Foot amputation by the Moche of ancient Peru: osteological evidence and archaeological context

Three probable cases of foot amputation, with healing, in skeletal remains associated with the Moche culture (AD 100–750) of northern coastal Peru are described. Each case exhibits non‐functional tibio‐talar joints with proliferative bone occupying the normal joint space. The robusticity of the tibiae and fibulae suggest renewed weight‐bearing and mobility following recovery. The osteological evidence is consistent with details shown in Moche ceramic depictions of footless individuals. A footless Moche skeleton with wooden prostheses, described in 1913 by Peruvian physician Vélez López, appears to represent a fourth example of this procedure. The Moche surgical approach was similar to a technique that would be pioneered in western medicine by the Scottish surgeon Sir James Syme some 1500 years later. Copyright © 2000 John Wiley & Sons, Ltd.