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October 12, 1940

Surgery of the Hand: Some Practical Aspects

JAMA. 1940;115(15):1302. doi:10.1001/jama.1940.02810410068037

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The author has compressed a great deal of helpful advice and information into this well illustrated little volume. The repair of injuries of the hand, with particular reference to nerve and tendon injuries, the correct levels for amputation of individual digits, and in part II the important principles involved in the treatment of infections of the hand have been simply and clearly discussed. One point in which we believe the author's advice cannot be taken without question should be mentioned. He says (p. 52) "Movement can be instituted almost immediately after (tendon) suture has been completed, for the strength of the suture will suffice until the tendon is strongly united." The experimental work of Mason and Allen shows that at the end of from eight to fifteen days the newly forming tendon callus is soft and gelatinous; at this stage suture material can be pulled through the callus with but

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