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November 4, 1922


JAMA. 1922;79(19):1608. doi:10.1001/jama.1922.26420190002017b

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Believing that the period of convalescence following operation for excision of the semilunar cartilages of the knee could be shortened by early mobilization of the joint, I have, during the last two years, been using an approach which eliminates strain on the wound when the knee is flexed and obviates the necessity of suturing the synovial membrane. All but one of the eight patients thus far operated on at the Hospital for Ruptured and Crippled have been able to walk without crutches and to sit with the knee flexed to a right angle on the sixth day, and to resume their usual activities, with practically full joint function, at the end of two weeks.

In all joint cases in which the part is immobilized for a considerable time after operation, psychology is a factor in retarding recovery. There is always present the fear of injuring the joint when it

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