A treatise on orthopedic surgery . The principles on whichoperative treatment should be conducted are the same that go^-ern mechanical treatment. Thus, the deformed foot must beovercorrected, and it must be fixed in the overcorrected positionuntil the immediate tendency toward deformity has been over-come. It must then be supported until the process of transfor-mation of its internal structure is completed and until thebalance of muscular power has been regained. Xo surgical DEFOBMITIES OF TEE FOOT. 815 operation, however radical, can be, in childhood at least, cura-tive by itself alone. Opera
A treatise on orthopedic surgery . The principles on whichoperative treatment should be conducted are the same that go^-ern mechanical treatment. Thus, the deformed foot must beovercorrected, and it must be fixed in the overcorrected positionuntil the immediate tendency toward deformity has been over-come. It must then be supported until the process of transfor-mation of its internal structure is completed and until thebalance of muscular power has been regained. Xo surgical DEFOBMITIES OF TEE FOOT. 815 operation, however radical, can be, in childhood at least, cura-tive by itself alone. Operative procedures are undertakensimply for the purpose of accomplishing the primary overcor-rection, and the operation by which this object can be attainedwith the least interference with the structure of the foot shouldbe selected. Such an operation is what may be called forciblemanual corriction. Forcible Manual Correction,âThe patient having been anes-thetized, one first attempts to correct the sharp inward twist at Fig. Reduction of the varus deformity. (Lorenz.) the mediotarsal joint. Supposing the left foot to be deformed,one grasjDS the heel with the right hand in such a maimer thatthe jDrojection or muscular part of the palm lies on the outeraspect of the foot against the most prominent part of its outerborder, which is at the junction of the os calcis and cuboid hand serves as a fulcrum over which the inverted foot maybe bent. The forefoot is then grasped firmly by the left hand,and one begins a series of outward twists over the fulcrum of theopposing palm, gently at first, with alternate relaxation of pres-sure, but with gradually increasing force as the resistant tissuesstretch under the tension. 816 OBTHOPEDIC SUEGEBY. If greater force is required, a triangular block of wood, wellpadded, may be used as the fulcrum (Fig. 548), one hand press-ing on the heel and the other on the forefoot; but there is a greatadvantage in using nothing but the hands, be
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
