Fractures, dislocations, deformities and diseases of the lower extremities / by Hugh Owen Thomas.

  • Hugh Owen Thomas
Date:
1890
Catalogue details

Licence: Public Domain Mark

Credit: Fractures, dislocations, deformities and diseases of the lower extremities / by Hugh Owen Thomas. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    fPait Tii. lg the feet. In my ex]'enence it has happened that a person has been under treatment by a spinal specialist for years, fitted with irons from tlie shoulder to the sole of the foot, without perceptible eflfect, yet, a few pieces of leather applied to the boot produced the wished-for effect. CI ud Foo/:-There are two classes of this deformity; the congenital, and non-congenital. In the first class we have talipes calcaneus, equinus, equino-varus, and plantar-varus: in the second class arising either from constitutional or traumatic cause, we have generally talipes equinus, and valgus, very rarely the varus form. I'he diagnosis between congenital and non-congenital talipes is generally very easily made, with one exception, that of talipes equinus, which is not so easily differentiated. It has been my observation, that in the non-congenital form of talipes of the equinus type, the foot can be perfectly flexed, it the knee is also flexed, but when the knee is perfectly extended, flexion of the foot is limited. This is not generally the case in the congenital form; hence we may conclude that the muscular tissue of the soleus is principally affected in these cases. Before giving details of my method of treating the various forms of club foot, I here introduce a summary of principles. They have already been referred to in a previous Con- tribution. Firs/.—Having tenotomised, immediately force should be used to gain the utmost possible range of action. Second.—The part is re-examined within twenty-four hours after the initial operation, so as to avoid any serious
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