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Article
October 12, 1918

RECENT STUDIES IN THE ANATOMY AND PHYSIOLOGY OF TENDONS: THEIR APPLICATION TO THE TECHNIC OF TENDON OPERATIONS

JAMA. 1918;71(15):1198-1200. doi:10.1001/jama.1918.02600410020006
Abstract

My interest in tendons was first awakened in the year 1912,. when, while I was acting as volunteer in the clinic of Professor Lange, the problem of preventing postoperative adhesions was assigned as an experimental study to Dr. Henze of New Haven and to me. The problem was one of great importance in Lange's eyes, since, despite his experience in 2,000 operations, the results were frequently impaired by adhesions developing subsequent to the transplantation.

It is, of course, self-evident that the function of the tendon as a means of transmitting the contraction of the muscle to the skeleton is completely inhibited by a single strong adhesion in the same way as the rope of the derrick cannot glide if clamped at a single point. In the course of our experimental investigations, which were conducted chiefly on rabbits, we utilized all manner of membrane, thin tubes of rolled silver, petrolatum, bismuth

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