CASE OF TENOTOMY. 
197 
iron plate, as a cover for the sole of the foot, which is made to 
open and shut at pleasure through a hinge at the toe of the shoe. 
The plate fits exactly into the hollow of the shoe, and when 
shut down upon the dressings applied to the foot — as it is in- 
tended to be — is confined down (not by nails, as is usual) by 
an iron cross-bar extending from heel to heel ; the difference 
between the cross-bars of the two shoes being, that, in the case 
of No. 1 shoe, the bar is ingeniously let into a mortise cut 
through the inner heel of the shoe, while a screw fixes it down 
upon the outer heel ; whereas, in No. 2 shoe, the bar is placed 
upon the heels of the shoe, and by screws firmly fixed to them. 
No. 1 is so constructed that great facility is afforded to renew 
or replace the dressings, only one screw having to be removed, 
and the bar at the other end slipped out of the mortise to get at 
them. But No. 2, being intended to bear “some work,” is not 
made with a mortise, but has, in lieu thereof, an additional 
screw, its bar being laid flat upon the heels. There is also, as 
will be perceived, a difference in the construction of the hinges 
of the two shoes; one being a hinge of ordinary and strong 
make, to resist blows, and being likewise defended from con- 
tusion from the ground by a prominent nut placed either side of 
it; the other being a sort of swivel hinge neatly let into the 
inner border of the web of the shoe. Altogether, they are two 
shoes evincing not only mechanical ingenuity, but considerable 
forecast of experience on the part of the inventor — be he 
Mr. Wells or not; and shoes which we earnestly recommend 
to the attention of every practitioner who has to treat cankered 
feet in that state of disease of the sole of the foot which de- 
mands protection and pressure. — Ed. Yet. 
Case IT. — Tenotomy. 
Division of the Flexor Tendons , Perforatus , and Perforans. 
The subject was a well-shaped bay cart-horse, about ten 
years old, belonging to Messrs. George Hogg & Co. of Sitch 
Brewery, near Lynn. He had been turned off about two years, 
and appeared to be in perfect health and condition, with the 
exception of the near fore leg, the fetlock joint of which was so 
completely doubled forward, and the flexor tendons so much 
contracted, that he went entirely on his toe, going so lame that, 
it was with great difficulty he could be made to move at all. 
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