Specimen 2

Tibia/Fibula. The tibia consists almost entirely of a sequestrum surrounded by a thick involuculum. The origin of several sinuses (FIG. 1) are evident on the surface. The fibula is united to the tibial involucrum and to the os calcaneous below by dense callus (FIG. 2).

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FIG. 1
FIG. 2

The patient sustained a gunshot fracture of the ankle at Fort Wagner on July 18, 1863. The ankle was amputated on July 25 and the patient was discharged December 4. Chronic osteomyelitis ensued and the leg was amputated below the knee on May 6, 1879.

Excerpt from The Medical and Surgical History of the War of the Rebellion

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