Notes on Anatomy and Dating of Amputation
Knife Blades
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Drawings
from Bourgery & Jacob |
The
anatomy of amputation knife blades changed over the years to
reflect changes in techniques used by the surgeons and makers.
The
progression of blades seen below show a gradual style change
from the (Fig. #1), c.1840 'down' curve blade to a more
straight edge as seen in the (Fig. #6), c. 1870 blade. All six
of these blades are from different makers, but the earlier down
curved blade of (Fig. #1) is similar to those seen in the late
1700's and beginning of the 1800's English and European
styles. This would be expected since most of the American
makers were trained in, or immigrated from, England and Europe.
It
is noted by collectors, the handles on earlier knives (pre-1850)
are much bigger and heavier construction. "Beefy" in the words
of one collector.
These personal notes are made based on the sets in my collection
and observation of other collections, the basic idea is that
blade morphology changed over a period of years and if you are
aware of the changes, that knowledge can help solve the puzzle
of when a set was made or if a given instrument belongs in a
particular set. None of these notes are meant to be 'fact'.
In
the case of Civil War sets, the limited number of years they
were made is important because the changes were limited during
the War. Those sets which preceded the War are also very
distinctive, where as post-War instruments varied greatly.
Experience and handling a lot of sets is the best and only
teacher in this instance.
Various
amputation knife names and styles from the 1880's Geo. Tiemann
catalog
Detailed explanation of how an amputation is performed:
From Smith's Hand-book on Surgical Operations
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1. Wiegan &
Snowden (c. 1840 early)
2. Gemrig
or Tiemann (c. 1840 mid)
3. Tiemann
(c. 1855 - 60 ) Note curved blade
4. Wocher
(c.1850 early)
5. Civil War
common style Note straight blade
6. Teufel
(c.1870's late) |
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1. Wiegan &
Snowden (c. 1840 early) Beefy heavy handle.
2. Gemrig
(c. 1840 mid) Beefy heavy handle. Tiemann had same
style.
3. Tiemann
(c. 1850 early), light handle
4. Wocher
(c.1850 early), Light handle
5. Typical
of many makers during the Civil War, heavy handle
6. Teufel
(c.1870's late), heavy handle |
Points to note about the photo above:
The
joint between the handle and the blade changed from a decorative
'band' or 'ferrule', which held the two together, to a butt
joint which was part of the casting of the blade. In earlier
knives, the blade and handle are joined by the band between the
two as can be seen in example #1,2,3. The later technique of
one piece fabrication is shown in example #4,5,6. The ferrule
should be consistent within a given set. There should not be
various types within a given set. This is a hallmark for
detecting replaced parts or misplaced knives in a set.
Note the different ferrules of the
amputation knives. The top one is later,
the lower two are early and normal for an
1860 set, but all three seem to fit exactly
in the slots.
The
curve of the blade changed from being curved down to straight
after the 1850's (with the exception of Tiemann in the 1855-60
period, no other makers used this design in the USA during this
time to my knowledge or experience.)
The
tip of the blades changed from a more blunt style to the pointed
tip from 1830 to 1850's.
The
tip went from down turned in the 1840's to being in the middle
of the blade during the 1850's and then to the top of the blade
in the 1870's.
Note
the Tiemann (Fig. #3, c. 1855-60) had the down curved blade, but
had become much thinner than the earlier styles. This extremely
thin blade would have seem to have been more prone to bend than
the thicker and straight blades of later design. I have not
seen this style in Tiemann sets after the 1860. I have noted
the Reinhardt set in the Waring Museum and shown in Edmonson's
book on page 294 is exactly the same design and style at the
Tiemann #3.
In
general, the knives became longer and thinner in width across
the back and blade. The handles became more and more delicate.
Shown below is two early Tiemann amputation knives, both from
the same time period. The question is: which set of knives are
earlier? Usually the earlier knives have heavier handles, but
the lower knife has a much thinner handle than the large
knife. Since all the knives were custom made, it could relate
to the size of the surgeon's hands for whom the set was made.
The knife at the top has the thicker handle and is also marked 'Tiemann'.
The lower knife from this set and marked 'Tiemanns' and is c.
1830's. The 'Tiemann's' mark is the earliest I know about and
dates to when George Tiemann started in business.
One of the decisions you may
have to make is to determine if a blade is nickel plated.
Nickel plating began about 1877, so if a blade tests positive
for nickel, odds are it's post 1877. On the other hand, if the
blade is a combination of iron and nickel formulation, this test
won't work.
Test for Nickel
A nickel
allergy test kit can be to determine whether metal contains
nickel. Such kits are available at well-stocked pharmacies and
can be ordered over the Internet.
All such tests rely on dimethylglyoxime, which forms a complex
with ionic nickel that has a distinct pinkish color.
Some people have
allergies to nickel and metal alloys that contain nickel. The
kit is designed to determine whether "metallic objects" contain
nickel. It consisted of 2 dropper bottles. "Solution A" was
dimethylglyoxime in alcohol. "Solution B" was a weak solution of
ammonium hydroxide in water.
The directions
read "Place one drop of solution A and one drop of solution B on
a cotton-tipped applicator (use equal amounts of both
solutions). Rub wet applicator firmly against the test object
for 15 seconds. If applicator turns red, the object contains
nickel."
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