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December 22, 1917


JAMA. 1917;LXIX(25):2107-2110. doi:10.1001/jama.1917.25910520006012

In a recent series of articles1 I outlined the principles of a new system of tendon transplantations based on the anatomy and physiology of tendons. The essential principle of this system lies in the coordination of each step of the operation with the exact anatomic and physiologic facts, as ascertained by researches on the cadaver, by animal experimentation, and by operations on human beings. Thus, the tension under which the tendon is sutured conforms to the normal tension, a physiologic fact hitherto unknown; the transfer of the tendon from its original bed to the new site follows the laws governing the gliding mechanism of tendons; the implantation of the tendons is such as to assure an anchorage as firm as the normal; even in the postoperative treatment the length of time allowed before exercise is begun is determined by exact experimental data. The results attained by the method, as

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