This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1880 edition. Excerpt: ... CLUB-FOOT. CHAPTER L INTRODUCTORY AND HISTORICAL REMARKS.--RE-UNION OF TENDONS AFTER SUBCUTANEOUS TENOTOMY, AND RULES FOR THE OPERATION.--RATE OF EXTENSION AFTER TENOTOMY.--DIFFERENCE IN THE NORMAL ANATOMY OF THE INFANT AND THE ADULT FOOT.--VARIETIES OF CLUB-FOOT.--CONGENITAL AND NON-CONGENITAL TALIPES.--CAUSES.--PROGNOSIS. Gentlemen,--In a special course of lectures, which I have been appointed to deliver in this institution,1 I desire to call your attention to the surgical treatment of that class of deformities or malformations, which is commonly expressed by the term, clubfoot. In doing so, I shall open to you a much-neglected, but, humanely speaking, one of the most attractive chapters of modern surgery. I say "modern surgery," purposely, for it is important for you, on many accounts, to know that this department of orthopedic surgery, as well as some others which will be mentioned by other instructors, is much younger than the present century. Our older surgeons readily recollect the modest begin 1 The College of Physicians and Surgeons, New York. nings of their practice in the division of tendons, and even those who do not consider themselves old, well remember to have seen deformed persons, who, through a long life, have borne without hope, the miseries attendant on unrelieved club-foot which, in earlier years, might easily have been cured. It was not until 1816, that the eminent surgeon, Delpech, began this procedure with hesitation and with indifferent success. In this connection I will ask you to fix in your memory, as one of the pioneers of your art, the name of this surgeon of Montpellier, who, if he had lived out the ordinary span of life, would have left a name, not easily forgotten, for originality of thought and ingenuity...
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