On the nature and treatment of talipes equino-varus or club-foot / by Bernard E. Brodhurst.
- Brodhurst, Bernard E. (Bernard Edward), 1822-1900.
- Date:
- 1893
Licence: Public Domain Mark
Credit: On the nature and treatment of talipes equino-varus or club-foot / by Bernard E. Brodhurst. Source: Wellcome Collection.
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![tions of this kiud on the same loot in suc- cession. flie latest description of these operations is thus given : The operation “ consists in dividing every resisting structure which is encountered in a free vertical passing from the dorsum of the foot into the depths of the sole over the head of the astragalus, the tendon of Achilles having been first cut. The improved position of the foot is thus obtained by lengthening the inner border of the foot, rather than by shortening the external border, as is usually accomplished in tarsectomy. It consists in inserting a broad wedge of space into the astragalo-scaphoid joint. This space is duly filled up with granulation tissue, which is eventually converted into a strong and trustworthy cicatricial band between the anterior and posterior segments of the foot.” Thus the fabric of the foot is cut through, that there may be inserted a broad wedge of space into the astragalo-scaphoid' joint. And this is done because, “ operating [subcutaneously] com- paratively in anatomical darkness, the surgeon cannot know for certain what structures he is dividing, nor can he be sure of severing certain important bands, deeply placed in the sole, per- haps, which chiefly prevent his obtaining the perfect and easy rectification of the foot. More- over, in a severe case of congenital club-foot, the](https://iiif.wellcomecollection.org/image/b28089327_0068.jp2/full/800%2C/0/default.jpg)
