e A: Basilicon ointment is made by heating together resin 8 parts,
beeswax 8 parts, olive oil 8 parts, and lard 6 parts. Allow to cool without
stirring.]

By other operators (Bayer, Imminger, Meyer, and Gunther) this treatment
has been modified by enlarging upon it and removing the whole of the
adventitious horn.

[Illustration: FIG. 128.--THE SHOE WITH HEEL-CLIP.]

This is done by means of the drawing-knife and the rasp, the ugly-looking
pumiced foot being carefully cut and trimmed until, so far as outward
appearances are concerned, it is perfectly normal. This done, the whole
foot is treated with a suitable hoof ointment, and a shoe applied that
affords protection to the sole without imposing pressure upon it. The
shoe indicated is either an ordinary shoe with an unusually broad and
well-seated web, or the seated Rocker Bar of Broad. With either it is well
to additionally protect the sole by means of a leather or rubber pad and
tar stopping, or by using the Huflederkitt described on p. 148. In every
case the nails must be kept well back in order to avoid the weakened and
degenerated horn at the toe, and to take advantage of the greater growth of
horn at the heels.

The wisdom of thus removing the whole of the adventitious horn may be
questioned. Although a foot of a nearly normal shape is obtained, it must
be remembered that the grave alterations within it are unchanged, and
that in certain positions the operation must have carried us nearer the
sensitive structures than is advisable.

All other treatments failing, the operation of neurectomy has been advised.
This we do not think wise. One would imagine that, with degenerative
processes already going on in the foot, the tendency to gelatinous
degeneration, always to be looked for in neurectomy, would be increased.
This, as a matter of fact, is the case, and is borne out by the statements
of those who have tried this method of treatment. In many cases the
lameness even is not got rid of. Even where it is, the operation is
afterwards followed by a great tendency to stumble, by sloughing of the
hoof, or by a marked increase in the adventitious horn, and a consequent
greater deformity of the foot.

Sooner than risk neurectomy, it seems to us wiser to give a trial to the
operation advocated by M.G. Joly, namely, that of ligaturing one of the
digital arteries on each affected foot. This operation is performed in the
same position as is the higher operation of plantar