Diseases and Deformities of the Foot (Google eBook)

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E.B. Treat, 1913 - Foot - 281 pages
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Page 157 - Every change in the form and function of bones, or of their function alone, is followed by certain definite changes in their internal architecture and equally definite secondary alteration in their external conformation, in accordance with mathematical laws
Page 95 - Casts may be easily and quickly made in the following manner : Seat the patient in a chair ; in front of him place another chair of equal height ; on it lay a thick pad of cotton batting and cover it with a square of cotton cloth. Put about a quart of cold water into a basin and sprinkle plaster-of-Paris on the surface until it does not readily sink to the bottom ; then stir. When the mixture is of the consistence of very thick cream pour it upon the cloth. The patient's...
Page 95 - ... into the plaster, and, the borders of the cloth being raised, the plaster is pressed against the foot until rather more than half is covered. The foot should be at a right angle with the leg and...
Page 215 - Esmarch bandage is then removed,* the part is thoroughly cleansed with hot saline solution, and the bleeding points are secured. The malleoli are then forced forward and accurately adjusted in the new articulation, and the wound is closed with catgut, reinforced with several silk sutures. The foot, carefully supported in its attitude of backward displacement and moderate plantar flexion is thickly covered with sterilized sheet wadding and fixed by a light plaster bandage, particular care being taken...
Page 95 - ... until rather more than half is covered. The foot should be at a right angle with the leg and in its normal relation to it, the sole being absolutely level with the leg, at a right angle to the floor. As soon as the plaster is hard its upper surface is coated with vaseline and the remainder of the foot covered with plaster; the two halves are then removed, smeared lightly with vaseline, and bandaged together. The interior is dampened with soapsuds and is then filled with the plaster cream. In...
Page 95 - Seat the patient in a chair ; in front of him place another chair of equal height ; on it lay a thick pad of cotton batting and cover it with a square of cotton cloth. Put about a quart of cold water into a basin and sprinkle plaster-of-Paris on the surface until it does not readily sink to the bottom ; then stir. When the mixture is of the consistence of very thick cream pour it upon the cloth. The patient's knee is then flexed, and the outer side of the foot, previously smeared lightly with vaseline,...
Page 37 - ... of the foot ; it arises by two heads, between which the tendons of the long flexors, arteries, veins, and nerves enter the sole of the foot. One head arises from the inner tuberosity of the os calcis, the other from the internal annular ligament and plantar fascia.
Page 214 - ... the malleolus and are drawn backward. One next divides the bands of the external lateral ligament, and the foot being somewhat adducted, the interosseous ligament is separated. On further inversion, the tissues being retracted, one may with scissors free the head of the astragalus from its attachment to the navicular, and forcibly twisting it outward, break off the cartilaginous margin to which the internal and posterior ligaments that cannot be reached are attached. One then prepares the new...
Page 214 - Achillis, and is continued downward and forward about three-quarters of an inch below the malleolus over the dorsum of the foot to the external surface of the head of the astragalus. The sheaths of the peronei tendons are opened and the tendons are cut below the malleolus and drawn backward. The bands of the external lateral and interosseous ligaments are divided and the head of the astragalus is freed from its attachments to the tibia and scaphoid.
Page 215 - ... then removes the cartilage from its inner surface. With a periosteal elevator the strong inferior calcaneo-navicular ligament is detached sufficiently to permit the malleolus to sink in behind or to slightly overlap the navicular. The two peronei tendons, thoroughly freed from their attachments to the fibula, are then passed through the base of the tendo Achillis from within outward and are sutured to it, and to the periosteum of the os calcis as well, at a sufficient tension to hold the foot...

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