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"Boy, aged 3½, was admitted on 17.3.33. with severe right club-foot.
Two operations were performed and good correction of the deformity was
obtained. The second operation is of some interest. A strip of tissue was
taken from the thigh and passed beneath the skin on the outer side of the
ankle so as to sling the outer border of the foot to the bone above the ankle
joint in such a manner as to prevent a relapse of the deformity. For many
years silk has been used for this operation, but has not given uniformly
satisfactory results. This is the third occasion on which we have used the
patients' own tissues in place of the strand of silk, and we feel that this
operation marks a definite advance in our treatment of this troublesome
deformity. The boy was discharged on 4.8.33."
MIDWIFERY AND MATERNITY SERVICES.
The Committee have no arrangements for a maternity service; they
have neither hospital beds, nor do they subsidise midwives.
The Council are the supervising authority under the Midwives Acts,
and during the past year the following notifications to practise in the
district were received :—
From midwives residing in the area 10
From midwives residing in the North Middlesex
County Hospital 15
From midwives residing in the surrounding districts 6
Total 31
The number of claims made by doctors on account of medical aid was
115; these claims are due to the fact that midwives have to call to their aid
medical assistance under certain conditions.
The Committee have laid down a scale below which medical aid is
granted free. The number falling within this category was 72; two were
partly assisted and the remainder had to pay in full.
The total sum involved was £129 14s., of which the Committee paid
i,80 6s.
TONSILS AND ADENOIDS.
Arrangements are made with the County Hospital for the removal of
tonsils and adenoids.
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