A treatise on orthopedic surgery . epair of the disabled mechanism; its principlemust not be confounded with forcible correction carried out withthe object of simply remoulding the arch of the foot, or in whichthe correction of the deformity is the only object in view. One first extends the foot forcibly, then flexes it to the normallimit, then abducts and adducts, the different motions being DISABILITIES AND DEFOBMITIES OF TEE FOOT. 739 carried out over and over until the rigid foot has become per-fectly flexible. In cases of long standing it is often necessary todraw the patient to the end o


A treatise on orthopedic surgery . epair of the disabled mechanism; its principlemust not be confounded with forcible correction carried out withthe object of simply remoulding the arch of the foot, or in whichthe correction of the deformity is the only object in view. One first extends the foot forcibly, then flexes it to the normallimit, then abducts and adducts, the different motions being DISABILITIES AND DEFOBMITIES OF TEE FOOT. 739 carried out over and over until the rigid foot has become per-fectly flexible. In cases of long standing it is often necessary todraw the patient to the end of the table, so that the foot may betaken between the knees, in order to supply the required forceby the thigh muscles. This forcible manipulation is accompaniedby the audible breaking of adhesions, and in favorable cases bycomplete disappearance of the deformity. In certain instancesit will be necessary to divide the tendo Achillis, when, for ex-ample, the range of dorsal flexion is limited by resistant accom- FiG. 490. Fig. The deformed foot before operation. A,the projection of the displaced astragalusand navicular; Bj the inner malleolus; C,the mediotarsal joint, showing the outwarddisplacement before, the inward rotationbehind, this point.


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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910