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117
cheaper than insoles, but on looking closer into the problem, the
constant renewal of wedges constituted far greater expense, and
much more trouble to the parents,
Our relations with the School for the Physically Handicapped
at Vale Road, are close and cordial, both with Dr Dunham and his
department and also with Mr. Ives and his staff.
These clinics work also in conjunction with the Prince of
Wales's General Hospital, and St Ann's General Hospital, inasmuch
as all in patient operations are performed at these hospitals by
me,
Orthopaedic Service, Hornsey
I am indebted to Mr. E. Palser, M.R.C.S for the following
report.-
"During the year attendances at this clinic have been 726 for
examination and 1,194 for treatment by the physiotherapist, The
number of new cases seen was 374, and the number whose treatment
ceased was about the same Development abnormalities especially
of the spine, legs and feet, often require prolonged treatment and
supervision until growth is completed A certain number have,
therefore, required treatment or supervision until they have
reached school leaving age and where treatment is still required
they have been referred to the adult services of the National
Health Service.
This year a fitter has been in attendnace at all clinics, and
this has reduced the previous time interval between the ordering
and supplying of instruments and appliances At the same time,
decisions on exact specifications, measurements and fittings have
been undertaken in closer co operation with the makers.
A few children have been referred for special out-patient
treatment to the Hornsey Central Hospital Here also X-rays
required are taken The Hornsey clinic now has its own viewing
box which has been of great use, and of equally great interest to
the patients and their parents.
Ten children have required operative treatment, and of these,
five males and four females have been admitted to the Orthopaedic
Unit at Highlands General Hospital, Winch more Hie11, N 21 One
infant was admitted to the Hospital for Sick Children, Great
Ormond Street, W.C.1. "