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The one part of the paper which I am inclined to discuss is that relating to tendon transplantation for the correction of deformities incident to the paralysis. So far as the technic of the operation is concerned, I prefer the Langer method, which substitutes for the tendon of the paralyzed muscle, which is a paralyzed tendon, a silk tendon, which is quite as good as a normal tendon, if it is large enough and properly fastened to muscle and bone. The same is true of silk ligaments. In dealingdoi:10.1001/jama.1908.25410200032001f fatcat:2nxn65tg2jex5mqw37mbqy7ste