Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Hendon]
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Case No. 8. Aged 13, was admitted on 27/5/35 with a minor
deformity of the foot which was corrected by operation. She was
discharged on 25/6/35.
Case No. 9. Aged 12, was a similar case admitted on 1/11/35
and discharged on 28/11/35.
Case No. 10. Aged 9, was admitted on 19/8/35 for the removal
of a foreign body just posterior to the elbow joint. He
was discharged on 11/9/35.
Case No. 11. Aged 9, was admitted on 19/7/35 with a bony
tumour of the tibia. This was removed by operation and the child
was discharged on 19/8/35.
Case No. 12. Aged 13, was admitted on 25/6/35 with recurrence
of a left knock-knee deformity. Operation was performed
and the child was discharged on 6/12/35 wearing a splint
to prevent any further recurrence. It will not be necessary for the
child to wear this instrument permanently.
Case No. 13. Aged 4, was admitted on 13/9/35 with a severe
knock-knee deformity. Correction was obtained by operation and
the child was discharged on 11/3/36 walking well.
Case No. 14. Aged 6, was admitted on 1/4/35 with complete
destruction of the os calcis (heel bone), the result of osteomyelitis.
As he was walking badly it was proposed to make a new heel for
him. The upper end of the fibula was excised and grafted into
the bone below the ankle. The immediate result appeared
excellent but unfortunately a deep infection of the wound developed.
This is not uncommon after osteomyelitis, but it was particularly
disappointing in this case. We had waited for more than the
usual time before embarking on this operation, and there was every
reason to suppose that the original infection of the bone had disappeared.
The infected graft had to be removed but it is possible
that a second attempt to re-construct the heel may be worth
considering in three or four years' time. The child was discharged
on 11/10/35.
Case No. 15. Aged 9, was admitted on 22/8/35 with
osteomyelitis of the tibia. All infected bone was removed and the
child was discharged on 17/4/36. The wound is completely healed.