View report page

The five children sent in to Pyrford, under the Orthopaedic
Scheme, for in-patient treatment were suffering from the following
defects:—
Pseudo-coxalgia (left hip) 1
Spastic Diplegia 1
Spastic Hemiplegia 1
Old Osteomyelitis (right femur) 1
Contractures of hand and ankle
following burns 1
One case of infantile hemiplegia which received hospital
treatment at Pyrford was ultimately sent to the Heritage Craft
Schools at Chailey.
The Orthopædic Nurse attended one hundred sessions in order
to carry out the remedial exercises and massage. Forty-two
children were referred by the Orthopæedic Surgeon for treatment of
this nature. 623 attendances were made. The average number of
children attending at each session for exercise and massage was
just over twelve.
The Orthopædic Nurse reports that most of the children
appear to enjoy attending the classes for exercises and that on
the whole the parents have co-operated well.
When this has been the case, the progress made has been
much more marked than when the parents have been unable to
attend, owing to their own domestic work preventing them, or
owing to lack of interest.
By far the greatest number of children attending have been
cases of poor posture and flat foot.
The Orthopædic Clinic in Wimbledon is fulfilling a very
definite need, and the work during 1932 has been most successful.
I am indebted to Mr. R. W. Butler, the Orthopædic Surgeon,
for the following review of the cases seen at the Health Centre.
"The cases seen at the orthopaedic. Clinic in the past year
fall into three main classes.
Firstly, children still suffering from the effect of some past
injury or ailment requiring simply to be kept under observation
from time to time. Old fractures, old cases of infantile paralysis,
or old congenital foot deformities, most of which simply require
to be seen to ascertain that they are going on well, and that if
any splint or raised shoe or other apparatus is being used such
apparatus is in good trim and does not require repairing or
enlarging.
Secondly, children with flat feet, knock knees or bad spina)
posture referred from the School Medical Officer, many of whom
94