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ON

ANKYLOSIS, OR STIFF-JOINT.

By the same Author.

A TREATISE on the NATURE of CLUB-FOOT and ANALOGOUS DISTORTIONS; including their Treatment, both with and without Surgical Operation. Illustrated by a Series of Cases, and numerous Practical Instructions. In 8vo, with Forty-one finished Wood-Engravings, price 12s. cloth boards.

SYMBOLE ad TALIPEDEM VARUM COGNOSCENDUM DISSERTATIO INAUGURALIS. Berolini, 1836-7. 4to, pp. 78. Price 5s. This work, the first published on the subject in any language since the discovery of subcutaneous tenotomy, contains, in addition to the Author's observations, the opinions of various Continental authorities on the causes and morbid anatomy of Club-foot, with the general history of the subject. A few copies may be had of Messrs. Longman and Co.

In the Press.

ON CONTRACTURE. A Practical Treatise on the Contractions and Deformities resulting from Causes which operate at a distance from the Articulations, Spasm, Paralysis, &c.

ON

ANKYLOSIS,

OR

STIFF-JOINT:

A PRACTICAL TREATISE ON THE CONTRACTIONS AND DEFORMITIES
RESULTING FROM DISEASES OF JOINTS.

BY

W. J. LITTLE, M.D.

LECTURER ON MEDICINE AT, AND ASSISTANT PHYSICIAN TO, THE LONDON HOSPITAL;
PHYSICIAN TO THE ORTHOPEDIC INSTITUTION, THE INFANT ORPHAN AND
THE MERCHANT-SEAMEN'S ORPHAN ASYLUMS, ETC.

LONDON:

LONGMAN, BROWN, GREEN, AND LONGMANS,

PATERNOSTER ROW.

1843.

LONDON:

PRINTED BY LEVEY, ROBSON, AND FRANKLYN,

Great New Street, Fetter Lane.

PREFACE.

THE Author has few reasons to assign for the publication of the following pages. The treatment of ankylosis, or stiff-joint, by the Stromeyerian method,

subcutaneous division of tendons and subsequent gradual straightening,-may appear to many readers to want the charm of novelty. But, although the method in question has now been frequently practised in this country, and occasionally a successful case has been announced in the medical periodicals, no complete exposition of the forms of ankylosis in which it is especially useful, or the details necessary for enabling the competent practitioner successfully to apply it, has been hitherto published. The pathology of ankylosis in reference to the complications affecting the curability, the production of semiluxation previously to occurrence of ankylosis, and the mode in which muscular contraction arises, will be found to have engaged the Author's attention as a preliminary to the practical portion of the Treatise. The Author believes that some advantage will accrue from his labours to those surgeons who, from having witnessed the success of subcutaneous tenotomy * in the cure of club-foot, may already be prepossessed in favour of its application to this frequent class of

* From Tévwv, tendon, and réμvɛiv, to cut.

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