The reasons for the existence of any system of surgical treatment, and particularly, one applied to the correction of a special class of affections, must be: First, a demand for such service. Second, its necessity by reason of the large number of failures and extreme difficulty of accomplishing good results by other methods. Third, that it makes possible an enlargement of the field of surgical accomplishment in at least one direction.
The blind, the deaf and dumb, the tuberculous and the crippled almost everywhere have institutions established for their care. States and communities have recognized the duty of ministering to the comforts and necessities of the afflicted in these directions. Large sums are annually contributed for the maintenance of such work, and the encouragement of scientific investigation to increase the efficiency of its usefulness, but no such responsibility has been assumed by municipalities, nor has any notable portion of endowments of charitably inclined wealthy citizens been devoted to the relief of these unfortunate individuals