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Article
February 21, 1914

COMMINUTED GUNSHOT FRACTURE OF THE FEMUR, WITH FIXATION BY BONE-PLATE AND WIRES

JAMA. 1914;LXII(8):614. doi:10.1001/jama.1914.02560330032014

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Abstract

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

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