A treatise on orthopedic surgery . e characteristic distortion and atrophy of thefoot and leg. A type of deformity in which the authors operation is indicated. cast of the leg with the foot in a moderate degree of plantarflexion is made and on it the lines for the brace are drawnThe sole-plate encloses the foot, ris-ing on the outer border to a somewhat Fig. 594. less degree than on the inside. The uprights are riveted to the foot-plateand are joined bj a padded metalband just below the tibial tubercle,the circumference being completed bya strap. The shoe is adjusted to thebrace by means of a
A treatise on orthopedic surgery . e characteristic distortion and atrophy of thefoot and leg. A type of deformity in which the authors operation is indicated. cast of the leg with the foot in a moderate degree of plantarflexion is made and on it the lines for the brace are drawnThe sole-plate encloses the foot, ris-ing on the outer border to a somewhat Fig. 594. less degree than on the inside. The uprights are riveted to the foot-plateand are joined bj a padded metalband just below the tibial tubercle,the circumference being completed bya strap. The shoe is adjusted to thebrace by means of a cork wedge. Calcaneovarus is a much less seri-ous affection, since the foot may bemore easily supported. A brace,such as is used in the treatment ofordinary varus, without motion at theankle or provided with a reverse stop,is ordinarily employed. The authorsoperation is especially indicated forconfirmed calcaneus deformity of thevalgus or varus type. It has beenperformed by the writer in more than50 cases during the past 10 A brace for calcaneovalgus orvarus. 868 OBTHOPEDIC SUBGEBY. It has displaced all other operative and mechanical treatmentof confirmed deformity and even in early cases it maybe selectedas a conservative treatment. ACQUIRED TALIPES EQUINOVARUS. Talipes eqninovarus is, in the acquired as in the congenitalform, the most common of the deformities of the foot (). The tendency of simple eqninus is usually toward varus, be-cause in plantar flexion the foot is slightly adducted and becausethe outer side of the foot is shorter than the inner side, so thatin walking with the foot extended the tendency of the foot is toturn somewhat inward. Eqninovarus is usually preceded byeqninus, and the etiology of the one will serve for the other(page 849). In certain cases the varus is more marked than the eqninus,as, for example, when the abductors of the foot are paralyzedwhile the adductors retain their power; or in cases of direct in-jury, as in fracture at the
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