Amputation Surgery and Rehabilitation: The Toronto Experience

Eugene M. Burgess, MD
JAMA. 1982;247(20):2835-2836. doi:10.1001/jama.1982.03320450067049.
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This book is the most recent of a number of new publications including an atlas on the subject. Current interest in amputations and prosthetic rehabilitation is not surprising. Excluding war experiences, the area of amputation surgery has languished in the backwater of surgical progress. Generally considered dull and unrewarding, relegated on many services to junior surgical staff and house officers, diluted in interest and experience by the diversity of surgical disciplines involved in its performance and the often tenuous liaison between the surgeon, rehabilitation personnel, and prosthetist, the peacetime amputation has too often been a true surgical stepchild.

Trauma, neoplasms, congenital anomalies, and difficult infection problems no longer dominate the amputation scene. Four of every five major civilian amputations now result from limb ischemia. The increasing numbers, the epidemic nature of diabetes in the western world, and the interval nature of surgical vascular reconstruction have all forced surgeons and other


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