Excellent introduction to the types of orthopaedic injuries and the common treatments employed in the civil war. I was interested to discover that the foundation for modern orthopaedics began out of the need for surgeons specialized in the care of the many thousands of long bone injuries that resulted from the war. Many of the modern surgical approaches and principles of conservative management had their start in the civil war. American soldiers in World War I and II combined had less than half the number of amputations as occurred in the Civil War. This massive medical need was what orthopaedic surgery was developed to treat.
We are blessed that advancements in antimicrobial agents, medical technology, and infrastructure have caused amputation to be a significantly less common treatment today. I am in awe, however of the men and women who did their best with what little they had. One medical officer many years after the Civil War remarked, “We did not do the best that we would, but the best we could.” Still true today!