. A system of obstetrics . utes, apply a gypsumbandage; repeat the dressing In cases which require tenot-omy divide the tibialis anticus and posticus, and, if necessary, also thetendo Achillis and flexor longus digitorum ; after the healing of thewounds apply the club-foot shoe. The removal of a triangular mass from the tarsus3 on the outsidehas been successfully practised in severe cases4; the steps of the opera-tion and the results will be understood by the illustrations (Figs. 212,213, 214). Talipes valgus (Fig. 215) is rarely congenital. Marked cases, with-out rigid muscular contr
. A system of obstetrics . utes, apply a gypsumbandage; repeat the dressing In cases which require tenot-omy divide the tibialis anticus and posticus, and, if necessary, also thetendo Achillis and flexor longus digitorum ; after the healing of thewounds apply the club-foot shoe. The removal of a triangular mass from the tarsus3 on the outsidehas been successfully practised in severe cases4; the steps of the opera-tion and the results will be understood by the illustrations (Figs. 212,213, 214). Talipes valgus (Fig. 215) is rarely congenital. Marked cases, with-out rigid muscular contraction, may be cured mechanically in a few 1 W. J. Little. 2 A. Ogston. 3 D. Colley. * T. Bryant. CLUB-FOOT. 819 months without tenotomy, l>ut severe cases demand a combination ofoperative, mechanical,and physiological The tendons requiringdivision in the slighter cases arc the peronei and extensor Longus, andthe tendo Achillis, if involved; in very severe cases the tibialis anticus Fig. 212. Fig. 213. Fig. Fuot before Operation. - Removed. Foot alter operation. and the extensor pollicis must also be divided. The mechanical treat-ment of slight cases in which the tendo Achillis is not divided is asfollows: A convex pad of vulcanized india-rubber is placed inside of the hoot in the normal situation of the arch of the foot which it i-intended to support; it should extend hallway aero— the sole of thefoot, and ria the inner side so a- to support the navicular hone : the Fig. 215.
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectobstetrics, bookyear1
