A treatise on orthopedic surgery . d if the deformity is overcor-rected at the time of operation, apparatus will not be requiredin the after-treatment; but in many instances some form ofsupport is indicated, usually because slight deformity, due tolaxity of ligaments or to deformity of the femur, apj)ears whenthe weight of the body falls upon the legs. - It has been stated that the deformity of bow-legs depends inpart upon a distortion of the femur as well as of the tibia. Asa rule, the correction of the gTcater deformity of the tibia willbe sufficient, but in more extreme cases a secondary os
A treatise on orthopedic surgery . d if the deformity is overcor-rected at the time of operation, apparatus will not be requiredin the after-treatment; but in many instances some form ofsupport is indicated, usually because slight deformity, due tolaxity of ligaments or to deformity of the femur, apj)ears whenthe weight of the body falls upon the legs. - It has been stated that the deformity of bow-legs depends inpart upon a distortion of the femur as well as of the tibia. Asa rule, the correction of the gTcater deformity of the tibia willbe sufficient, but in more extreme cases a secondary osteotomyabove the condyles will be necessary. This may be performed DEFORMITIES OF BONES OF LOWEB EXTBEMITY. 621 sinmltaneously with that on the tibia, but it is better to deferit until the effect of the primary operation has been observed. ANTERIOR BOW-LEG. Synonym.—Anterior curvature of the bow-leg and knock-knee are aften seen in children whopresent no signs of general rhachitis, but anterior bowing of the Fig. Anterior bow-les legs is almost always combined with general rhachitic distor-tions of the lower extremity, most often with knock-knee. Thesein turn are caused by marked distortion of the femora, whichmay be bent forward and outward above, and inward at theirlower extremities, corkscrew deformity. In anterior bow-leg the tibiae are usually flattened from side to side, curved in-ward or outward arid bent forward, the projecting crests pre-senting sharply beneath the skin. Sjmaptoms.—The effect of the anterior bowing is to throw theweight forward upon the foot; thus the heels appear ab-normally long and prominent, and the patient seems to sink for-ward at each step (Fig. 415). The knees are usually somewhatflexed, partly as the effect of knock-knee, with which the de-formity is usually combined, and the feet are, as a rule, has been stated, anterior bowing is almost never seen as anindependent deformity unless it is a relic of the more genera
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
