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May 18, 1918


Author Affiliations

Rochester, Minn.

From the Mayo Clinic.

JAMA. 1918;70(20):1456-1457. doi:10.1001/jama.1918.26010200002009a

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In certain injuries to the hand, the tendons may be divided. The patient may not present himself for some months after the injury, and the surgeon is then confronted with a great gap to be bridged between the ends of the tendon. Fascia lata removed from the thigh has been used with some success to make up this deficiency. Occasionally, the patellar ligament is accidentally divided and there is lack of extension power with the consequent "flop" knee.

In two cases, one in which the hand was involved, and the other the knee, we removed a large piece of the peroneus longus and used it as a free transplant. In the knee the result was all that could be desired; the operation on the hand is too recent to justify the drawing of conclusions; however, the wound healed by first intention. I have not seen in the literature any reference

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