A treatise on orthopedic surgery . ng; thus the brace itself becomes a positiveaid in the physiological cure as contrasted with sole-plates andstiffened shoes. It is important, also, that a shoe of propershape, as shown in the diagram (Fig. 477), be worn, as it aidsthe brace in holding the foot in an attitude of slight shape of the brace, in general like that of the diagram, ismodified in certain cases; for instance, the entire internal aspectof the foot may be weak and must be covered by the internalflange. In very heavy subjects the sole portion must be madelarger, although thi
A treatise on orthopedic surgery . ng; thus the brace itself becomes a positiveaid in the physiological cure as contrasted with sole-plates andstiffened shoes. It is important, also, that a shoe of propershape, as shown in the diagram (Fig. 477), be worn, as it aidsthe brace in holding the foot in an attitude of slight shape of the brace, in general like that of the diagram, ismodified in certain cases; for instance, the entire internal aspectof the foot may be weak and must be covered by the internalflange. In very heavy subjects the sole portion must be madelarger, although this is a disadvantage, as it lessens the leverageaction; other slight modifications may be necessary in specialcases. If any portion of the rim of the brace causes discomfort,the edge may be turned away slightly at the point of pressure bya wrench. After a few days the patient no longer notices theconstraint of the brace, and as its presence in the shoe is notevident, it may/be worn indefinitely** Steel is the lightest and Fig. The foot brace providing support for tlie metatarsal arch. strongest, and, on the whole, the most satisfactory material forthe brace. It will, of course, rust in time, and for this reasoneach patient may be provided with two pairs of braces, in orderthat the rusted pair may be returned to the bracemaker forrepairs. In hospital practice heavier material is used and thebraces are plated with tin, which is fairly resistant.^ Support is usually necessary for from three months to a yearor longer according to the condition of the patient and the strainto which the feet are subjected. The brace, accurately madeand adjusted under suitable conditions, causes no more pressure In many instances there is a rapid improvement in the shape of the footunder treatment, and it is often advisable to make a second cast within afew months, in order that the brace may conform to the improved contour. DISABILITIES AND DEFOBMITIES OF THE FOOT. 737 or discomfort than a well-
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
