February 1972

Selected Lower-Limb Anomalies

Author Affiliations

Brighton, Mass


Edited by George T Aitken, MD. Price, $2.95. Pp 71. National Academy of Sciences, Washington, DC, 1971.

Arch Surg. 1972;104(2):228. doi:10.1001/archsurg.1972.04180020106025

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Selected Lower Limb Anomalies, edited by George T. Aitken, is a collection of four papers presented at a symposium held in Washington, DC, in May 1969.

Three of these papers deal essentially with the uncommon and the very difficult problems encountered in the approach and management of tibial and fibula hemimelias. The treatment of these congenital anomalies in the past has been far from standard. Conservative management with casts, braces, and half-hearted surgical procedures has been disappointing. Radical surgical procedures advocated in this work have been regarded with suspicion by many and previous accounts have been far from convincing. Here for the first time a consolidated report backed by statistically valid figures and tempered by 20 years of experience has been presented. As such it is recommended for pediatricians, orthopedic surgeons, and others who treat children with these anomalies.

The article by Dr. Brown complements his earlier report (J Bone

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