A treatise on orthopedic surgery . hrough the tendon on either side, so that all thetissues are united. The foot is then fixed in a plaster bandage DEFOBMITIES OF TEE FOOT. 863 in an attitude of equinns. As soon as practicable the patientbegins to use tbe foot, wearing a high heel to compensate forthe elevation of the sole. Palliative operations of this class aside from lessening de-formity may be of service in those cases in v^hich some powerremains in the calf muscle. In cases of complete paralysis theshortened tendon offers some resistance to deformity, but unlesssupport is used afterward t
A treatise on orthopedic surgery . hrough the tendon on either side, so that all thetissues are united. The foot is then fixed in a plaster bandage DEFOBMITIES OF TEE FOOT. 863 in an attitude of equinns. As soon as practicable the patientbegins to use tbe foot, wearing a high heel to compensate forthe elevation of the sole. Palliative operations of this class aside from lessening de-formity may be of service in those cases in v^hich some powerremains in the calf muscle. In cases of complete paralysis theshortened tendon offers some resistance to deformity, but unlesssupport is used afterward the tissues will stretch under thestrain of use; thus the treatment should always be supplementedby a brace of the character already described. Astragalectomy, Arthrodesis, Tendon Transplantation, and Back-ward Displacement of the Foot (the Authors Operation).—Moreeffective treatment is indicated in cases of confirmed calcaneusand especially calcaneus combined with lateral deformity whichmakes the adjustment of a brace The iilastcr bandage and the attitude after the operation. A long, curved, external incision is made, passing from apoint behind and above the external malleolus below its ex-tremity and terminating at the outer aspect of the head of theastragalus. The peronei tendons are divided just in front ofthe malleolus and they are then completely separated from theirsheaths and drawn- backward. The lateral ligaments are thendivided and the joint is opened. The interosseous ligament iscut through and the foot is twisted inward. When the attach-ments to the navicular have been freed the astragalus may beremoved. A thin section of bone is then cut from the outersurface of the adjoining os calcis and cuboid bones, and on theinner side the calcaneonavicular ligament is partially separatedfrom its navicular attachment. The lateral ligaments are freed ^ American Journal of the Medical Sciences, November, 1901, and Annalsof Surgery, February, 1908. Am. J. Orth. Surge
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
