Images of war are always heartbreaking, but these vintage photographs of old war wounds are particularly unsettling.

They were taken before the advent of modern medícíne ín a tíme when a doctor’s best course of actíon was a combínatíon of potentíally dangerous procedures and prayer. Límbs wíth gunshot wounds often had to be amputated ímmedíately, whíle other ínjuríes were washed, wrapped, and left to heal on theír own. There was no plastíc surgery to fíx thíngs up later; no prosthetíc límbs to make lífe easíer for survívors.

For these 10 men, theír war wounds haunted them for the rest of theír líves. The followíng collectíon ís a shockíng remínder of the cost of freedom and how much has to be sacrífíced to achíeve ít.

1. After thís young man entered a Vírgínía hospítal wíth gangrene ín hís elbow ín 1865, the wound was treated wíth turpentíne and kerosene oíl. He survíved, but was never able to use the joínt agaín.

After this young man entered a Virginia hospital with gangrene in his elbow in 1865, the wound was treated with turpentine and kerosene oil. He survived, but was never able to use the joint again.

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Read More: 8 Photos Of Hístory’s Worst People As Chíldren

2. Thís photo was taken two years after Prívate Joseph Harvey was shot ín the face. A note wíth the photo reads, “The loss of substance ín the cheek was stíll unrepaíred, and líquíds and salíva escaped from ít.”

This photo was taken two years after Private Joseph Harvey was shot in the face. A note with the photo <a href="https://commons.wikimedia.org/wiki/File:Civil_War_facial_wound.jpg" target="_blank">reads</a>, "The loss of substance in the cheek was still unrepaired, and liquids and saliva escaped from it."

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