G.S.W (bullet) left thigh fracture femur upper third not involving hip joint.

Wounded 20-8-18.  Wound on post surface mid line just below buttocks.  Ant-int sur. wound running obliquely downwards & inwards upper end about 6" below Ant hip____?

Fixed extrusion _ suspension Thomas splint glue to leg.  XRay shows fracture through femur below lesser trochantor.

14-10-18 Off extension good union leg supported in Thomas splint
17-10-18 Massage ordered
10-2-19    Patient up with crutches , unable to wear "ecliper"? Walking splint on account of buttock wound.
 

Wounded 20-8-18, dressed about 1/2 hour later 11Can Fd. Amb (20--8-18) No.4 CCCS (20-8-18). Wounds cleaned.  Thomas splint.  Femoral vein found torn and legatured No.8 Stat. Hosp 22-8-18 resplinted, No.15 Can Gen Hosp 29-8-18.

History: G.S.W. Battle of Somme August 22nd, 1918.  Splinter of H.E. Shell, wounding his anterior surface of left thigh and also posterior surface of 1/3 of femur.  F.B. removed at C.C.S. and wound excised.  Routine treatment in varous hospitals France and England, wounds finally healed February 1919.  Admitted to St. Annes' Military Hospital 4-6-19.

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Scar stellate, about size of silver dollar just at bottom of Gluteal fold, non-tender-not painful, non-adherent.

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There is slight weakness of thigh muscles which is gradually disappearing, and patient is able to walk six miles easily, he states.