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Article
February 28, 1885

METHODS OF TREATMENT OF RESISTANT CLUB FOOT.

Author Affiliations

BOSTON, MASS.

JAMA. 1885;IV(9):230-235. doi:10.1001/jama.1885.02390840006001a

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Abstract

Read in the Section of Surgery and Anatomy of American Medical Association, May, 1884.

Certain cases of neglected club foot are occasionally met of such an obstinate character as to resist ordinary treatment by tenotomy and mechanical applianees or to demand constant attention for a long time before a satisfactory result is gained. This has given rise to bolder operative interference than has before been thought justifiable. The following tables contain all the cases of tarsotomy which the writer has been able to collect:

The above table, compiled with additions from Chauvel's excellent article on the subject (Archives Generales de Medecine, 1882; p. 456), shows that the danger as to life from these operative procedures is not great. In 110 operations on 88 patients, 3 deaths are recorded. One of these is not fairly attributable to the operation (case 23), as at the autopsy evidence of ulcerative endocarditis existing before

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