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Thanks to all who offered help.  It IS Orthopaedics and Traumatology.
NLM faxed it to me today.  The doctor is pleased.


Mackenzie DB  The antero-superior exposure for total shoulder
replacement.  Orthrop Traumatol   1993,2  71-7


Kathy Tacke
Memorial Hospital of Sweetwater County
1200 College Dr.
Rock Springs, WY  82901

voice 307-352-8433
fax 307-352-8173