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ABSTRACT Objective: The advent of the full metal jacketed bullet in the late nineteenth century was thought to
cause less severe battlefield wounds. This study compares the wounding characteristics of a reproduction rifle from the
American Civil War to one of the Spanish-American War using the wound profile method. Methods: A 0.58 caliber
rifled musket using Mini balls and a 0.30 caliber Krag-Jorgenson rifle using full metal jacketed bullets were fired into
calibrated 10% ordnance gelatin blocks at a distance of 3 meters. Measured parameters included maximum temporary
cavity, muzzle velocity, and the permanent track. Results: Maximum temporary cavities were significantly larger using
the musket, averaging 121 mm ( 5.4) vs. 38.6 mm ( 8.8) ( p < 0.001). Bullet weights were also significantly larger,
totaling 29.7 grams ( 1.3) for the musket vs. 14.18 grams ( 0.01) for the rifle ( p < 0.01). Using grains, bullet weights
were 458.3 grains (20 grains; range 435.2486.1) vs. 218.8 grains ( 0.15; range 218.7219). Muzzle velocities of the
musket were significantly less when compared with the rifle, averaging 944 fps ( 116) vs. 1852 fps ( 22.5), respectively
( p < 0.001). Conclusions: The rifled musket produced more severe wounds when compared to the Krag-Jorgenson rifle,
as was clinically apparent to observers at the time of the Spanish-American War.
INTRODUCTION
The late nineteenth century saw the development of a full
metal jacketed bullet as a means to improve military firearms
by increasing the range and accuracy over solid lead bullets.
The changes in bullet design were also thought to have an
effect on the types of wounds seen with battle casualties. When
comparing casualties from the American Civil War to the
Spanish-American War, observers noted less severe wounds.
Borden also noted a decreased reported mortality among hospitalized patients with extremity wounds: from 13.8% to 1.6%
(lower extremity) and 6.5% to 0.2% (upper extremity) when
comparing casualty statistics of the Civil War to those of the
Spanish-American War.1
Bullet development occurred rapidly in the nineteenth
century compared to any other time period. Early nineteenth
century weapons were usually smoothbore muskets that
fired round lead balls of about 0.50 to 0.75 inches in diameter. Smoothbore muskets were not accurate beyond about
50 yards. Although accuracy could be improved with the use
of a rifled barrel, the fit of the bullet/barrel needed to be tight
to impart a spin on the projectile. This made reloading too
slow for the standard military arm. In the mid 1840s a bullet was developed by Captain Claude E. Mini of France that
allowed for practical use of a rifled barrel for the standard
military arm. The bullet was cone shaped and had a hollow
base that expanded when fired, thus engaging the rifling of
a barrel to impart a spin on the bullet to stabilize it in flight.
*Department of Orthopaedic Surgery, University of Michigan, Ann
Arbor, MI 48109.
Winn Army Community Hospital, 1061 Harmon Ave., Fort Stewart,
GA 31314.
This manuscript was received for review in June 2007. The revised
manuscript was accepted for publication in November 2008.
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authors knowledge, this is the first study to document the differences between arms of the Civil War and Spanish-American
War to correlate the surgeons findings of both conflicts.
In the present study, the Mini ball caused more disruption of ordnance gelatin with both permanent and temporary
cavity over the depth of penetration associated with a thigh
and torso. The permanent cavity represents the area touched
by the projectile as it passes through. For soft tissue with an
intact vascular supply, the amount of tissue damage is proportional to the size of the projectile. The temporary cavity is a
transient lateral displacement of tissue. Elastic tissue, such as
skeletal muscle, may be pushed aside and bruised. Tissue in
this area should heal up uneventfully. Inelastic tissue, such as
bone or liver, may become fractured by this mechanism. Both
the permanent and temporary cavity measurements were significantly larger through the first 30 cm with the Mini balls
when compared to the rifle, despite a near doubling of muzzle
velocity seen with the rifle.
The maximum temporary cavity for the Krag-Jorgenson
rifle occurred at almost 50 cm, outside of the average thickness of a torso, with relatively minimal disruption of gelatin
occurring in the first 30 cm.
The clinical effects of the new full metal jacketed bullet
were controversial at the time they were introduced. Griffiths,
a prominent surgeon in the U.S. Army Medical Department in
the 1890s, tested the new rifle by firing 24 shots into human
cadavers at various ranges. He concluded that the newer full
metal jacketed bullet was more destructive than the Mini balls
and would cause an increased proportion of dead or wounded.
Griffiths did not fire comparative shots using Mini balls nor
did he comment on the differences between live tissue and
cadaveric tissue. Cadaveric tissue is relatively inelastic and
stiff when compared to live tissue. Thus, the effects of the
temporary cavity may have been exaggerated.7,8
The U.S. Army Surgeon Generals Office sponsored studies to determine just what effect the newer bullets would have
compared to the old. Captain Louis A. LaGarde was sent to
Frankfort Arsenal, Pennsylvania, to complete this study in
1892. He fired shots into human cadavers (52 of a 0.30 caliber,
14.3 gram (220 grain) prototype Krag-Jorgenson bullets and
37 of the standard 0.45 caliber, 32.4 gram (500 grain) bullets
of the model 1873 Springfield rifle) and found that the new
projectile deformed less, penetrated farther, and appeared less
destructive than the older rifle.10,11 He felt that the newer bullet
was more humane in that it would account for fewer amputations than the older rifle. LaGarde then served as a major
in the Spanish-American War at a base hospital in Cuba. His
observations in treating war wounded confirmed his earlier
findings on the effects of the newer bullets.12,13 The Springfield
rifle LaGarde tested was the standard infantry rifle from 1873
until the adoption of the Krag-Jorgenson rifle and was different from the rifle used in our study. The clinical material
used in LaGardes book Gunshot Injuries drew heavily from
the experience of the American Civil War (and Mini balls)
for comparison to the Spanish-American War (and both the
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velocity was for the rifled musket during the Civil War, but it
was probably on the order of 9001000 fps.10
Various factors are involved with gunshot wounds. The
projectile diameter, weight, shape, and composition are all
factors. The two projectiles used in this study were different in
all bullet variables. The bullets used with the Civil War rifled
musket weighed on average twice as much, were less aerodynamically shaped, and were made entirely of soft lead.
There are some important findings for those who study
gunshot wounds today. Increased velocity is often cited as a
factor, and by some authors the most important factor, causing increased wounding. The muzzle velocity of the KragJorgenson rifle was nearly double that of the rifled musket
shots (average 1852 fps vs. 944 fps), yet is associated with
less destructive wounds in both the present study and historical data.
Finally, the type of tissue struck influences the type of
injury seen and the patients outcome. We limited this variable by using a standardized tissue simulant that approximates
wounds seen in skeletal muscle. For this reason, our findings
only apply to soft tissue wounds.
CONCLUSION
In the present study, we used a standardized technique that
approximates injury of soft tissues. By using ordnance gelatin
as a tissue stimulant, we were able to control for variations in
tissue type. For extremity wounds, less disruption of soft tissue occurred with the use of full metal jacketed bullets than
Mini balls.
ACKNOWLEDGMENT
The authors would like to thank Paul M. Dougherty, JD for providing
comments on the protocol and his technical support during this study.
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