University of the Pacific School of Dentistry - Chips Yearbook (San Francisco, CA)

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the skeleton. This would not mean that only lesions of bone shall be considered, for abnormal conditions of the soft parts produce many deformities of bone without any primary affection of the bone. From the excellent work of Tubby of London we get the suggestion that Orthopedic Surgery shall be referred to as the Surgery of deformities of the apparatus of locomotion in all three aspects, aetiological, prophylactic and therapeutic. The beginning of the consideration of deformities now known as Orthopedic Surgery is nearly as old as other parts of medical lore. The ancient Egyptians and East Indians as early as 800 B. C. had much knowledge of deformities and entered into much speculation as to the aetiology of the same. Owing to two customs extanti in ancient days the treatment of deformity lagged very far behind. Deformed children were exhibited for the purpose of begging, or else destroyed as the quickest and least troublesome way of curing them. However, many in- geneous appliances were invented, many of them of more or less merit. In fact many of them were superior to the faulty contri- vances of unskilled individuals of modern times. The most vexing part of the whole matter lies in attempting to fix a boundary within which a surgeon may work, without encroaching on other fields of surgery. The most logical way out of the difficulty would be to do away with the attempt to cir- cumscribe the work of any one portion of surgery by any fixed lines. lt would be better to encourage all surgeons to dispas- sionately study the work of each other and each consider his own ability in comparison and then elect to do that which each can do well and leave alone that which he might bungle. All ortho- pedic surgeons are not equally skillful in handling all classes of deformity, while each one perhaps does exccll in a portion of the work. lt is like the peculiar skill shown in athletics. Each athlete may be far superior to the untrained individual, while excelling in but a few events and being able to give mediocre account of himself in a few more events. Rather than attempt to pen a surgeon within a circumscribed limit, the boundary of which will ever be dispute, it will be greatly beneficial in future to try to show the surgeon which part of the work he does well in any field he may choose and encourage him to do that and relinquish the remainder to his fellows. Much discussion has been entered into as to whether any part of the work on fractures and dislocations should be included within the domain of Orthopedic Surgery. I-lere again we see the impossibility of fixing lines. The surgeon who cannot skfill- fully treat a fracture or a dislocation, could scarcely hope to suc- cessfully treat a deformity resulting from a fracture or disloca- tion which from some cause had resulted badly. q ' 28