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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    be fairly considered experimental cases. Although the deformity was corrected satisfactorily and useful feet resulted, yet the greatest possible perfection was not gained, as is shown in the accompany- ing footprint (Fig. 26), which, it will be seen, though that of a useful foot, and in result to be compared witli that after enucleation of the astragalus, yet is not so excellent as in the best cases. In conclusion, it can be said that not only is club-foot of the most persistent variety entirely and completely curable, but also that in many cases the milder means are sufficient. It is, however, demonstrable that in a certain number of cases osseous deformity of the neck of the astragalus and os calcis exists; and where this exists, the perfect correction can be made with but little mutilation of the bone, by either a linear osteotomy of the neck of the os calcis and of the astragalus, or the removal from the neck of either or both a small wedge of bone, if this is preceded by thor- ough division or stretching of the contracted soft parts. Thorough lengthening of the contracted ligaments and fasciae, as well as tendons, either by stretching or tenotomy or open incision, is essen- tial for a perfect result; if this is not done a less perfect result is obtained. %