US1572A - Apparatus forx t thex t treatment of cilub-foot - Google Patents
Apparatus forx t thex t treatment of cilub-foot Download PDFInfo
- Publication number
- US1572A US1572A US1572DA US1572A US 1572 A US1572 A US 1572A US 1572D A US1572D A US 1572DA US 1572 A US1572 A US 1572A
- Authority
- US
- United States
- Prior art keywords
- foot
- treatment
- cilub
- forx
- thex
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Lifetime
Links
- 210000002683 Foot Anatomy 0.000 description 26
- 210000000474 Heel Anatomy 0.000 description 18
- 201000011228 clubfoot Diseases 0.000 description 16
- 241000567030 Ampulloclitocybe clavipes Species 0.000 description 14
- 208000001590 Congenital Abnormality Diseases 0.000 description 14
- 206010043101 Talipes Diseases 0.000 description 14
- 210000002435 Tendons Anatomy 0.000 description 8
- 210000003371 Toes Anatomy 0.000 description 8
- 210000002414 Leg Anatomy 0.000 description 6
- 210000000988 Bone and Bones Anatomy 0.000 description 4
- 241000469816 Varus Species 0.000 description 4
- 239000002184 metal Substances 0.000 description 4
- 210000003414 Extremities Anatomy 0.000 description 2
- 210000003205 Muscles Anatomy 0.000 description 2
- 229930016881 coniine Natural products 0.000 description 2
- 230000002950 deficient Effects 0.000 description 2
- 230000003292 diminished Effects 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 230000001747 exhibiting Effects 0.000 description 2
- 210000004744 fore-foot Anatomy 0.000 description 2
- 238000003780 insertion Methods 0.000 description 2
- 210000001699 lower leg Anatomy 0.000 description 2
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
- A61F5/01—Orthopaedic devices, e.g. splints, casts or braces
- A61F5/0193—Apparatus specially adapted for treating hip dislocation; Abduction splints
Definitions
- foot-board? or shoe which I havey constructed is calculated to turn, both the anterior part of the foot and the heel, outward, or to swivelA these' partsV ont their commonf axis, an effect which is a sz'ne Qua non, in the treatment of club foot.
- this improvement has been found to answer its intended purpose, to perfect satisfaction.
- Figure ll' represents a sideA elevationof the apparatus as improved by me.
- F ig. 2 is View of the metallic top plate of the sole or foot-board, exhibiting more particularly or in detail my improvement thereon; F ig. 3,' will be explained hereafter.
- A (Figsl and is the sole or foot-board', which, instead of being formed in onesolid piece of woodl or metal7 or acombination of each, inthe usual manner, is constructed in two parts, on one of which the heelrests, while the other serves to support the front part of the foot. They are connected together by the metallic radial bar c which is firmly secured, to the underside of the metallic 'top' plate a Fig. 2, by rivets or in any other proper manner.
- a toothed sector l is formed onr the other end of the bar 0,-and between the former and the plate a the bar is attached to the plate Z), by, and'l swivels or turns laterally on a screw or pin e.
- An endless screw f operated on by a suitable key applied on its head gworks in the teeth of the sector CZ, and whenever the key is turned by the hand, it moves the sector on the center e, thereby moving either to the right or leftY the front piece C of the footsboard A, and thus in case of varus where the front and heel of the foot form an. angle with each other, the anterior part ),of' the foot-board may be adjusted by means of the endless screw f' and sector cl to the proper angle to receive the foot,vwhich is then to be firmly strapped down upon the foot-board in the usual manner.
- This operation is effected by turning the endless screw a little from day to day and thus gradually applying a suliicient force to the front of the foot to twist it from its angular direction into a proper position with respect to the heel.
- the remaining portion of the apparatus is similar to that heretofore used, with the exception of the top of the upright standard D, Fig. 1, the difference of the same, being therein exhibited. ⁇
- the strap E which coniines the apparatus to the leg, is attached to a movable piece of metal F, which has a slot l1. i formed therein, and
- the piece of metal F By loosening the screws the piece of metal F, may be slid up or down upon the faceof the standard D, and thus the length, as it were, of the standard, may be increased or diminished, at pleasure so as to adapt the appairon or metallic rod or wire ab, and cel Fig. 3V
- key on the shank y of the endless screw j' may be set in angular position with each other, so as to adapt the same to the angle of deformity of the clubfoot, and afterward used to correct the said deformity in manner as hereinbefore described.
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- Health & Medical Sciences (AREA)
- Nursing (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Orthopedics, Nursing, And Contraception (AREA)
Description
JOHN B. BROWN, OF BOS'T-@Ng MASSAGHUSETTS.
APPARATUS FORA THE TREATMENT CLUB-FOOT.-
. Specification of Letters Patent No. 1,572,- datedf April 30, 1840:v
To all whom t mag/concern Beit known that I, JOHN- B. BRowN, of Boston, county of Suffolk, and State of Massachusetts, have invented new andl useful Improvements in the Apparatus Generally Usedf by Surgeons inV @rthopedic Operations' on Club-Feet.
'Ihe` saidl improvements,V the principles thereof and. modes in which I have contemplatedl the application of the same by which they' may ber distinguished from' other inventions of a like nature, together with such parts orl combinations I claim as my inven" tion and consider original and new I have herein set forth and described, which description taken in connection with the accompanying drawings herein referred to forms my specification.
The deformity of club foot has been viewed with interest by surgeons, from the time of Hippocrates to the present day, but it has remained for this age to discover its true pathology and treatment.- The dividing of tendons for correcting this physical imperfection has been occasionally practised for' more than half a century; but without success until within a very' few years. Even up to the present time no apparatus has been invented that was constructed in such a manner as to answer every indication in all the varieties of this unseemly deformity, to restore the foot to a natural shapey after the division of the tendons.
Stromeyer of I-Ianover was the founder of the present mode of treating club foot He invented an ingenious apparatus for the purpose of restoring the foot after the operation of dividing the tendons had been performed, but it is believed that no apparatus has hitherto been invented or used in Germany, France or England, or in fact any part of Europe, that so perfectly answers every indication in all or any variety of club foot, or which is so well calculated to correct the deformity, as the one now presented. It is an improvement on the apparatus used in Paris, which latter is very deficient in a suitably constructed foot-board or shoe, whichever it may be termed.
Itis well known, to those who are familiar with the deformity of club foot, that, in cases of varus, both the anterior part of the foot and the heel are turned in, or make a rentering angle with each other. The
foot-board? or shoe which I havey constructed is calculated to turn, both the anterior part of the foot and the heel, outward, or to swivelA these' partsV ont their commonf axis, an effect which is a sz'ne Qua non, in the treatment of club foot. In a great variety of cases and from repeated application, this improvement has been found to answer its intended purpose, to perfect satisfaction.
Figure ll'represents a sideA elevationof the apparatus as improved by me. F ig. 2, is View of the metallic top plate of the sole or foot-board, exhibiting more particularly or in detail my improvement thereon; F ig. 3,' will be explained hereafter.
A, (Figsl and is the sole or foot-board', which, instead of being formed in onesolid piece of woodl or metal7 or acombination of each, inthe usual manner, is constructed in two parts, on one of which the heelrests, while the other serves to support the front part of the foot. They are connected together by the metallic radial bar c which is firmly secured, to the underside of the metallic 'top' plate a Fig. 2, by rivets or in any other proper manner. A toothed sector l is formed onr the other end of the bar 0,-and between the former and the plate a the bar is attached to the plate Z), by, and'l swivels or turns laterally on a screw or pin e. An endless screw f operated on by a suitable key applied on its head gworks in the teeth of the sector CZ, and whenever the key is turned by the hand, it moves the sector on the center e, thereby moving either to the right or leftY the front piece C of the footsboard A, and thus in case of varus where the front and heel of the foot form an. angle with each other, the anterior part ),of' the foot-board may be adjusted by means of the endless screw f' and sector cl to the proper angle to receive the foot,vwhich is then to be firmly strapped down upon the foot-board in the usual manner. The same part of the `apparatus is afterward to be employed to correct the above deformity, or in other words, to= bring the anterior portion'of the foot in a right line with the heel. This operation is effected by turning the endless screw a little from day to day and thus gradually applying a suliicient force to the front of the foot to twist it from its angular direction into a proper position with respect to the heel. In general, the remaining portion of the apparatus is similar to that heretofore used, with the exception of the top of the upright standard D, Fig. 1, the difference of the same, being therein exhibited.` The strap E which coniines the apparatus to the leg, is attached to a movable piece of metal F, which has a slot l1. i formed therein, and
is secured Vto the standard Dfby screws 7c 7c.`
By loosening the screws the piece of metal F, may be slid up or down upon the faceof the standard D, and thus the length, as it were, of the standard, may be increased or diminished, at pleasure so as to adapt the appairon or metallic rod or wire ab, and cel Fig. 3V
of suitable size and length, the one at the toe being somewhat longer than that of the heel, as represented in the drawing. Metallic ears e f, g, It, Fig. 3 and g e Fig. l, project from the toe'andheel of the footboard. The ends of the metallic rods al?, ed are bent at right anglesiand inserted in holes formed in these ears, as seen in Figs. l, and 3. Circular rings or bent pieces of wire Z Z, are passed through holes drilled near the ends of the rods ab, cd, and these retain the extremities of the rods in the ears e f, g It. These rods Connect together the heels and also the toes of both feet, in such manner as to enable the patient to walk, by taking short steps until the muscles become accustomed to their new action and the bones acquire their Vrelative and normal position. l/Vhen one foot only is deformed, a shoe is applied to the Well foot, with ears at the toe and heel for the insertion of the yokes. In this way the `deformed leg is restoredto its normal shape, and without this, the foot (although by other means perfect symmetry might be established in the same), would still turn inward from the Obliquity of the bonesof` the leg.
Having thus described and set forth my improvements` I shall claim in the same as follows. y
l. I claim constructing the foot-board A, Fig. l, of two partsB, land C and connecting the same by a radial bar o turning on a center pin e Figs. 1,and 2 so that by means ofatoothed sector d, Figs. l, and 2, on said radial bar o and an endless screw f working in the teeth of said sector, the anterior part C andheel D, on application of a turning,
key on the shank y of the endless screw j', may be set in angular position with each other, so as to adapt the same to the angle of deformity of the clubfoot, and afterward used to correct the said deformity in manner as hereinbefore described. f
2. I claim connecting the anterior parts and heels by the yokes ab ed attached to ears e f g 71, Fig. V3 and e g Fig. 1, projecting therefrom, the former of said yokes being somewhat longer than `the latter, thereby turningthe feet outward until the divided tendons are united, and the bones acquire their relative and normal position.
In testimony, that the above is a true description of my said invention and improvement I have hereto set my hand this eighteenth day of January in the year eighteen hundred and forty.` v
. `JOHN B. BROVN. VVitnesses.:
i R. H. EDDY,
Ezm LINCOLN, Jr. y
Publications (1)
Publication Number | Publication Date |
---|---|
US1572A true US1572A (en) | 1840-04-30 |
Family
ID=2061859
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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US1572D Expired - Lifetime US1572A (en) | Apparatus forx t thex t treatment of cilub-foot |
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Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2702542A (en) * | 1951-12-24 | 1955-02-22 | Gessel Helen Ann | Splint for foot deformations |
US5348532A (en) * | 1991-09-24 | 1994-09-20 | Ipos Gmbh & Co. Kg | Orthopedic redressment splint |
WO2004047693A1 (en) * | 2002-11-22 | 2004-06-10 | Castro Cadena Carlos Martin | Device for the correction of talipes equinovarus |
-
0
- US US1572D patent/US1572A/en not_active Expired - Lifetime
Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2702542A (en) * | 1951-12-24 | 1955-02-22 | Gessel Helen Ann | Splint for foot deformations |
US5348532A (en) * | 1991-09-24 | 1994-09-20 | Ipos Gmbh & Co. Kg | Orthopedic redressment splint |
WO2004047693A1 (en) * | 2002-11-22 | 2004-06-10 | Castro Cadena Carlos Martin | Device for the correction of talipes equinovarus |
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