Iron County register. [volume] (Ironton, Iron County, Mo.) 1867-1965, 1883-08-30
= ~1Ff =. Bow-Legs.

In one of the surgical wards of Belle
Vue Hospital reporter of the Tribune
was surprised to see about a dozen
children lying on their backs, with their
feet bofstered up and their legs incased
IN splfnts and plaster of Paris. The
Oldest child in the lot was under five
years. of age, while the Youngest was
about two years old.
I. Itf.Every one of these children has had
both legs broken" an attendant said.
''When were they injured?" the re-
porter inquired.
Eight of them had their lege broken
to-day in this room," was the reply.
A tall young man with fair hair and
smiling face, who was introduced as
DIR. Fraser c. Fuller, member of the
Bellevue Hospital surgical staff, said:
81 am responsible for the treatment of
these little ones. They all were either
bow-legged or knock-kneed. Their
limbs We're so much out of shape that
they were hardly able to walk. II they
had been permitted to grow up without
surgical attention they would have be-
come confirmed cripples. They have
been subject to the operation known as
osteotOmy., In the case of bow-legged
child an incision is made in the leg, be-
tween knee and the ankle The skin
and underlying tissues are cut through
with knife as far as the bone. Then
an ordinary carpenters chisel is used.
The bone is cut about two-thirds of the
way through, the chisel being held
somewhat obliquely. As soon as the
chisel is withdrawn the leg is grasped
firmly above and below the cut and the
bone is broken sufficiently to permit the
Strengthening of the limb. Bandages
and sphnts are applied and set in plas-
ter to keep the bone in the right position
until the fracture is healed. The treat
ment is similar in the case of a knock
kneed child, except that the bone is
broken above the knee"
Elbow long does it take a child to re-
8 cover from such operation?'
1.-The bone is set within four weeks
after the fracture, but the child is not
permitted to use its limbs much for
several days after the splintS are re-
moved. Walking is allowed by slow
degrees. When the children are able
to run about again. however, their legs
are as straight as those of other boys
and girls"
care not the children liable to loose
their lives while under treatment?'
There is comparatively little danger
In performing such an operation on a
child under six years of age. but the
risk increases as the child grows older.
have been operating upon all the
bow-legged children we could get here
for year. None have died. and those
who have been in the hospital long
enough to recover have gone away with
straight limbs.'
t.Do the children suffer much under
the operation?'
'.They are put under the influence of
ether while their limbs are being
Strengthened, and they suffer much less
pain afterward than a grown person
would under like circumstances. Notice
the way string their heels up above
the level of their heads. That is to pre-
vent too much circulation of blood in
the legs. 1t prevents Inflammation and
lessons the pain
The children, who lay on their backs,
with their feet in the air, appeared to
be rather comfortable. One or two
were fretful, but the nurses said their
uneasiness was caused by forced mac
ton Most of the little ones were the
offspring of poor Italians. 1t was said
that their legs had become crooked be-
cause they had been permitted to walk
alone too early and because their bones
were soft from lack of proper nourish-
ment. DR.. Fuller exhibited photo
graphs of several children on whom he
had performed the operation of osteot-
omy' within n year. Some of the pic
tures were taken before the operation
and others after the children had recov-
,.eted. A comparison of the pictures re-
+. vealed wonderful Improvement. In
I~dne, set of pictures children were repre-
scented with both legs bowed so badly
! that their knees were foot apart when
they stood with their feet close together.
The other pictures showed the same
children with limbs straight and well
Z shaped An increase in height, as well
as the removal of the deformity, caused
a pleasing transformation.-N. Y. 7ri-
EUna