A treatise on orthopedic surgery . The same appliance (Fig. 527) providedwith a foot plate of metal or of wood asshown in the diagram. This modificationis useful if the paralysis is complete or ifthe foot is much atrophied. DEFOEMITIES OF TEE FOOT. 857 If there is restriction of dorsal flexion the foot should heforced up to a right angle with the leg against the resistance ofthe tendo Achillis, thus pressing the denuded surfaces other instances silk sutures may he passed through the peri-osteum of the opposing bones. The wound is then closed withcatg-ut ligatures and a plaster-of-P
A treatise on orthopedic surgery . The same appliance (Fig. 527) providedwith a foot plate of metal or of wood asshown in the diagram. This modificationis useful if the paralysis is complete or ifthe foot is much atrophied. DEFOEMITIES OF TEE FOOT. 857 If there is restriction of dorsal flexion the foot should heforced up to a right angle with the leg against the resistance ofthe tendo Achillis, thus pressing the denuded surfaces other instances silk sutures may he passed through the peri-osteum of the opposing bones. The wound is then closed withcatg-ut ligatures and a plaster-of-Paris bandage is applied tohold the foot at a right angle with the leg. Operations of thischaracter on the bones are sometimes followed by swelling. Onthis account the bandage should be applied over a thick layer of Fig. Support and elevation after arthrodesis. elastic cotton and the foot should be elevated. As soon as thediscomfort has subsided the patient should use the foot inwalking. jSTo support is equal in efficiency to the plaster band-age. This should be worn for several months, when it may bereplaced by a light supporting brace of the Judson type ( Equinus due to posture or to disease, not involving par-alysis, may be cured by simple correction of the deformity. Re-sistant deformity following fractures at the ankle may be over-come satisfactorily by astragalectomy. ACQUIRED TALIPES CALCANEUS. Acquired talipes calcaneus is much less common than equinus,and it is practically always of paralytic origin (anterior polio-myelitis), although cases of calcaneus following injury ordisease or distortion of the limb are occasionally seen. 8o8 OBTHOPEDIC SUEGEEY. Etiology.—There are several varieties or grades of tlie de-formity. If all the muscles of the posterior group have beenparalyzed, th
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
