splint applied in the best posture of the foot and renewed and straightened once a week.

Thirty years' experience of operations for club-feet have taught me that some congenital club-feet yield much more readily to treatment than do others. The great trouble with all methods, whether plaster of Paris or braces are employed, is to hold the foot in the corrected position. It is impossible to use too great pressure and the little feet wriggle themselves out of position, particularly when the brace is put on by some untrained hand.

My routine treatment, which I have not changed for many years, is as follows: I begin treatment as soon after birth as possible. I use a modified Judson brace making pressure on the outer side of the leg and counter pressure on the inner side of the knee and foot. One point of pressure and two points of counter-pressure. As long as the heel is drawn up and the three points of pressure and counter-pressure remain in a straight line, no trouble is experienced. When the heel begins to come down and the one point of pressure and the two points of counterpressure are no longer in a direct line there is danger of losing control of the foot and various modifications of the brace have to be employed to prevent the foot from twisting.

I have recently perfected a simple and efficient walking brace which has given satisfactory results in actual use. The principle of my brace is the same as that of the Judson brace, one point of pressure and two points of counter-pressure, but the advantage of my brace consists in the fact that I use a double series, one point of pressure and two points of counter-pressure acting vertically on the leg and heel and one point of pressure and two points of counter-pressure acting horizontally on the foot.

When the brace is to be used in walking I depress the inner border of the foot by elevating the outer border of the brace. I do forcible correction when I want to save time or when I want to make a thorough examination of a new case. I cut only such tissues as I cannot stretch. In old relapsed cases I straighten the foot as far as I can by means of braces, manipulations and tenotomies and then if the foot is still deformed I do a tarsectomy. Tarsectomy has been practised for so many years and by so