122 SURGERY. 



knife is thrust through the skin externally to the tendon ; then the 

 edge is directed towards the tendon and the knife withdrawn, 

 cutting the tendon as it escapes. 



The operation will facilitate the cure in most cases, provided the 

 subsequent treatment be effectually maintained ; and this depends 

 as much upon the fidelity of the parent or nurse in the constant 

 application of the apparatus as upon the skill of the surgeon. 



There may be said to be little or no danger resulting from the 

 operation. 



Various foot-boards and shoes are to be worn, by which the de- 

 formity is gradually and permanently overcome. 



The most favourable period for the operation is between six and 

 eighteen months. Great care is required not to produce excoriation 

 and ulceration of the skin in a young child. Oftentimes it is better 

 to remove the apparatus entirely than run the risk of producing 

 fever or convulsions. 



Tin: END. 



