Inscription: Printed on label attached to mount, verso: "Surgeon General's Office, ARMY MEDICAL MUSEUM, PHOTOGRAPH SERIES No. 104 -- Excised knee-joint. A Round Musket Ball in the Inner Condyle of the Right Femur. Private Gardiner Lewis, Co.13, 19th Indiana Vols., aged twenty-two, was wounded in the battle of Gettysburg, July 1st, 1863, by a round musket ball, which lodged in the internal condyle of the right femur. On November 27th, 1863, he was admitted into Jarvis U.S.A. General Hospital, Baltimore, Md., the knee being disorganized and discharging a foetid pus. On December 1st, Acting Assistant Surgeon F. Hinkle, U.S.A., excised the articular ends of the tibia and femur, sawing off an inch of the head of the tibia. An H incision was employed. At the time of the operation the patient was feverish, anxious, without appetite, and sleepless from intense pain. He did well until several days after the operation, when he had a chill. Chills recurred each alternate day, and other symptoms of purulent infection were manifested. On December 23rd, the case terminated fatally. The autopsy revealed metastic foci in the lungs, and six ounces of pus in the left pleural cavity. The incisions were healed, and the ends of the bones were found in apposition, but no union had occured. The excised portions of the femur and tibia are preserved in the Army Medical Museum, as specimen No. 1956, and the history of the case is recorded in the Surgical Records, S.G.O., Excisions, Vol VI., p.122. Photographed at the Army Medical Museum by ORDER OF THE SURGEON GENERAL: GEORGE A. OTIS, But. Lt. Col. and Surg., U.S.V., Curator, A.M.M"