The operative treatment of resistant club-foot / by E.H. Bradford.

  • Edward Hickling Bradford
Date:
1892
Catalogue details

Licence: Public Domain Mark

Credit: The operative treatment of resistant club-foot / by E.H. Bradford. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    strated by complete flexibility and excellence in gait. There are at present no contractions either in the tendo Achillis, plantar fascia, or in any part of the foot. The foot can be placed readily in an over-corrected position. The child walks about without apparatus, which has been discarded for several years. There is a tendency, however, for the child to toe in, especially when running, and the footprint indicates that the anterior part of the foot turns to the inside. This appears to be due to the obliquity in the articulation of the facet of the os calcis. The [same condition is Fig. 23. Drawn from photograph after operation. seen in the photograph from the dissection in the Warren Museum (Fig. 16), and even better in a specimen of adult congenital club- foot prepared by Dr. Goldthwait. On examination of this specimen, it will be clearly seen that the obstacles to the correction of this deformity do not lie alone in the distortion of the astragalus, nor in the ligamentous tissues which bind the scaphoid to the astragalus. After these may be removed, there remain evidences of distortion in the os calcis at its junction with the cuboid. The articulated surface of the os calcis, as it lies in contact with the cuboid, is oblique relative to the axis of the foot, rather than at right angles to this axis. It is manifest that
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