In the spring of 1924, Dr. O. E. Denney, the officer in charge of U. S. Marine Hospital No. 66, the National Leprosarium, at Carville, Louisana, conceived the idea that many of the patients could be greatly benefited by orthopedic treatment, and perhaps relieved of their characteristic deformities; if so, one of their most serious problems, after being discharged from the colony, would be solved. I was asked to visit the hospital and to make a survey of the patients from an orthopedic standpoint, so as to advise what could be done to help restore these unfortunates to usefulness. After making an extensive tour of the institution during which about half of the 250 patients were examined, my conclusions were that the majority of the deformities could be prevented, and many could be greatly benefited by the establishment of an orthopedic service, provided a well equipped physiotherapy department was installed.
McILHENNY PA. ORTHOPEDIC PROBLEMS IN LEPROSY. JAMA. 1926;87(23):1888-1891. doi:10.1001/jama.1926.02680230012004