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On June 22, 1913, the patient was shot in the right thigh by a 0.32-caliber revolver in the hands of a policeman, the bullet shattering the femur. He had been put to bed with extension, but the position was poor; the leg was considerably bowed outward. He was very uncomfortable, with a 2-inch shortening, and had a high temperature. Roentgenograms taken by Dr. Ellsworth showed a fracture of the upper third of the femur (Fig. 1), with a piece about 5 inches long split out of the bone, and marked anterior projection of the upper fragment. I saw the patient in consultation with Dr. Walter Sargent of Quincy.
At the Quincy Hospital, July 2, with the assistance of Dr. N. S. Hunting and Dr. Sargent, I made an external incision 12 inches long, exposed the bone, and under strong extension brought the ends together with some difficulty and forced the
Lund FB. COMMINUTED GUNSHOT FRACTURE OF THE FEMUR, WITH FIXATION BY BONE-PLATE AND WIRES. JAMA. 1914;LXII(8):614. doi:10.1001/jama.1914.02560330032014