On the cure of club-foot without cutting tendons : and on certain new methods of treating other deformities . that I do not intend to give cases. Ihave treated six without chloroform, eightwith. I have never had a failure, and nevermet with any ill effects produced by thetreatment. 192 ON THE CUEE OF CLUB-FOOT. CHAPTER XIII. DEEOHMITIES OF THE LEG. Knock-knee or Genu Valgum. We must now consider a set of deformities,which affect the legs, and for Avhose cure Ihave realized a new method, founded, Ibelieve, upon better principles, and muchmore effective than any hitherto in use. Wewill first spe
On the cure of club-foot without cutting tendons : and on certain new methods of treating other deformities . that I do not intend to give cases. Ihave treated six without chloroform, eightwith. I have never had a failure, and nevermet with any ill effects produced by thetreatment. 192 ON THE CUEE OF CLUB-FOOT. CHAPTER XIII. DEEOHMITIES OF THE LEG. Knock-knee or Genu Valgum. We must now consider a set of deformities,which affect the legs, and for Avhose cure Ihave realized a new method, founded, Ibelieve, upon better principles, and muchmore effective than any hitherto in use. Wewill first speak of knock-knee. It is not myintention to enter so minutely into the ana-tomy and natural history of this condition asinto that of club-foot, but I must point outthat there are two sorts of knock-knee, whichseem to me to arise from different constitu-tional and local causes. The one alwaysbegins in early infancy, as soon or nearly assoon as the weight of the body falls uj)on the DEFORMITIES OF THE LEG. 193 limb, and is combined with, and in all pro-bability is caused by rickets. In such cases FIG. THE CURVED KNOCK-KNEE, PROM A CHILD AGED SIX. tbe shafts of the bones themselves are bent ina peculiar manner, whose type never changes,although nature permits in this, as in allorganic changes, slight variations withincertain limits. The femur receives twobends, the upper half curves, so that the con-vexity looks forward and outward; the o 194 ON THE CUBE OF CLUB-FOOT. lower half in the contrary direction, its con-vexity looking inward and backward; atthe same time it is twisted, so that what isnormally its anterior face, and that whichshould be the front of the knee-joint, looksabnormally outward. The tibia followscurves which are the exact inverse of thosein the femur, the upper convexity looksbackwards and inwards, the lower one for-wards and outwards. Thus, the limb asa whole receives three curves, whose planfor both legs may be given as outward aboveand below, inward in
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