A practical manual of the treatment of club-foot / by Lewis A. Sayre.

  • Lewis Sayre
Date:
1869
Catalogue details

Licence: Public Domain Mark

Credit: A practical manual of the treatment of club-foot / by Lewis A. Sayre. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    17 front of the medio-tarsal articulation, still drooped, as seen in Fig. 26, and could not be elevated. In my note-book I find the following entry, made at tlie time of my first examination, by my assistant. Dr. Yale: It is quite possible that the plantar fascia and short flexors of the foot will re- quire division, but shall at first attempt to accom- plish the restoration of the foot by manij)ulation, and shoe with elastic extension. The result of the treatment proved the wisdom of this decision. I put her under chloroform, and by very firm pressure and extension, continued for some time, I found that I could make a very decided diminution of the arch in the hollow of the foot, and very ma- terially increase its length; and, as I never cut tis- sues that will stretch imder a moderate degree of force, I resolved to use the shoe, without resorting to tenotomy. The foot was handled with great freedom every day while the shoe was being made, and stretched as much as the child could bear without suffering much pain; and electricity was applied to the an- terior muscles of the leg every other day. On the 24:th of June, the photogra]3h of Fig. 27 was taken, and then an ordinary shoe with steel supports on either side, jointed opposite the ankle, and buckled around the leg above the calf, to give