On The Reparative Process In Human Tendons After Subcutaneous Division For The Cure Of Deformities by William Adams. This monograph examines the healing of tendons after subcutaneous division used to correct deformities such as talipes. It combines post?mortem examinations of fifteen human cases (with division dates ranging from four days to three years prior to death) and a parallel series of experiments on rabbits to elucidate the reparative process. Adams argues that regeneration occurs through the formation of a new, tendinous tissue that reunites the divided ends, guided by the surrounding tendon sheath and matrix, and that this tissue is a permanent part of the tendon rather than a temporary scar. The work emphasizes the critical role of the sheath, notes the near absence of infection in favorable cases, and disputes the idea of a simple linear cicatrix. It also discusses factors that may hinder union (e.g., paralysis, dense tendon sheaths, excessive inflammation, inappropriate aftercare) and provides guidance on timing and gradual extension to optimize healing. The book is divided into Part I (reparative process in human tendons) and Part II (experiments on rabbits illustrating the reparative process), with an Appendix surveying English and foreign literature on the subject.
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