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French Congress of Orthopedics
The ninth session of the Société française d'orthopédie was held in Paris in October. There were two main questions on the program, the first being "Surgical Treatment of Tibiotarsal Tuberculosis." M. Delahaye of Berck said that immobilization in a plaster cast is the preferred treatment, and should be prolonged for a period of from two to three years, at least. The disease is always associated with marked trophic disturbances affecting the bones and the muscles. Astragalectomy is often required; it is not necessary to fill in the empty space with a graft. It is an excellent operation. The ankylosis that develops is not painful and allows later good use of the foot. It is preferable to mobile nearthrosis, which is painful and entails muscular rigidity. M. Nové-Josserand is an advocate of extirpation, not only of the astragalus but of all the diseased bones, even those that
PARIS. JAMA. 1927;89(22):1885-1886. doi:10.1001/jama.1927.02690220061023