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Arch Surg. 1940;41(4):945-959. doi:10.1001/archsurg.1940.01210040134007.
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The purpose of this communication is to report 2 cases of disabling deformities of the right lower extremity of eleven and fourteen years' duration respectively, presenting the following features: (1) healed fractures of the femur; (2) massive induration of the muscles of the leg and foot associated with atrophy and loss of motor power below the knee; (3) vascular dysfunction in the involved lower extremity; (4) contractural deformities of the foot and toes; (5) roentgen evidence of extraosseous calcification of the leg, and (6) histologic evidence (in 1 case) of massive degeneration of muscle tissue with fibrous tissue replacement and extensive calcification. In these cases there was a pathologic state in the lower extremity identical with Volkmann's ischemic contracture of the upper extremity.


Case 1.  —A white man 39 years old had sustained a fracture of the midshaft of the right femur eleven years previously. The fracture


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