A treatise on orthopedic surgery . The foot after the authors operation for calcaneovalgus showing the restorationof symmetry. Also a simple brace to be worn within the shoe. DEFOBMITIES OF THE FOOT. 865 from the two malleoli and the cartilage is removed from theirinner surfaces. The foot is then displaced backward as far aspossible so that the external malleolus may cover the calcaneo-cuboid junction while the inner is forced into the depressionbehind the navicular, the malleolus being changed in shape ifnecessary to assure accurate adjustment. Finally, the peroneitendons are drawn through an
A treatise on orthopedic surgery . The foot after the authors operation for calcaneovalgus showing the restorationof symmetry. Also a simple brace to be worn within the shoe. DEFOBMITIES OF THE FOOT. 865 from the two malleoli and the cartilage is removed from theirinner surfaces. The foot is then displaced backward as far aspossible so that the external malleolus may cover the calcaneo-cuboid junction while the inner is forced into the depressionbehind the navicular, the malleolus being changed in shape ifnecessary to assure accurate adjustment. Finally, the peroneitendons are drawn through an 023ening in the tendo Achillis andare sewed to it and to the os calcis with strong silk sutures. The Fig. The plaster bandage with cork wedge holding the foot in equinus. wound is closed without drainage, and the foot is then held inan attitude of equinovalgus by a plaster bandage fixing the legat a right angle to the thigh as showai in the illustration. Theobject of the removal of the astragalus is to assure stability andto prevent lateral deformity by placing the leg bones directlyupon the foot. Incidentally it restores the symmetry of thefoot. The object of the backward displacement of the foot isto direct the weight upon its centre and thus to remove theadverse leverage and to prevent dorsak flexion by direct contactof the tarsal bones with the anterior margin of the tibia. Thetendon transplantation is an additional safeguard against de-formity and of service in restoring function (Fig. 592). In about three weeks the long plaster is removed and a shortone is substituted, the foot being fixed in moderate equinus bya cork wedge beneath the heel. On this the patient is encour-aged to wal
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
