172 Injuries of Bone. 



The surface of the main fragments of the tibia, as well as of 

 some of the smaller pieces, indicates suppuration and inflam- 

 mation as in 3. 344. B. C. xvii. 44. 



3. 360. Gunshot Fracture of the Tibia and Fibula.— 



Lower three-fourths of a right tibia and fibula — macerated, 

 showing the above. 



The patient was wounded at Waterloo by a musket ball, and 

 received no assistance whatever until fourteen days after the battle. The 

 limb was amputated at the Gendarmerie. 



It may be noted that while the part of the tibia struck by 

 the ball has been comminuted into small pieces, the remaining 

 portions of the shaft are unaffected, with the exception of one 

 fissure on the lower piece. A slight crust of new periosteal 

 bone has formed on the main portions of the shaft, as in the 

 previous case. B. C. xvii. 45. 



3. 361. Gunshot Fracture of the Shaft of the Tibia and 



Fibula. — Portions of a right tibia and fibula — macerated, 

 showing the above. 



" Example of the effect of a ball striking the cylinder 

 of the tibia." Like the two previous specimens, this one 

 shows comminution at the point struck, with little or no 

 splitting of the remainder. The slight crust of new periosteal 

 bone indicates a similar period of about fourteen days before 

 the limb was amputated. B. C. xvii. 46. 



3. 362. Gunshot Fracture of the Shaft of the Tibia.— 



Small portions of a tibia driven off by a musket shot — mace- 

 rated. B. C. XVII. 48. 



3. 363. Gunshot Fracture of the Tibia and Fibula.— 



