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March 30, 1900


Author Affiliations

Surgeon to St. Mary's Hospital; Surgeon to C. & N.-W. Ry. Co. ROCHESTER, MINN.

JAMA. 1900;XXXVI(13):878-879. doi:10.1001/jama.1900.52470130026002g

In the January, 1895, issue of the Annals of Surgery, Dr. C. H. Mayo reported a case of acute suppuration of the knee-joint, which he had treated July 30, 1894, by a transverse incision across the front of the joint in the same manner as for excision. This enables the surgeon to get at every part of the joint, converting its many recesses into a simple open cavity. The result of the operation is astonishing. In a few hours a patient in whom an amputation seemed to be the only hope is on the road to recovery; such a procedure gives all the benefits of the mutilating operation without shock or injury to important structures. It must be understood that this method of treatment is for the more advanced cases after the usual measures have been exhausted and amputation appears to be necessary. In most instances the capsule has been