. The surgical treatment of the common deformities of children . be followed by re-union, unlesssome special precautions are taken. The difficultylies in the tendency the web shows to reform itselffrom the bottom, , from the angle of the cleft ; ifit can be got to heal there, the rest of the fingerscan be managed readily enough. Occasionally,when the web is very thin, snipping it down soonafter birth with a pair of scissors will put mattersright. For the more serious cases, one good planis to make an aperture at the apex of the cleft, andthen to insert a piece of thick silver wire, whichmu
. The surgical treatment of the common deformities of children . be followed by re-union, unlesssome special precautions are taken. The difficultylies in the tendency the web shows to reform itselffrom the bottom, , from the angle of the cleft ; ifit can be got to heal there, the rest of the fingerscan be managed readily enough. Occasionally,when the web is very thin, snipping it down soonafter birth with a pair of scissors will put mattersright. For the more serious cases, one good planis to make an aperture at the apex of the cleft, andthen to insert a piece of thick silver wire, whichmust be worn until the whole is firmly cicatrizedthroughout. The separation can then lie completedwith good prospects of success, by dividing the weband (lien suturing the cut edges. CLUB-HAND, ETC. is;, Other plastic operations, having for their object Didots . .. operatio the displacement of the scars from their positionbetween the fingers to fchebackand front, have beendevised, of which the best known and most inge-nious is thai of Didol (Figs. 7:5, 74). The. Fig, for Didots operation. F .. 7 i -Transverse section of fingers. septum, however, has to be very thick and fleshyfor the appearance in reality to resemble at allclosely that figured on paper. As will be seen from the figures, median incisionsare made along the front of one finger and the bad;of the other, the latter extending rather lowerdown. By means of transverse incisions, joiningthem above and below, two oblong flaps areobtained, one, dorsal, attached to one finger, theother, palmar, attached to the other. In theprocess of making these flaps, the fingers are, ofcourse, separated, and when they are finished theyare both wrapped round the raw inner surfaces ofthe fingers to which they are attached, in front andbehind, respectively. A somewhat simpler plan, which I believe will Agnews « -, ., , . , operation. be found the best m most cases, is that de-scribed by Agnew.* It consists in cutting a * Agnews Su
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Keywords: ., bookcentury1800, booksubjectabnormalitieshu, booksubjectchildren
