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Civil War Prosthetics

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If you compare medical procedures of over one hundred years ago to today's, you could realize the colossal jump forward we’ve made. During the Civil War, things as simple as treating a small wound could lead to death. The big difference is between how amputations were performed during the 1860’s and how they are performed today. My goal in this paper is to inform you on surgical procedures, amputation techniques and prosthetics of the Civil War. The Civil War was the beginning of modern medicine and surgical procedures. Two of every three Civil War wounds treated by surgeons were to the extremities because few soldiers hit in the head, chest, or stomach lived long enough to reach a hospital. When the bone was damaged, surgeons had to decided …show more content…

It required considerable surgical skill. Resection also carried a high risk of profuse bleeding and infection. Successful resections allowed the patient to keep the limb, although it was limp and useful to merely “fill a sleeve”. An amputation was a surgery where a circular cut was made completely around the limb, the bone was sawed through and the blood vessels and arteries were sewn shut. To prevent future pain, the nerves were pulled out as far as possible, cut, and released to retract away from the end of the stump. Clippers and a rasp were used to smooth the end of the exposed bone. Sometimes the raw and bloody stump was left untreated to heal gradually, sometimes the excess skin was pulled down and sewn over the wound. Speed was essential to lessen blood loss and prevent shock. An amputation at the knee was expected to take 3 minutes. It was also the most common civil war surgical procedure. …show more content…

The mortality rate for secondary amputations was about twenty-five percent, that for secondary amputations was twice as high, thanks to the fact that most secondary amputations were performed after blood poisoning or other diseases developed in the wound. Surgeons learned that amputating the limb after it became infected actually caused infection to spread and patients frequently died due to this. Thus; the patient was much more likely to survive if a primary amputations was performed before infection set in. Primary amputations were also preferred because it was easier and less painful to transport an amputee than a soldier whose broken bones made the slightest jostle sheer torture.

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