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December 18, 1943


Author Affiliations

Division of General Surgery, Henry Ford Hospital, Detroit.

JAMA. 1943;123(16):1067. doi:10.1001/jama.1943.02840510061024

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To the Editor:—  The use of preserved cadaver nerve grafts has been suggested for bridging the gaps left in nerves following trauma or the excision of neuromas (Klemme, R. M.; Woolsey, R. D., and de Rezende, N. T.: Autopsy Nerve Grafts in Peripheral Nerve Surgery, The Journal, October 16, p. 393). Cadaver material may not always be readily available, and there might be medicolegal repercussions to making special incisions to obtain the grafts. It has occurred to me that a more convenient source of nerve material would be from amputated extremities. Supracondylar amputation of the lower extremity is frequently carried out for dry gangrene or other noninfected lesions of the foot, and good sized pieces of nerve could be obtained and placed in preservative right in the operating room. This would obviate the necessity of "begging" pathologists and relatives for the tissue.

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