunshot Fractures of the Tibia. 169 



" There was here, of course, a breach of the capsule of the 

 joint. The consequences were great swelling of the whole 

 extremity, matter in a cavity of the knee-joint, and a diffused 

 .abscess under the gastro-cnemii. The limb was properly 

 amputated. This was from Corunna. It led me to expect 

 what I saw afterwards at Waterloo " (Sir Charles Bell). 



It should be noted that the wound of entrance is smaller 

 than the bullet, also that the wound of exit is the larger and 

 more irregular of the two. Some splinters of bone have been 

 loosened at the wound of exit, and a fissure extends down- 

 wards for about four inches. 



See Sir C. Bell's "Operative Surgery," pi. ii. fig. 2, and pi. xi. 



B. C. XVII. 28. a. 



3- ^53. Bullet Wound of the Head of the Tibia.— Photo- 

 graph, from a drawing by Sir Charles Bell, of the limb, before 

 operation, from which the previous specimen was taken. 



G. C. 3561. 



:3. 354. Gunshot Fracture of the Head of the Tibia.— 



Upper end of a right tibia — macerated, showing the effects of 

 the above. The inner tuberosity, which had been shot off, is 

 ■wired in position. 



The specimen was taken from a soldier who fought at Waterloo. 



The ball has apparently penetrated from within outwards, 

 and has also split off the inner tuberosity. The bone in the 

 track of the bullet has been necrotic, and evidently inflammation 

 .and suppuration have attacked the knee-joint. The articular 

 surface is rough and opened out, and the surface of the bone 

 generally is in a similar condition. F. P. C. 244. 



Presented by Professor John Thomson. 



3.355. Gunshot Fracture of the Tuberosities of the 



Tibia. — Upper half of a left tibia and fibula of a young adult 



