. Virginia medical semi-monthly . tly modified from thatused by Mr. H. T. Masters, of Whitechurch,England, and mentioned in PyesSurgical Han-dicraft, vol. II, p. 523: A flat strip of silver,one-one-hundredth inch thick, one-eighth inchor more wide, and an inch long, is bent bymeans of a small forceps into the shape of afish hook. The hook will usually fit the toebetter if shaped from a strip of metal slightycurved on the flat, and so bent that the shorteredge will be in front. In this case the hooksare of two kinds, rights and lefts; for manytoes the straight hooks answer perfectly welland can
. Virginia medical semi-monthly . tly modified from thatused by Mr. H. T. Masters, of Whitechurch,England, and mentioned in PyesSurgical Han-dicraft, vol. II, p. 523: A flat strip of silver,one-one-hundredth inch thick, one-eighth inchor more wide, and an inch long, is bent bymeans of a small forceps into the shape of afish hook. The hook will usually fit the toebetter if shaped from a strip of metal slightycurved on the flat, and so bent that the shorteredge will be in front. In this case the hooksare of two kinds, rights and lefts; for manytoes the straight hooks answer perfectly welland can be used on either side. After cleansing the toe with hydrogen per- oxide [or glycozone] and placing a pledget ofcotton soaked in a four-per cent, solution ofcocaine in contact with the granulations thehook is inserted beneath the lateral edge of thenail in such a manner that the latter rests inthe depression answering to the barb, whilethe shank of the hook curves over the side ofthe toe and close to it (see figure). With a lit-. let knack the hook is readily put in place; themore the ulceration the less the pain, sincethere will be more room for the hook. Alittle gauze is placed over the toe to absorb dis-charge, and the hook is held in place andpressed upward against the lateral edge of thenail by a few turns of gauze bandage or ad-hesive plaster wound around the toe. Aftera few hours the patient usually suffers no in-convenience from the hook, if it is properlyplaced, and is very soon relieved of the paindue to the irritation of nail. In a few daysthe swelling and redness subside, the granula-tions shrink, and in two or three weeks the ul-ceration is healed or is well on the road towardit, and complete recovery quickly follows. Af-ter the insertion of the hook the dressing is tobe changed and the hook adjusted when need-ful ; after the first week once or twice a weekwill do. It is well to wear the hook for severalweeks after the ulceration is healed, in orderthat the newly
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