Lectures on orthopedic surgery . dicationor drainage. In case of a return of the necrotic process,or in cases where there is a reasonable doubt as to theremoval of all diseased tissues, the wound should beleft open and packed with gauze saturated with balsamof Peru. This we believe to be a better plan than theusual dressing of iodoform and rubber drainage-tube. The diagnosis of a cure consists in the absence of allsymptoms, and increase of function by use. If anky-losis results, recovery is demonstrated by the fact thatthe angle of deformity is a constant and not a changingone. GREAT TOE DISEA
Lectures on orthopedic surgery . dicationor drainage. In case of a return of the necrotic process,or in cases where there is a reasonable doubt as to theremoval of all diseased tissues, the wound should beleft open and packed with gauze saturated with balsamof Peru. This we believe to be a better plan than theusual dressing of iodoform and rubber drainage-tube. The diagnosis of a cure consists in the absence of allsymptoms, and increase of function by use. If anky-losis results, recovery is demonstrated by the fact thatthe angle of deformity is a constant and not a changingone. GREAT TOE DISEASE. Disease at the metatarsophalangeal joint of the firsttoe is not of very common occurrence. It is usually seenin adults or adolescents, and more often than other-wise following an injury. Cases are rarely seen beforethe disease is considerably advanced from neglect oftreatment. The toe is more or less flexed, often ex-tremely so, and held rigid by muscular spasm, the jointis somewhat swollen, tender to pressure, and often hot. Fig. 177.—Great-toe joiut disease with flexiou-deformity, to the touch. Walking is difficult, or impossible, be-cause of the flexion of the toe and the tenderness. • The mechanical treatment consists in restoring thetoe to the normal position, and permanently holding itthere. This is usually most conveniently accomplishedby a plaster-of-paris dressing, renewed every week ortwo until the deformity is corrected. During this timecrutches must be used. Afterwards immobilization may 219 be had by a rigid metal, insole, supplemented by ablock of wood an inch thick fastened to the sole of theshoe and extending from the ball of the foot to the backof the heel. Or a strip of steel may be laid into thesole of the shoe reaching from the tip of the toe to the
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectorthopedics, bookyear
