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.

    19/22 (page 17)
    in this individual case it would be impossible to entirely replace the euboid in the proper position in relation to the os ealcis simply by a division of the soft parts on the inner side of the foot, and also that after remov’al of the astragalus all the osseous obstacle to correction is not removed. FiOr. 24. Drawn from casts before operation in a boy of ten with congenital club-foot. The method of procedure for attacking the projection of the os calcis is a simple one. An incision should be made, starting below the external malleolus with convevity upward reaching to the pro- jecting head of the astragalus, and passing downward toward the outer side of the foot toward the sole. This flap should be drawn down by means of hooks, and the neck of the os calcis laid bare. An osteotome can be inserted a short distance from the line of the cartilage, and the wedge-shaped piece of bone removed from the neck. The foot can be forcibly corrected with but little force if the contractions of the soft parts on the inside of the foot have been stretched or divided. If, however, there is, as often occurs, also resistance at the astragalus, the upper portion of the skin above the incision can be retracted, and the neck of the astragalus ‘2