. International record of medicine . on the other. Theoperation did not differ materially from the one already de-scribed, except that it was less in extent. The anterior sectionpassed through the cuboid bone and removed the posterior por-tion of the cuneifomi bones. The posterior section went throughthe anterior portion of the calcaneum and neck of the astraga-lus close up to the ankle joint. The same dressing was appliedas in the previous case, and healing progressed result is shown in Fig. 4, from photographs taken sevenmonths after the operation. The sole of the foot is
. International record of medicine . on the other. Theoperation did not differ materially from the one already de-scribed, except that it was less in extent. The anterior sectionpassed through the cuboid bone and removed the posterior por-tion of the cuneifomi bones. The posterior section went throughthe anterior portion of the calcaneum and neck of the astraga-lus close up to the ankle joint. The same dressing was appliedas in the previous case, and healing progressed result is shown in Fig. 4, from photographs taken sevenmonths after the operation. The sole of the foot is placedperfectly iiat on the ground, and is readily brought at a rightangle to the leg. Walking has been much improved and is pain-less. The third and fourth oi)erations were performed on the samepatient, a young man aged twenty-one years. He had had noprevious treatment, and both feet were affected to the same ex-tent. They pointed directly inward, the soles being perfectlyvertical. (See Figs. 5 and 6.) The first operation was per-. formed six months ago, and the second one five weeks foot healed up nicely, but in the other a sinus persisted anddischarged several spicules of bone. An inflaujination occurredon the inner side of the foot, which, being incised, gave exitto a couple of drachms of pus mixed with thick serum, such aswould come from a bursa or sheath of a tendon. It then healedup. This occurrence delayed healing and prevented him fromBsing the limb as soon as he otherwise would have been able to do. In one of the feet of this last patient the anterior and pos-terior tibial tendons, as well as the tendo Achillis and plantarfascia, were divided, but, reposition having been found impossi-ble, the case was finished with a wedge-shaped resection. Theamount of bone removed in each foot was about the same, andincluded the tarsal bones from the metatarsus in front to aline drawn tlirough the neck of the astragalus, just in front ofthe ankle joint, and taking off a s
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Keywords: ., bookcentury1800, bookdecade1860, booksubjectmedicine, bookyear186
