A treatise on orthopedic surgery . pates inthe correction instead of a limited portion, as when, for example,bone is removed by cuneiform osteotomy. It has a second andalmost equally important advantage in that the immediate useof the corrected and yielding foot is possible in the place of thenecessary rest that must follow cutting operations. For thesereasons it should be the operation of choice, and preliminary,at least, to more severe procedures in the treatment of resistantclub-foot in childhood. The only disadvantage of the operation DEFOBMITIES OF TEE FOOT. 819 is the actual labor which
A treatise on orthopedic surgery . pates inthe correction instead of a limited portion, as when, for example,bone is removed by cuneiform osteotomy. It has a second andalmost equally important advantage in that the immediate useof the corrected and yielding foot is possible in the place of thenecessary rest that must follow cutting operations. For thesereasons it should be the operation of choice, and preliminary,at least, to more severe procedures in the treatment of resistantclub-foot in childhood. The only disadvantage of the operation DEFOBMITIES OF TEE FOOT. 819 is the actual labor which it necessitates on the part of the sur-geon, usually twenty minutes or more of rather exhausting foot must now be fixed by a plaster bandage in an over-corrected position. It is first evenly covered with a layer ofcotton, thick bands of which are inserted between the toes, andwhile it is held by the assistant in the overcorrected position theplaster bandages are applied from the tips of the toes to the Fig. 552. Fig. After forcible correction,with Fig. 551. Compare The attitude of overcorrection , in which the feet are fixed after the opera-tive treatment, the plaster bandage ex-tending only to the knees. upper part of the thigh. It is important that the toes shouldnot project beyond the bandage because of the swelling thatsometimes follows. It is important, also, that the foot shouldbe held in the proper position while the bandage is hardening,and that it should not be manipulated to any extent after thebandage is applied, in order that no rigid wrinkle may pressagainst the skin. The bandage is applied above the knee inorder that the tibia may be rotated outward to its normal posi-tion and held there, and because more eifective fixation may beassured and greater pressure exerted on the foot in walking. 820 OFiTHOPEDIC SUBGEEY. To utilize this pressure to better advantage the bandage shouldbe made very thick beneath the sole, and a thin foot-plate ofwood mav be i
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
