Orthopaedia or a practical treatise on the aberrations of the human form / by James Knight.
- Knight, James, 1810-1887
- Date:
- 1874
Licence: Public Domain Mark
Credit: Orthopaedia or a practical treatise on the aberrations of the human form / by James Knight. Source: Wellcome Collection.
Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)
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![allow the heel to be depressed. This will afford an exercise of great value in all cases where the gastrocnemius, soleus and plantaris muscles are in a shortened condition, and even in some cases, obvi- ates the necessity of severing the tendo- M0.34. Achillis. The method of application of the modified Scarpa shoe is represented in Fig. 34. In this engraving the front of the foot is limited in its upward tend- ency, as in nearly all cases of valgus the extensors of the foot are paralyzed. It will be observed that the joint A can be readily reversed from that constructed for extending the gastrocnemius, soleus and plantar muscles. The limited joint sustains the foot at a right angle with the leg, the heel being fixed. To apply the roller to the foot, a few turns should be taken over and under (B), and then pass under the plate in a reversed direction (C), by which means the everted foot will be drawn on the plate, there being a sufficiency of the roller at D to secure the foot in its place. This having been completed, the curved elastic spring (E) is to be adjusted by passing the attached broad padded band around the leg and the strap buttoned, which completes the dressing— the foot having previously been protected at the points of pressure by means of lint and the rollers. This is the first dressing, which is to be continued during the reparative process of the several tendons, or, for about three months, when it will be found that the foot is relieved from the everted condition, an i wfc ^Ji presents only the depressed instep. tlullffnTFw For the elevation of the instep, we have a piece of cork properly shaped for [ / that purpose and attached upon the sole- W I plate of the Scarpa shoe, as first ap- pt / plied. (See Figure 35.) A well-padded f| I cushion (A) is secured by a plate on the A^J|, ])$^ inner side of the joint at the ankle. The cork is attached on the foot plate (B), and a roller secures the ball of the foot](https://iiif.wellcomecollection.org/image/b21135083_0084.jp2/full/800%2C/0/default.jpg)
