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Cases requiring prolonged treatment are sent to Pyrford,
whilst children who only require a short period in hospital
for operative treatment are referred to St. Thomas's Hospital.
The volume of work at the Orthopaedic Clinic has
remained about the same as in previous years.
Three children, suffering from congenital internal rotation
of the tibia, pes planus, and spinal curvature respectively, were
referred from the Orthopaedic Clinic to Pyrford for operative
treatment.
The child suffering from pes planus was subsequently
admitted to St. Thomas's Hospital for in-patient treatment.
During the year five other children were admitted to St.
Thomas's Hospital, two suffering from torticollis, and the other
three from congenital club foot, congenital bilateral talipes
equinus, and recurrent dislocation of the patella respectively.
In addition, one child suffering from osteomyelitis of the lower
end of the left femur was admitted to Pyrford. This child
had been under treatment at one of the London hospitals for
some months and it was considered advisable for her to have
education as well as treatment while recovering from the
operation.
A girl with chronic septic osteomyelitis of the right ilium
was transferred from Pyrford to the Heritage Craft Schools
at Chailey.
Seven children were referred to the Orthopædic
Out-patient Department at St. Thomas's Hospital for
treatment, and two for X-ray examination. Thirteen
children were referred for alteration to surgical boots, etc.
The simpler forms of alteration, such as wedging, are carried
out locally, as it is found that this saves the parents a considerable
amount of time and expense. Thirty-six children
were referred by the Orthopaedic Surgeon to the Exercises
Clinic at the Health Centre, which is attended by the
Orthopaedic Nurse every week. Most of these children were
suffering from flat foot, postural defects, etc. They are reexamined
from time to time by the Orthopaedic Surgeon.
The attendances at this Clinic on the whole were good.
Many of the children seen by the Orthopaedic Surgeon
are referred by the School Medical staff for diagnosis. This
ensures early treatment being secured.
Suitable after-care is provided for children discharged
from hospital. These cases are referred back to the Ortho-