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June 23, 1945

Modern Methods of Amputation

JAMA. 1945;128(8):623. doi:10.1001/jama.1945.02860250069029

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This volume contains information valuable to any practitioner who may be faced with a problem of amputation surgery. The general principles of amputation are well stated. The distribution of skin flaps, the handling of muscle and fascia, the treatment of bone, with emphasis on respect for periosteum and the treatment of the nerve trunks, are all clearly and soundly stated in the text. Some of the instruments for and methods of retraction, which are so well illustrated, will however in unskilled hands lead to great stripping of the periosteum. Their hazards are not stressed.

The levels of amputation are cleverly and strikingly illustrated. As stated for the upper extremity, no exception can be taken. As stated for the lower extremity the level of 5 centimeters below the middle of the calf for an ideal below the knee amputation stump is open to question. This is considerably longer than the American

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