[Inclosure.]

Penetrating wounds.

Number Fatal Successful

Head a 11 9 1

Thorax 17 7 5

Abdomen 27 20 3

Pelvis 11 5 6

Knee joint b 6 . . . . . . . 5

Shoulder joint c 10 1 9

Total 82 41 29

a One case still living; case doubtful.

b Amputated.

c One amputation at joint perfectly healed in fourteen days.

Recapitulation.

Number Fatal Successful

Amputations: a

Lower extremity 39 1 23

Upper extremity 25 . . . . . 25

. .

Exsections: Forearm 1 . . . . . 1

. .

Total number received into 567 1 517

hospital

a Of Second Division. It may be observed but one case of operations died; three cases of fracture of femur so high that nothing short to amputation at the joint promised success proved fatal in from six to eight days. Chloroform was used in the generality of cases with good result.

Total wounded during campaign. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 723

Total killed during campaign. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 149

Total died of disease during campaign. . . . . . . . . . . . . . . . . . . . . . . . 28

Amputations.

Position Total Fatal Successful

Thigh:

Upper third 3 . . . . . . 2

. . . .

Middle third a 3 1 2

Lower third 13 . . . . . . 13

. . .

Leg:

Upper third 6 . . . . . . 6

. . .

Middle third 3 . . . . . . 3

. . .

Lower third 2 . . . . . . 2

. . .

Arm: b

Upper third c 12 . . . . . . 12

. . .

Middle third 10 . . . . . . 10

. . .

Lower third 1 . . . . . . 1

. . .

Forearm: b

Upper third 1 . . . . . . 1

. . .

Middle third . . . . . . . . . . . . . . . . . .

. . . . . .

Lower third 2 . . . . . . 2

. . .

Shoulder joint 1 . . . . . . 1

. . .

Foot d 9 . . . . . . 9

. . .

Total 66 1 65

Exsections: Forearm 1 . . . . . . 1

e . . . .

a Secondary operation for secondary hemorrhage.

b Hospital gangrene attacked nine stumps. Treatment: removing all unsound flesh and then applying nitric acid. Success attended case and wounds doing well.

c One was at the shoulder joint; four were very near it.

d One "Chopart's" operation.

e Four inches of radius.

W. C. DANIELS,

Surgeon, U. S. Volunteers, and Medical Director.