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October 28, 1922


Author Affiliations


JAMA. 1922;79(18):1490-1496. doi:10.1001/jama.1922.02640180024006

On a recent clinical trip, I happened to see four different amputations performed by four different surgeons. Without wishing to appear in the least hypercritical or dictatorial, I should like to bring before the profession some of the bad results of carelessness in amputations, and to endeavor to point out the necessity for greater care in selecting the site and type of amputation, having in view at all times the ultimate value of the stump as a pressure-bearing and useful limb.

This article is based on approximately 1,200 amputations performed in my unit in France, and on my experience while in charge of the limbless at the Third London General Hospital, and of the surgery at the Paddington Military Hospital, London, after the armistice, where we had several hundred limbless men.

It is unfortunate to lose a limb; but it is a positive disaster if the limb has been so