At what age should the first treatment of congenital club-foot be instituted? / by H. Augustus Wilson.

  • Wilson, H. Augustus (Harry Augustus), 1853-1919.
Date:
1892
Catalogue details

Licence: Public Domain Mark

Credit: At what age should the first treatment of congenital club-foot be instituted? / by H. Augustus Wilson. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    [Reprinted from the Transactions of the American Orthopedic Association, September, 1892.] AT WHAT AGE SHOULD THE FIRST TREATMENT OF CONGENITAL CLUB-FOOT BE INSTITUTED ? By H. AUGUSTUS WILSON, M.D., Professor of General and Orthopedic Surgery in the Philadelphia Polyclinic and College for Graduates in Medicine; Clinical Professor of Orthopedic Surgery in the Jefferson Medical College and in the Woman's Medical College; Consulting Orthopedic Surgeon to the Lying-in Charity and to the Kensington Hospital for Women. The special feature of this meeting is the discussion of the treat- ment of club-foot, but such discussion would be incomplete without some consideration being given to the proper time for the first treat- ment to be instituted in order to be most efficacious. Notwith- standing the absence of any well-authenticated reason, and often in direct opposition to well-established facts, a vast number of cases stdl go on to maturity with uncorrected, relapsed, or only partially corrected feet. That this is due largely to misconception as to the proper time to begin treatment, as well as to apparent want of knowledge of what that treatment should consist, is clearly under- stood by all orthopedists. The general practitioners, however, are often the ones who advise delay or overlook the necessity for appropriate treatment early ap- plied and persistently continued. As accoucheurs, they are often the iTsTiTl17Ct thr ?rSt .treatment and decide as to the age at which t should be applied, and it is important, therefore, that they should be informed of the results of experience. In the table of 101 cases -ported by Dr. E. H. Bradford, in the Transactions of the aL72 L p-89’tiic «* *** w e lllst seen by him is given, as follows i 2 cases at 1 case “ 2'cases “ 10 “ “ 2 « “ 1 case “ 4 weeks. 7 “ 2 months. 3 “ 4 “ 5 «