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Article
May 11, 1889

SURGICAL CLINICS AT THE WESTERN PENNSYLVANIA HOSPITAL BEFORE THE STUDENTS OF THE WESTERN PENNSYLVANIA MEDICAL COLLEGE.

Author Affiliations

SURGEON TO THE WESTERN PENNSYLVANIA HOSPITAL AND PROFESSOR OF CLINICAL SURGERY IN THE WESTERN PENNSYLVANIA MEDICAL COLLEGE.

JAMA. 1889;XII(19):658-660. doi:10.1001/jama.1889.02400960010002b

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Abstract

[Reported by Will. N. Pringle, M.D., a member of the Graduating Class.]

October 20, 1888.

OPERATION ON A FROST-BITTEN FOOT.

We have here a patient who has had his foot frost-bitten, from which he has lost one toe by amputation, and another one has fallen off, leaving a large and very painful cicatrix. It is not many years since surgeons amputated the leg for injuries involving only the foot. It is not over fifty years since the distinguished French surgeon Velpeau advised amputation at the point of election, as it was called, for such injuries. The point of election was a point about a hand's breadth below the knee. This I suppose was owing to the fact that artificial limbs were not so well known or so much used as they are to-day, and because they only had such artificial limbs as they could use by resting the knee in

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