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TREATMENT OF CONGENITAL CLUB-FOOT

STONE, C. A.

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The youngest child in the series was seven days old.

The oldest one was a boy of fifteen years.

Two were negro brothers, both with double deformity.

Of two white brothers, one boy had double club-foot and the other but one.

One colored child had a left talipes equino varus and a right calcaneo valgus.

Twenty-five were treated without operation.

Thirteen had tenotomy and fasciotomy.

Sixteen required the more severe operation.

Relapses.—There were four of these. Two because sufficient bone was not removed at the first sitting. They were corrected later. The other two relapses were in boys who had tenotomies done. One of them was not entirely straight and failed to return until three years later, when an osteotomy gave him a perfect pair of feet. The other was the boy who lost part of his feet. He, too, was corrected by osteotomy, and ultimately given a pair of feet much better than he had at first.

Failures.—One child must be classed here. The mother persistently removed the casts and was finally refused further treatment.

Deaths.—One boy died of pneumonia before correction was complete. The pneumonia was not induced by the treatment.

Final Results.—Three large boys upon whom osteotomy was done had fairly good feet and did not care to be treated further. Add to these the boy who died, the girl whom we refused treatment, the boy with the mutilated feet, and we have six cases not classed as good results.

The remaining 48 children all have well corrected feet with good functional capabilities.

Assistant in Orthopedic Surgery, Washington University.

Copyright © 1917 by The Journal of Bone and Joint Surgery, Incorporated
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