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November 30, 1935

A NEW AMPUTATION IN THE LOWER THIRD OF THE THIGH

Author Affiliations

SAN FRANCISCO

From the Surgical Service of Dr. Harold Brunn in the University of California Division of the San Francisco Hospital. Unit of the San Francisco Department of Health, Dr. J. G. Geiger, director.

JAMA. 1935;105(22):1746-1753. doi:10.1001/jama.1935.02760480016005
Abstract

This description of an amputation through the distal extremity of the femur records a sufficient number of novel features to justify its report as a new operation.

The essential details of the operation in summary are as follows: The anterior flap includes the soft tissues of the upper part of the leg as far as the level of the tibial tuberosity, while the posterior flap is a little longer and extends well down on the gastrocnemius muscle. The popliteal vessels and nerves are ligated through an amuscular and avascular cleavage plane on the medial aspect of the low thigh. All the hamstring muscles are severed at their tendinous insertions on the tibia, and the femur is sectioned in the condylar flare, just proximal to the adductor tubercle. The patella is dissected from the anterior flap from the joint side, leaving the rectus femoris tendon in the floor of the patellar

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