Photo from the book, Shooting Soldiers: Civil War Medical Photography by Dr. R.B. Bontecou. Written by Stanley B. Burns, Published by Burns Archive Press. This photograph depicts G. Porubsky, Co B. 46th NY volunteer displaying excision of the humerus. This photograph from Bontecou's teaching album shows the drawn-in suspected path of the bullet. Bontecou's operation of bone removal in the upper arm left the patient with a useless limb. Many were amputated in the antiseptic era of the 1880s.