Excerpt from Surgical Lectures: Delivered in the Theatre of the Westminster Hospital In 1854, Dr. Little recommended this operation, and the late Mr. Solly, of St. Thomas's Hospital, performed it. The' details of the operation are given; the cuboid bone, and possibly portions of other bones, were also removed piecemeal by the gouge. A Scarpa's shoe was applied, and the result was ulti mately less successful than had been anticipated by Mr. Solly. Let us now consider the rationale of this treatment on a club-foot (talipes ...
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Excerpt from Surgical Lectures: Delivered in the Theatre of the Westminster Hospital In 1854, Dr. Little recommended this operation, and the late Mr. Solly, of St. Thomas's Hospital, performed it. The' details of the operation are given; the cuboid bone, and possibly portions of other bones, were also removed piecemeal by the gouge. A Scarpa's shoe was applied, and the result was ulti mately less successful than had been anticipated by Mr. Solly. Let us now consider the rationale of this treatment on a club-foot (talipes varus). The astragaloid division of the foot is untouched the metatarsal bones of the little and fourth toes are approximated to the OS calcis; SO that the expanded tubercle on the fourth metatarsal rests on it. By fourth metatarsal I mean that of the little toe, because the great toe consists of three phalanges, and does not possess a metatarsal bone. The subsequent eversion and' rotation of the foot anterior to the astragalus is much facilitated, because you concentrate your instrumental and manual energies on one hinge (astragalo scaphoid), instead of two (astragalo - scaphoid, and calcaneo cuboid); and, if you will pardon me for using a rough simile, it is far easier to wrench off the lid of a box that has support only from one hinge in the place of two. The block of cuboid. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at ... This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.
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