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January 25, 1941


Author Affiliations

Toronto. Associate Professor of Surgery, University of Toronto Faculty of Medicine.

JAMA. 1941;116(4):329-330. doi:10.1001/jama.1941.02820040063025

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To the Editor:—  I have been following with interest the articles of the Council on Physical Therapy on "Amputations." Certain statements in Chapter III call for comment, since they would leave the inexperienced surgeon with a totally erroneous impression of the value of end bearing amputations. As we are again faced with the prospect of many amputations from war injuries it is of extreme importance that the experience of the past war be placed on record.It cannot be too strongly emphasized that end bearing amputations (Syme and Stokes-Gritti) are greatly superior to all other forms of amputation in the lower extremity. The amount of weight which must be borne on a lower extremity stump is so great that only skin which is naturally adapted to weight bearing can be expected to stand the stress during a lifetime of usage. Amputations through the middle of the tibia in which the

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