A treatise on orthopedic surgery . overcorrected position should be retained until time hasbeen allowed for the recontraction of the lengthened tissues; for,as has been mentioned in the treatment of eqninus, overcorrec-tion and rest is by far the most effective treatment that can beapplied to a weak or paralyzed part. The foot must then besupported by a brace, of which the Taylor club-foot apparatusis the type (Fig. 543). Astragalectomy and cuneiform osteotomy are rarely indi-cated, but the latter operation is sometimes of service in check-ing the tendency toward recurrence of deformity
A treatise on orthopedic surgery . overcorrected position should be retained until time hasbeen allowed for the recontraction of the lengthened tissues; for,as has been mentioned in the treatment of eqninus, overcorrec-tion and rest is by far the most effective treatment that can beapplied to a weak or paralyzed part. The foot must then besupported by a brace, of which the Taylor club-foot apparatusis the type (Fig. 543). Astragalectomy and cuneiform osteotomy are rarely indi-cated, but the latter operation is sometimes of service in check-ing the tendency toward recurrence of deformity, which is morepersistent after overcorrection in the paralytic than in the con-genital talipes. Transplantation of half of the tendon of the tibialis anticustendon to the periosteum or bone of the outer border of the foot, DEFOBMITIES OF THE FOOT. 869 combined with arthrodesis of the astragalo-naviciilar articula-tion in an attitude of slight abduction, is of service as a curativeprocedure. (See Tendon Transplantation.) Fig. A brace for equinovalgus deformity. The authors brace for weak foot combinedwith an upright with a stop joint to prevent plantar flexion. ACQUIRED TALIPES EQUINOVALGUS. Acquired talipes equinovalgus is much less frequent than thepreceding deformity. Simple equinovalgus is usually the resultof primary paralysis of the tibialis anticus, the most powerful ofthe dorsal flexors; thus the foot is drawn somewhat outwardwhen dorsiflexed, while the metatarsal bone of the great toe,having lost the proper support of the paralyzed muscle, fallsdownward and is drawn outward by the peroneus longus. Inthis type ones attention is often attracted by the peculiar ap-pearance of the great toe, which is deformed somewhat like ahanuner-toe by the overaction of the extensor longus hallucis inits attempt to take the place of the tibialis anticus. The equinusis usually slight and is secondary to the valgus. Treatment maybe begun by placing the foot in a plaster bandage in a
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
