. The surgical treatment of the common deformities of children . not extend below the feet, and it is notnecessary that the child should be absolutely pro-hibited from standing, even at first. The manipulative treatment should be employedtwice daily, when the splints are taken off and re-adjusted. All the movements for straightening thelimbs must be performed whilst the knee is the lower part of the thigh may be grasped byone hand and the leg by the other, while the childsits with his legs out in front, on a flat table, andthe movements for forcible straightening are


. The surgical treatment of the common deformities of children . not extend below the feet, and it is notnecessary that the child should be absolutely pro-hibited from standing, even at first. The manipulative treatment should be employedtwice daily, when the splints are taken off and re-adjusted. All the movements for straightening thelimbs must be performed whilst the knee is the lower part of the thigh may be grasped byone hand and the leg by the other, while the childsits with his legs out in front, on a flat table, andthe movements for forcible straightening are good exercise is, the child being in thisposition, a small cushion about the size of a cricketball, but cupped on either side, is placed Intweenthe knees, the legs being extended as before. If thelegs are grasped and pressed together withoutflexion, considerable stretching force will be exertedupon the ligaments of the outer aspect of the knees. KNOCK-KNEE. 95 The splints (Fin. 28) must extend well up to theiliac crests, and remain better in position if they. F fj. 2S.—SpLnts fur k:iock-knee. are connected by a webbing strap behind, passingover the top of the buttocks. In all cases theknees themselves should be especially attached totht splint by broad webbing straps and buckles. A very convenient modification of the simple flatsplint is a trough shaped one, made by joining acouple of pieces of wood at right angles to eachother. This can be applied with the angle outwardsto the outside of the limb, and is not so liable toshift round it as the simple form. With regard to the flat-foot, which so generally ^:l^^tntaccompanies both knock-knee and bandy-leg, and ^j^^ck-*which is also found by itself, so long as the leg splints 1>nee-are worn they will be effective in remedying thecondition of the foot, which as a rule will disappear 96 CHILDRENS DEFORMITIES. Statical knock-knee. Symptoms.


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Keywords: ., bookcentury1800, booksubjectabnormalitieshu, booksubjectchildren