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July 24, 1926

Modern Methods of Amputation.

JAMA. 1926;87(4):266. doi:10.1001/jama.1926.02680040054032

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This monograph is a practical presentation of modern methods of amputation, brief and concise, yet rendering available to the surgeon who only occasionally is called on to do an amputation the essential facts with which he should be familiar in order to obtain good functional results. The author properly places great emphasis on function, and points out the various elements that result in a good functional stump. These include not only the proper formation of the skin flaps but also care of the nerves, blocking them with alcohol to prevent neuroma formation, and dividing them high up so that they will be away from the scar; and the employment of Bunge's aperiosteal method of treating the bone end, which consists in removing from the end of the bone the terminal 0.5 to 1 cm. of periosteum and curetting out a small quantity of the medulla in order to prevent osteophyte

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