The prevalence of amputation during the Civil War created a need for prosthetic devices, which this pair of salesmen was happy to fill. In 1866, more than half of the entire budget for the state of Mississippi was expended on artificial arms and legs.
Photographer unknown, circa 1866
From The Face of Mercy - A Photographic History of Medicine at War
googling tons of civil war images for my job, including amputations. it’s grim.