A treatise on orthopedic surgery . bandage for severalweeks, until the interval between the separated ends of the ten-don is filled in with the new tissue. In some instances the leg is rotated inward upon the thigh,,and the habitual attitude is accompanied by accommodativechanges in the ligaments of the knee-joint. During the treat- DEFOBMITIES OF TEE FOOT. ment of the club-foot this secondary distortion may be, in partat least, corrected by forcible manual rotation of the leg outwardon the thigh several times daily. If the leg is slightly bowed itmay be corrected by manijDulation. The Second
A treatise on orthopedic surgery . bandage for severalweeks, until the interval between the separated ends of the ten-don is filled in with the new tissue. In some instances the leg is rotated inward upon the thigh,,and the habitual attitude is accompanied by accommodativechanges in the ligaments of the knee-joint. During the treat- DEFOBMITIES OF TEE FOOT. ment of the club-foot this secondary distortion may be, in partat least, corrected by forcible manual rotation of the leg outwardon the thigh several times daily. If the leg is slightly bowed itmay be corrected by manijDulation. The Second Stage of Treatment. Support and Restriction of Func-tion.—When the deformed foot has been corrected, in the sensethat normal movement in all directions is no longer restricted,the first and most difficult part of the treatment will have beencompleted. But although the foot may be normal in appearance,its muscular balance has not been restored. This is shown bythe fact that when support is removed the foot usually hangs Fig. The adhesive plaster support as used after correction of the deformity. downward and inward, and there is little apparent power in thedorsiflexors and abductors to draw it upward and outward. Ifat this stage treatment were abandoned, the deformity wouldinevitably recur, at least in part. For this reason thefoot must be supported in proper position until the slack of theleng-thened tissues has been taken up by development in thenormal attitude, a development that may be aided by massageand other forms of stimulation of the muscles. Practically,support is always necessary until the child has begun to by Adhesive Plaster,—In those cases of the mildertype, in which the deformity has been easily and quickly cor-rected, temporary support only is indicated, as the musclesgenerally recover activity, and for this purpose adhesive plasterwill often serve. A narrow strip is first carried about the fore- 810 OBTHOPEDIC SUBGEBY. Fig. 542. foot, t
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
