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

  • Bradford, Edward H. (Edward Hickling), 1848-1926.
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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    given below! The operation is itself a simple one. An Esmareh bandage is applied, and an incision made on the outer side of the foot, beginning a little above the external malleolus, and curving forward and reaching to slightly beyond the head of the metatarsal. After dissecting back the flaps by cross incisions, the astragalus is separated from the scaphoid, the tibia and fibula, and, after forcibly twisting the foot, from the os calcis. Some difflcnlty is often encountered in dividing the strong ligament between the astragalus Fig. 15. Sole-imprint of a case of club-foot corrected by tenotomy with inversion of the foot without contraction. and os calcis, but after the use of some care this ligament is divided, and the astragalus is removed. A counter-opening is sometimes made on the inner side of the foot; the wound through the skin is stitched; and after removal of the Esmarch bandage, the wound is dressed aseptically and the foot placed in a corrected position, and fixed by means of a plaster bandage applied over a large aseptic dressing. The foot can, after operation, be placed without difficulty in the proper po.sition, and if proper care is used in asepsis, no evil effects follow the operation, and the wound