American practice of surgery : a complete system of the science and art of surgery . in other chapters. Theyhave been sufficiently recounted by many, and it must here suffice to say thatcurvatures and affections of all of the bones, involving their size and shape,may be met with, and that there is scarcely any imaginable alteration which hasnot been noted. (Figs, and 156.) So far as they constitute orthopedic defects ordeformities, they are amenable to mechanical and operative treatment, to a degree NON-INFLAMMATORY AFFECTIONS OF BONES. 353 which is now both surprising and gratifying. The intr
American practice of surgery : a complete system of the science and art of surgery . in other chapters. Theyhave been sufficiently recounted by many, and it must here suffice to say thatcurvatures and affections of all of the bones, involving their size and shape,may be met with, and that there is scarcely any imaginable alteration which hasnot been noted. (Figs, and 156.) So far as they constitute orthopedic defects ordeformities, they are amenable to mechanical and operative treatment, to a degree NON-INFLAMMATORY AFFECTIONS OF BONES. 353 which is now both surprising and gratifying. The introduction of the generalprinciple of subcutaneous osteotomy, for instance, applicable in so many partsof the body, and in so many ways, has constituted a very distinct advance inorthopedic surgery, while the observance of an accurate aseptic technique hasmade it almost absolutely safe. A combination, then, of operative treatment andexternal support can be devised to meet the exigencies of nearly every case,certainly of every one taken at a reasonably early period. That museums are. Fig. 156.—A Skeleton Completely Deformed by Rachitis. (Fort: Pathologie et Clinique Chi- rurgicales, Paris, 1873.) filled with examples of extreme distortions and deformities is an indication ofignorance in the past rather than of present limitations. So far as the general treatment of rickets is concerned one must have regardto the general welfare of the patient, be he young or old, and must first concernhimself with such an environment as to afford sunlight and fresh air in abun-dance, with food adapted to his special needs, made rich enough, especially inthe calcium salts, and abundant enough to permit no lack in this direction. Yet VOL. III. -23 354 AMERICAN PRACTICE OF SURGERY. for children who suffer from chronic constipation or from obstinate diarrhoeait is not easy to arrange such a diet list. In the way of drugs one must makea judicious combination of opotherapy and the ordinary resources o
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