Identifier: treatiseonorth00whit (find matches)
Title: A treatise on orthopedic surgery
Year: 1903 (1900s)
Authors: Whitman, Royal, 1857-
Subjects:
Publisher: Philadelphia and New York, Lea brothers & co.
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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ch this object can be attained with the least interferencewith the structure of the foot should be selected. Such anoperation is what may be called forcible manual correction. Forcible Manual Correction. The patient having been anaes-thetized, one first attempts to correct the sharp inward twisf althe mediotarsaJ joint. Supposing the left font to be deformed,one gra-p- the heel with the right hand in such a manner thai 64 mmiorhpic srjK.ERY. the projection or muscular part of the palm lies on the outeraspect f the foot against the most prominent part of its outerborder, which is at the junction of the os ealcis and cuboid bones.This hand serves as a fulcrum over which the inverted foot mayhe bent. The forefoot is then grasped firmly by the left hand,ami one begins a series of outward twists over the fulcrum of theopposing palm, gently at first, with alternate relaxation of pressure,hut with gradually increasing force as the resistant tissues stretchunder the tension. Fig. 465.
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Flattening the sole. (Lorenz.) If greater force is required, a triangular block of wood, wellpadded, may be used as the fulcrum (Fig. 464), one hand pressingon th<- heel and the other on the forefoot; but there is a greatadvantage in using aothing but the hands, because one feels surethat no injurious force is likely to be exerted. Under this steadymanipulation the foot sood Loses its rigidity and its elastic recoiltoward deformity; it becomes so limp that with two fingers onecai t only hold the sole straight, but can push it or bend it DEFORMITIES OF THE FOOT. 765 outward. Thus the first stage of the methodical correction hasbeen accomplished. One then turns his attention to the supination or inversion ofthe sole, which makes the outer border of the foot lower thanthe inner border. The leg is grasped firmly near the ankle withthe left hand, and with the right the foot is forcibly twisted in adirection downward, outward, and upward, over and over again,with steadily increasing forc

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