A treatise on orthopedic surgery . ormity is slight and ifa wide shoe is worn. In adult cases, in addition to the manipu-lation and shoe, a retention apparatus, in the form of a lightplantar splint, or stiffened inner sole to which the toe can be 778 ORTHOPEDIC SUBGEBY. attached, should be worn. If the deformity is more resistantthe toe may be straightened by force, aided, if necessary, by thesubcutaneous division of the contracted ligaments; but in ordi-nary cases the only effective treatment is resection of the bone should be removed to permit the correction ofthe deformity,
A treatise on orthopedic surgery . ormity is slight and ifa wide shoe is worn. In adult cases, in addition to the manipu-lation and shoe, a retention apparatus, in the form of a lightplantar splint, or stiffened inner sole to which the toe can be 778 ORTHOPEDIC SUBGEBY. attached, should be worn. If the deformity is more resistantthe toe may be straightened by force, aided, if necessary, by thesubcutaneous division of the contracted ligaments; but in ordi-nary cases the only effective treatment is resection of the bone should be removed to permit the correction ofthe deformity, or, in case of its recurrence, to prevent the pro-jection of the joint above its fellows. A splint of celluloid orother material should be worn for a time. By this operationpermanent relief may be assured, and it is to be preferred to themutilation of amputation. INGROWN TOE-NAIL. The figures (Webb) illustrate an effective treatment of themilder type of this affection. A square of adhesive plaster is Fig. 510. Fig. 511. Fig. Figure 1. Figure 2. Figure 3. placed at the base of the nail. Twisted silver wire, ISTo. 26, isdrawn beneath the nail and is fixed in position by adhesivestrips. If all pressure is removed the normal relation of thenail to the lateral tissues is gradually restored. OVERLAPPING TOES. Overlapping toes are very common among adults, owing tothe pressure of the narrow shoe; and not infrequently such de-formity is seen in infancy of apparently congenital or deformed toes may be treated in infancy by manip-ulation and by support with strips of adhesive plaster in themanner described. DISABILITIES AND DEFOEMITIES OF THE FOOT. 779 In .childhood persistent manual correction and proper shoes will usually overcome acquired deformity. In older subjects an inner sole somewhat like a sandal, to which the toes may be attached by bands of tape, may be employed if the deformity is considered of sufficient importance by the patient to demand treatment.
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
