Reply to: Common orthopaedic trauma may explain 31,000-year-old remains

Melandri Vlok; Tim Maloney; India Ella Dilkes-Hall; Adhi Agus Oktaviana; Pindi Setiawan; Andika Arief Drajat Priyatno; Marlon Ririmasse; I. Made Geria; Muslimin A.R. Effendy; Budy Istiawan; Falentinus Triwijaya Atmoko; Shinatria Adhityatama; Ian Moffat; Renaud Joannes-Boyau; Adam Brumm; Maxime Aubert

doi:10.1038/s41586-023-05757-7

Reply to: Common orthopaedic trauma may explain 31,000-year-old remains

Melandri Vlok, Tim Maloney, India Ella Dilkes-Hall, Adhi Agus Oktaviana, Pindi Setiawan, Andika Arief Drajat Priyatno, Marlon Ririmasse, I. Made Geria, Muslimin A.R. Effendy, Budy Istiawan, Falentinus Triwijaya Atmoko, Shinatria Adhityatama, Ian Moffat, Renaud Joannes-Boyau, Adam Brumm, Maxime Aubert

College of Humanities, Arts and Social Sciences

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Abstract

We appreciate the accompanying technical Comment by Murphy et al. 1—a group of practicing orthopaedic surgeons—on our original paper 2. However, we strongly disagree with their conclusion that a reductionist approach was taken in the diagnosis of surgical amputation in a 31,000-year-old individual (TB1) from Borneo. We note that a complete systematic differential diagnosis was indeed completed(Extended Data Table 1); this process involved careful consideration of the most common and banal conditions first, such as accidental fracture, before considering the possibility of more rare and unusual circumstances. Through this iterative process, fracture was first eliminated as a possibility, followed by natural causes of amputation.

Original language	English
Pages (from-to)	E15-E18
Number of pages	4
Journal	Nature
Volume	615
Issue number	7952
DOIs	https://doi.org/10.1038/s41586-023-05757-7
Publication status	Published - 16 Mar 2023

Keywords

orthopaedic trauma
archaeological human remains
accidental fracture
surgical amputation
archaeological bone

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Vlok, M., Maloney, T., Dilkes-Hall, I. E., Oktaviana, A. A., Setiawan, P., Priyatno, A. A. D., Ririmasse, M., Geria, I. M., Effendy, M. A. R., Istiawan, B., Atmoko, F. T., Adhityatama, S., Moffat, I., Joannes-Boyau, R., Brumm, A., & Aubert, M. (2023). Reply to: Common orthopaedic trauma may explain 31,000-year-old remains. Nature, 615(7952), E15-E18. https://doi.org/10.1038/s41586-023-05757-7

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title = "Reply to: Common orthopaedic trauma may explain 31,000-year-old remains",

abstract = "We appreciate the accompanying technical Comment by Murphy et al. 1—a group of practicing orthopaedic surgeons—on our original paper 2. However, we strongly disagree with their conclusion that a reductionist approach was taken in the diagnosis of surgical amputation in a 31,000-year-old individual (TB1) from Borneo. We note that a complete systematic differential diagnosis was indeed completed(Extended Data Table 1); this process involved careful consideration of the most common and banal conditions first, such as accidental fracture, before considering the possibility of more rare and unusual circumstances. Through this iterative process, fracture was first eliminated as a possibility, followed by natural causes of amputation.",

keywords = "orthopaedic trauma, archaeological human remains, accidental fracture, surgical amputation, archaeological bone",

author = "Melandri Vlok and Tim Maloney and Dilkes-Hall, {India Ella} and Oktaviana, {Adhi Agus} and Pindi Setiawan and Priyatno, {Andika Arief Drajat} and Marlon Ririmasse and Geria, {I. Made} and Effendy, {Muslimin A.R.} and Budy Istiawan and Atmoko, {Falentinus Triwijaya} and Shinatria Adhityatama and Ian Moffat and Renaud Joannes-Boyau and Adam Brumm and Maxime Aubert",

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day = "16",

doi = "10.1038/s41586-023-05757-7",

language = "English",

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Vlok, M, Maloney, T, Dilkes-Hall, IE, Oktaviana, AA, Setiawan, P, Priyatno, AAD, Ririmasse, M, Geria, IM, Effendy, MAR, Istiawan, B, Atmoko, FT, Adhityatama, S, Moffat, I, Joannes-Boyau, R, Brumm, A & Aubert, M 2023, 'Reply to: Common orthopaedic trauma may explain 31,000-year-old remains', Nature, vol. 615, no. 7952, pp. E15-E18. https://doi.org/10.1038/s41586-023-05757-7

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T2 - Common orthopaedic trauma may explain 31,000-year-old remains

AU - Vlok, Melandri

AU - Maloney, Tim

AU - Dilkes-Hall, India Ella

AU - Oktaviana, Adhi Agus

AU - Setiawan, Pindi

AU - Priyatno, Andika Arief Drajat

AU - Ririmasse, Marlon

AU - Geria, I. Made

AU - Effendy, Muslimin A.R.

AU - Istiawan, Budy

AU - Atmoko, Falentinus Triwijaya

AU - Adhityatama, Shinatria

AU - Moffat, Ian

AU - Joannes-Boyau, Renaud

AU - Brumm, Adam

AU - Aubert, Maxime

PY - 2023/3/16

Y1 - 2023/3/16

N2 - We appreciate the accompanying technical Comment by Murphy et al. 1—a group of practicing orthopaedic surgeons—on our original paper 2. However, we strongly disagree with their conclusion that a reductionist approach was taken in the diagnosis of surgical amputation in a 31,000-year-old individual (TB1) from Borneo. We note that a complete systematic differential diagnosis was indeed completed(Extended Data Table 1); this process involved careful consideration of the most common and banal conditions first, such as accidental fracture, before considering the possibility of more rare and unusual circumstances. Through this iterative process, fracture was first eliminated as a possibility, followed by natural causes of amputation.

AB - We appreciate the accompanying technical Comment by Murphy et al. 1—a group of practicing orthopaedic surgeons—on our original paper 2. However, we strongly disagree with their conclusion that a reductionist approach was taken in the diagnosis of surgical amputation in a 31,000-year-old individual (TB1) from Borneo. We note that a complete systematic differential diagnosis was indeed completed(Extended Data Table 1); this process involved careful consideration of the most common and banal conditions first, such as accidental fracture, before considering the possibility of more rare and unusual circumstances. Through this iterative process, fracture was first eliminated as a possibility, followed by natural causes of amputation.

KW - orthopaedic trauma

KW - archaeological human remains

KW - accidental fracture

KW - surgical amputation

KW - archaeological bone

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DO - 10.1038/s41586-023-05757-7

M3 - Letter

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AN - SCOPUS:85150315202

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VL - 615

SP - E15-E18

JO - Nature

JF - Nature

IS - 7952

ER -

Reply to: Common orthopaedic trauma may explain 31,000-year-old remains

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