HIGHLIGHTS
SUMMARY
Maloney et_al1 infer from the bony abnormalities that surgical amputation is the only possible explanation and, furthermore, that the limb shows no evidence of infection. Maloney et_al1 dismissed blunt trauma with the assertion that it "typically causes comminuted and crushing fractures". The bony changes shown in figure 3 of Maloney et_al1 are typical of chronic osteomyelitis-the cortical thickening of the distal tibia and fibula are consistent with involucrum, and the small bony defect of the distal tibia could represent an area of sequestrum. The evidence of bone lysis and necrosis at the distal . . .
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