New-York tribune., 1902-12-19
FOUR CASES TREA TED.
DR.. Lorenz Performs Successful OPP
Grafton for Double Clu3foot.
MANY WOMEN sEsEEcH HIS AID.

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days clinic. the longest he has yet held in this
! city, and exceeding the long of wednesday
at the POSTGRADUATE Hospital by half an hour
He operated yesterday at the Cornell University
Medical College First-ave. and Eighteenth-st.,
in the presence of four hundred guests. Prompt
ly at 3 o'clock DR.. Lorenz appeared Dean
William NJ Polk, of the faculty of the college,
spoke few words of introduction, and then
DR.. Lorenz began to demonstrate The operat-
ing room in this place is on the first floor. and
when it was crowded to its full capacity there
were still many struggling to get in.
Loretta Paltangli, eight years old. suffering
from congenitaI dislocation of the right hip,
was the first patient. The hip was soon in its
proper place. Then Certie Brakeman, four
years old. with the same aff1iction, but OF the
left hip. brought in. After a few minutes
vigorous work she was turned over to the assist
ants to be bandaged and to have the plaster
cast adjusted. Annie Fairbloom five years DID,
was the third patient Her case was a disloca-
ton of the left hip, which was soon reduced
Each of these operations took about fifteen min
utes. including the explanatory remarks.
When the feature of the days work began,
Dr. Lorenz, after lengthy talk double club
foot-talipes equine varus-fn which he described
his method of treating it. ordered the patient
brought in. At Al the child placed on the
table.
DR.. Shaffer washed the childs limbs carefully.
and Professor Lorenz held her up above the
table. to show the audience how severe case
he had to operate on. Both feet were turned in
ward at right angle to their normal position.
the exterior. or outer sides. of the feet being
turned downward, so that they came in contact
with the able instead of.the bottoms of the feet.
The big toes the highest parts of the feet.
Il abandoned the cutting operation for club
feet three four years ago. said Professor
Lorenz when he had replaced the Cdild on the
table THE problem is TO stretch the
muscles and ligaments until the foot regains its
normal position. This clubfoot is foot rolled
up rolled in We simply unroll it,
He took the child's left foot in both hands
and began to stretch the muscles. Presently he
laid the foot on block. couple of inches above
the table, and continued the stretching process.
exerting great strength in the operation DR..
Muller. who by this time had finished the plaster
cast on the third patient. then went to the table
and began to manipulate the child's right foot.
His hands were still covered with the plaster
and before he had been working long the skin
of the foot broke and little blood appeared
Professor Lorenz at once put bandage about
that foot, and said that only the skin had
broken, not any Of the muscles. DR.. Muller
washed his hands and continued the operation.
leaving the bandage on.
Professor Lorenz and DR.. Miller were soon
perspiring freely and apparently began to get
tired.
This Is the most difficult case I have ever
seen in child of four years. said Professor
Lorenz The foot is short that l can't easily
hold it In particularly difficult cases 1 some
times cut the tendon Achilles and even some
times use an osteoclaste "a bone breaker) In
this case, however I think we can succeed by
these manipulations. They must be continued
II Feet soft nd JfahIa hat
be easily unrolled.
Both Professor Lorenz and DR.. Miller had
laid their eyeglasses aside and were apparently
exertins their utmost strength Professor Lo-
REM talked at frequent intervals as he worked.
At the breaking of the skin. he had said:
That is a Phelps operation without intend
ing IT"
He explained that accidents like abrasion of
the skin could be avoided II more time were
taken in the operation.
But Of course, everything in New-York Is
done in a hurry" he said. which brought forth
applause from the tiers of seats in the amphi-
theatre where the spectators sat.
At 434 o'clock twenty-three minutes after
he began with the patient, Professor Lorenz
held the child up and showed that the muscles
Of both feet were so pliable that with the fore
finger and thumf he could bend either foot from |
its original posi- on to the normal position He
then stood the child up and showed that the |
soles of it's feet came solfdly the table and
that the chfld's own weight held them in that |
position
We did nothing but unroll." he said.
Calling attention to the abnormal shape OF the |
child's feet which were still too broad with bony
protuberances at the outer sides, he remarked: |
The bones, you see. are still deformed We |
cannot change the shape Of the bones; that, |
nature will do. In six seven months. if the |
child runs about and plays, the shape will be- |
come changed; the bony shape of the club |
foot will become the bony shape of the fat |
foot"
The child now turned on the table and It's |
feet were bandaged. Professor Lorenz said ex-
trene care must be observed in the bandag gng. !
He had lost a foot by gangrene and had lost a |
netatarsaI by bandaging too tight That was |
some time ago, and was not the fault of the |
method, but his own fault. While he was at |
work with the bandages he told of the case of |
man forty-two years old on whom he had oper- |
ated in Germany and whose feet he had |
Strengthened in one hour
IT did too much" ne said I'm six months |
that man had to be treated for his fat foot. and
to this day he uses metallic instep-
Al $40 the clinic ended, and DR.. Lorenz de- |
parted The corridors between the room where |
the operations were performed and the dispen-
sary were crowded with men and women bear
ing undressed crippled children in their arms.
The children had been disrobed by their parents |
to be ready for the operating table, in the hope |
that Dr. Lorenz might correct their deformties. |
They crowded about the famous surgeon as he |
left the operating room. caught hold of his |
sleeves and begged him piteously to operate on
their children
After he had gone AMI the announcement had
been made that more operations would be
performed that afternoon many of the women
.-ina q thar heran To dress their children