A treatise on orthopedic surgery . to make active move-ment or leverage painful, so that itis replaced by the passive proper shoe should containsufficient space for the independentmovements of the toes. This motionis illustrated in the w^alk of the bare-foot child. As the v^^eight falls onthe foot the toes spread, and as thebody is raised on the foot they con-tract. The important leverage ac-tion of the great toe and the supportafforded by it to the arch of thefoot have been mentioned shape of the sole should corre-spond to the shape of the foot andthe heel should be b


A treatise on orthopedic surgery . to make active move-ment or leverage painful, so that itis replaced by the passive proper shoe should containsufficient space for the independentmovements of the toes. This motionis illustrated in the w^alk of the bare-foot child. As the v^^eight falls onthe foot the toes spread, and as thebody is raised on the foot they con-tract. The important leverage ac-tion of the great toe and the supportafforded by it to the arch of thefoot have been mentioned shape of the sole should corre-spond to the shape of the foot andthe heel should be broad and will be noted that the front of thesole of the shoe in Fig. 477 appearsto be twisted inward. Such a shoeaids in preventing abduction, and itis, therefore, an important adjunct,to the brace in restraining Raising the Inner Border of theShoe.—A simple expedient in thetreatment of the weak foot and anaid in balancing it properly is tomake the inner border of the soleand heel of the shoe slightly thicker. in order to throw the weight toward The proper relation of thesole to the shape of the foot:Aj, outline of sole; B, outline offoot; C, imprint of foot. the outer side of the foot. This is of special importance in the treatment of the slighter degrees ofwhat is known as weak ankle, and it is always of service in thetreatment of any grade of weak foot. —The patients attention is then called to the sig-nificance of the bulging on the inner side of the foot (Fig. 470)and how this may be prevented by throwing the weight on theouter side of the foot (Fig, 471) and by holding the feet par- 730 OBTHOPEDW 8UBGEBY. allel with one another in walking and by crossing the feet in thesitting posture (Fig. 465). The importance of leverage isshown him, that he must try to press down the sole of the shoewith his toes, particularly with the great toe, and employ theactive lift of the calf muscles by fully extending the leg andraising the body on the foot f


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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910