CORRESPON DENCE. 
573 
1 st.—When the quitter has only attacked the posterior por¬ 
tion of the cartilage, employ caustics, preferably the liquor vit¬ 
iate, rarely the hot iron, as its effects upon the sound tissues 
cannot be properly governed. 
2 d.—Should one to two months of this treatment fail, or 
should the quittor advance toward the anterior part of the carti¬ 
lage, then operate without delay and extirpate the cartilage thor¬ 
oughly. 
The wall not only should be pared to a thin pelicle over the 
laminae, but also the sole and bar corresponding to the quittor. 
After the operation the dressing is not removed for ten to four¬ 
teen days, unless the thermometer indicates a temperature above 
102 ° F., after that it is renewed every few days. 
Clear as the operation is, it can be easily understood that it 
should only be attempted by one thoroughly cognizant of his an¬ 
atomy ; and of equal importance is the after dressing, which 
should firmly adapt the parts in position. 
Very respectfully yours, 
Rush S. Huidekoper, M.D. 
THE OPERATION FOR CARTILAGINOUS QUITTOR. 
Dear Mr. Editor. —The prompt response from Dr. Coates to 
my remarks on quittor interested me very much, although at the 
same time it occasioned me some surprise. I had no idea that 
the term quittor was used in such a general way, and consequent¬ 
ly did not intend to be understood as claiming that sinuses of the 
coronet, the results of wounds, treads, pricks, or even what some 
call suppurating corns, would require six or eight months to get 
well in. 
True quittor, as I regard it, needs no such accidents to pro¬ 
duce it, neither could its development be influenced by such 
recent injuries, excepting in a foot predisposed to the disease. 
The foot subject to quittor may never have received any exter¬ 
nal injury ; it is a strong walled, deep soled hoof, hard round the 
coronet, often badly contracted at the quarters, the hoof cor¬ 
roding and injuring the rings of the bone and adjacent tissue; 
