. The science and art of surgery, embracing minor and operative surgery. Comp. from standard allopathic authorities, and adapted to homoeopathic therapeutics, with a general history of surgery from the earliest periods to the present time .. . act and bring down the shortenedmuscle, but remains permanently, though gradually assimilatingitself in structure and appearance to the original tendon. Talipes Equinus.—This is very seldom, if ever, a congeni-tal affection, but is, on the other hand, the most common non-congenital form of club-foot, according to Tamplin, in fortyper cent, of cases origi
. The science and art of surgery, embracing minor and operative surgery. Comp. from standard allopathic authorities, and adapted to homoeopathic therapeutics, with a general history of surgery from the earliest periods to the present time .. . act and bring down the shortenedmuscle, but remains permanently, though gradually assimilatingitself in structure and appearance to the original tendon. Talipes Equinus.—This is very seldom, if ever, a congeni-tal affection, but is, on the other hand, the most common non-congenital form of club-foot, according to Tamplin, in fortyper cent, of cases originating after birth, and in twenty-two anda half per cent, (or, according to Lonsdale Fi 407 and Adams, thirty-four per cent.) of allcases taken indiscriminately. The deformityin talipes equinus consists simply in an eleva-tion of the heel, which may be so slightas merely to prevent the foot from beingflexed beyond a right angle, or may be somarked as to force the patient to walk uponthe toes and extremities of the metatarsalbones, as seen in Fig. 407. The cause of this deformity (in children)is very often disturbance of the nervoussystem during dentition, or from the irrita-tion of intestinal worms, though some cases Talipes 742 SCIENCE AND ART OF SURGERY. depend upon general infantile paralysis; in adults, this form ofclub-foot may result from paralysis, from abscess or injury ofthe calf of the leg, or from habitually keeping the foot in a badposition (during the treatment of fractures, etc.), by which thepatient acquires a pointed toe. The treatment consists in the subcutaneous division of thetendo-Achillis, about an inch above its point of insertion. Thepatient being prone, and the tendon rendered tense by depressingthe foot, the tenotome is introduced flatwise (on either side, asmost convenient) and carried across in close contact with thetendon, so as to avoid wounding the posterior tibial artery: theedge of the knife being then turned backward, the tendon isfo
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