File:A treatise on orthopedic surgery (1903) (14762701504).jpg

Identifier: treatiseonorth00whit (find matches)
Title: A treatise on orthopedic surgery
Year: 1903 (1900s)
Authors: Whitman, Royal, 1857-
Subjects:
Publisher: Philadelphia and New York, Lea brothers & co.
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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taken place fromrigid deformity to a Limp foot that can be moulded into thedesired shape the component parts of the deformed foot musthave been subjected to considerable violence; that ligaments andmuscles musl have been stretched and, it may be, ruptured;that uew surfaces are now apposed to one another in the articu-lation-, and that the hones have been forced into approximately DEFORMITIES OF THE FOOT 767 normal position. This method of treatment has a great advantageover the ordinary operative treatment in that the entire foot par-ticipates in the correction instead of a limited portion, as when,for example, bone is removed by cuneiform osteotomy. It hasa second and almost equally important advantage in that theimmediate use of the corrected and yielding foot is possible inthe place of the necessary rest that must follow cutting opera-tions. For these reasons forcible massage should be the operationof choice, and preliminary, at least, to more severe procedures Fig. 468. Fig. 469.
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After forcible correction. Compare withFig. 467. The attitude of overcorrection, in whichthe feet are fixed after the operative treat-ment, the plaster bandage extending onlyto the knees. in the treatment of resistant club-foot in childhood. The onlydisadvantage of the operation is the actual labor which it neces-sitates on the part of the surgeon, usually twenty minutes ormore of rather exhausting work. The foot must now be fixed by a plaster bandage in an over-corrected position. It is first evenly covered with a layer ol cotton and a broad bandage of canton flannel, and while it LS held by the assistant the plaster bandages are applied from the tips of the toes to the upper part of the thigh. It Is important that the 768 ORTHOPEDIC srildERY. toes should not project beyond the bandage because of the swell-ing that sometimes follows. It is important, also, that the footshould be held in the proper position while the bandage is harden-ing, and that it should not be manipulated to any

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