. Manual of operative surgery. g but cannot be flexed. When the foot is at right angle to the legthe inferior surface of the first metatarsus makes a prominence on the sole of thefoot. The great toe is hyperextended on the metatarsus. Ducroquet believesthat it is the lowering of the distal end of the first metatarsal which gives thefoot its hollow form, and that this lowering of the first metatarsal and the hyper-extension of the corresponding toe, are both due to paralysis of the short flexorof the toe permitting the long extensor of the toe to overact. Hence he operatesas follows: I. Make a
. Manual of operative surgery. g but cannot be flexed. When the foot is at right angle to the legthe inferior surface of the first metatarsus makes a prominence on the sole of thefoot. The great toe is hyperextended on the metatarsus. Ducroquet believesthat it is the lowering of the distal end of the first metatarsal which gives thefoot its hollow form, and that this lowering of the first metatarsal and the hyper-extension of the corresponding toe, are both due to paralysis of the short flexorof the toe permitting the long extensor of the toe to overact. Hence he operatesas follows: I. Make a longitudinal dorsal incision from the middle of the first metatarsalbone to the middle of the proximal phalanx of the great toe. Expose the long 1236 TENOTOMY extensor tendon. Divide the tendon. Suture the proximal tendon stump tothe distal part of the first metatarsus. Close the wound. 2. Correct the rest of the deformities in the usual manner by subcutaneousdivision of the plantar fascia; tenotomy of the tendo Achillis, Jones operation talipes calcaneo-ca\us. (Jones.) Arthrodesis for Paralytic Calcaneo cavus.^—Robert Jones Paralysis of the calf muscles is in two stages, four weeks intervening. Stage I.—Step i.—If the plantar fascia is contracted, divide it subcutaneouslyand straighten the sole as much as possible by manual or instrumental force.
Size: 1841px × 1358px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1920, bookpublisherphila, bookyear1921
