History of the club-foot
The club-foot varus equine is a disease known since
the oldest times.
Let us recall that in ancient mythology,
(still called Vulcan or Mulciber), god of Fire, blacksmith and arms
manufacturer of Olympe, was a lame god.
XIIème century before our era on Egypt a Pharaon carrying club-foot
Hippocrate was the first to try to understand and treat this disease, and this as of the birth.
“The club-foot is curable in the majority
of the cases. Best is to treat this lesion as soon as possible before
it becomes a marked atrophy”.
born on the island from Cos into 460 before our era.
and died in Arissa into 370 before our era.
With the Middle Ages, the club-foot was regarded as a sign of divine origin (thus like a punishment) and had already this negative image.
In 1642, Jusepe de Ribera painted for the viceroy,
the duke of Medina of mow Torres, a fabric representing a young beggar
carrying a pied
bot, fabric currently exposed to the museum of Louvre.
It is necessary to await XVIème century, with Ambroise Paré and Felix Würtz of Basle, to see appearing new more rational descriptions of the club-foot, and especially of the proposals for a treatment per progressive external application.
the tendon of Achilles (complete section of the tendon which draws the
heel upwards) was carried out by Lorentz in Frankfurt in 1782. It was
followed by Delpech to Montpellier at the beginning of the XIXème
century, but the technique was stopped because of the big number of
post-operative infections. The treatment was thus primarily orthopedic
by external procedure.
Jacques Mathieu Delpech, médecin français, né à Toulouse en 1772, mort assassiné en 1832
|Talleyrand with water
of Aachen in July 1829.
Drawing of the Countess Heather.
Talleyrand was carrying a club-foot varus equine RIGHT.
(National library. Cabinet of the Prints. Ref.: 67.A. 16600 N2 Bénévent).
Orthopedic shoe of Charles-Maurice de Talleyrand.
“The examination of the orthopaedic
appliance exposed to the Castle of Valençay brings further information.
Over the entire length on the external side of the shoe, the stringer
overflowing, is raised, and cut obliquely, to defer the base of lift
apart from the axis of the weight of the body and to thus correct the
supination by the action of gravity at the time of loading. This device
is supplemented by a rigid external buttress going up on the side of
the heel, including the malleolus, and upholstered because of the cutaneous
wounds which it would have been likely to cause compared to the projection
malléolaire. Lastly, exists a clamp runs étreignant the
heel and supporting, via an articulation with adjustable thrust, an
internal tutor solidarized with the leg by one embraces calf, it also
articulated. With that is added a strap in T whose slope fits into the
external part of the heel, caps the external malleolus, and, by its
two horizontal branches, comes to take support on the internal tutor.
Only differs from the model prescribed by R. Ducroquet, the way of connecting
the internal tutor to the shoe, the loop which closes the shoe in addition
to the lacing, similar to that which exists opposed side, not having
in addition to be interpreted as a support of instep of orthopedic indication.
The club-foot of Talleyrand and its association with a syndrome of
|In 1831, Stromeyer
had the idea to carry out the first tenotomy of Achilles, not by largely
opening the skin (what led to an infection), but by an incision of a few
millimetres: it was the first percutaneous tenotomy.
The large English surgeon Little itself was treated in this way, learned this technique and brought back it in England in 1837.
orthopedic equipment for equine club-foot varus, used at the end of the
XIXème century and at the beginning of the XXème century.
of the anomalies of position of the feet gathered under the term of “club-foot”.
Only figure III (diagram of right-hand side) corresponds to the current denomination of the club-foot (varus equine).
|The beginning of the XXème century sees the birth of orthopedic tools for correction of the club-foot such as the machine of Professor F.Schultze, allowing rectifications “forces some”, and probably “in suffering”, of the anatomical deformations.|
|Orthopaedic appliance used at the beginning of the XXème century with the Rizzoli institute.|
Here an example of splint used in the year 1930 and the method of installation described by Dr. L.Ombrédanne.
“For setting up well, one will wrap initially
the foot of a layer of not very thick wadding, but especially quite
It is a boot armed with a posterior metal blade anchored
in the heel; this blade is articulated so as to have a certain mobility
in only the plane frontal (fig. 942). The external edge of the sole
is thicker than the intern, and a belt solidarizes this external edge
with the posterior metal stem.
century saw developing surgical techniques of correction increasingly
pointed with doctors like Barnett, Codivilla, Brockman, Turco…
In parallel, the orthopedic treatment became softer and codified more and more with Elmsie, Kite then Ponseti and Masse.
Some famous persons carrying club-foot
Byron (George Gordon)
|He always lived
very with difficulty this disease, and felt it like a physical and social
For this reason he preferred food in Venice, where displacements were done more in gondoles than with foot.
(more on George Gordon Byron)
|English novelist||He accepted his disease better,
more especially as two of its ancestors of it had been carrying.
(more on Walter Scott)
He dissimulated the congenital
origin of his disease by telling that an awkward nurse had caused an
accident in her childhood.
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