A treatise on orthopedic surgery . nger. Sloughing of the tissues caused by the pressureof the instrument or by the plaster bandages has been reported,but such accidents have not occurred in the extensive practice ofThomas and Jones. CoEEECTiox BY Meaxs OF THE OSTEOCLAST,—The late Mr. 830 OSTHOPEDIC SUBGEBY. Grattan, of Cork, used the osteoclast that goes by his name () to crush and to overcorrect resistant club-foot. The opera-tion may include besides the correction of the deformity of thefoot itself, fracture of the leg above the malleolus, to turn thefoot toward valgus, and a second
A treatise on orthopedic surgery . nger. Sloughing of the tissues caused by the pressureof the instrument or by the plaster bandages has been reported,but such accidents have not occurred in the extensive practice ofThomas and Jones. CoEEECTiox BY Meaxs OF THE OSTEOCLAST,—The late Mr. 830 OSTHOPEDIC SUBGEBY. Grattan, of Cork, used the osteoclast that goes by his name () to crush and to overcorrect resistant club-foot. The opera-tion may include besides the correction of the deformity of thefoot itself, fracture of the leg above the malleolus, to turn thefoot toward valgus, and a second fracture half-way up the leg,to overcome the inward rotation or twist of the tibia. results have been very satisfactory. Other appliancesconstructed on somewhat similar principles may be employed. Of these the Lorenz osteoclast^ and the Bradford^ lever ap-paratus are the most effective. The Open Incision Comljined with Forcible Rectification of De-formity. Phelps Operation.—When extensive division of con- FiG. Illustrating the correction of the left foot by Phelps operation. tracted parts is indicated the open incision is to be preferredbecause of the opportunity thus offered for the recognition andfor intelligent selection of structures that require division in thefinal correction of the deformity. Phelps operation is essentially simply the division of resistantparts through an incision on the inner border of the foot, com-bined with sufficient force, manual or instrumental, to overcor-rect the deformity. It is the most conservative of the moreradical procedures, and by it even the most severe type of de- ^ Wiener Klinik, November, December, Bradford and Lovett, 2d ed., p. 414. JDEFOEMITIES OF THE FOOT. 831 formity in the adult can be corrected; that is to say, the de-formity may be overcome and a serviceable foot may be assuredto the patient. Perfect functional cure is not possible whendeformity has been confirmed by many years of neglect. The ste
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
