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October 1, 1910


JAMA. 1910;55(14):1193-1194. doi:10.1001/jama.1910.04330140037010

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When a number of different operations are devised for the same surgical condition, we may assume, first, that the condition is a difficult one to treat successfully, and, second, that no one operation has proved entirely satisfactory in all cases. This is certainly true of clubfoot—pes equinovarus. Few if any deformities are more difficult of perfect correction, and in few conditions, if any, do we see more postoperative relapses. It is not the object of this paper to discuss at length the various operations which have been devised, but rather to outline the surgical treatment that, from a varied experience with cases personally treated, I have learned to be most satisfactory.

WHEN TO OPERATE  Operation should be done early. Patients should not be allowed to remain with deformity for one to two years before a corrective operation is performed. If the patient is seen at birth or a few days

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