A treatise on orthopedic surgery . Tendons in the right sole.(Testut from Gerrishs Anat-omy. ) 874 OETHOPEDIC SUSGEEY. If, on the other hand, the dorsal abductors were reduced instrength so that the foot turned inward in dorsiflexion. thetibialis anticus tendon should be split, from its insertion to themuscular substance, and the outer half carried over the othertendons and fastened securely at or near the insertion of theperoneus tertius as well as to that tendon; thus the power ofadduction would be weakened and that of abduction increased. Fig. Paralytic equinovauus before operation. (
A treatise on orthopedic surgery . Tendons in the right sole.(Testut from Gerrishs Anat-omy. ) 874 OETHOPEDIC SUSGEEY. If, on the other hand, the dorsal abductors were reduced instrength so that the foot turned inward in dorsiflexion. thetibialis anticus tendon should be split, from its insertion to themuscular substance, and the outer half carried over the othertendons and fastened securely at or near the insertion of theperoneus tertius as well as to that tendon; thus the power ofadduction would be weakened and that of abduction increased. Fig. Paralytic equinovauus before operation. (See Fig. 600.) If the calf muscle is paralyzed, and if the foot is inclinedtoward valgus iDecause of weakness of the adductor group, thetwo peronei tendons may be attached at the insertion of thetendo Achillis, not, of course, with the aim of rej)lacing its lostfunction by two such feeble muscles, but because the power nolonger inducing deformity might become functionally useful inpreventing deformity and become of some functional service,even if slight. (See Talipes Calcaneus.) Paralysis of the tibialis posticus muscle may be treated bydividing the peroneus brevis at or near its insertion, passing itbeneath the tendo Achillis and attachins; it to the tendon of the OF THE FOOT. 875 former. It may be mentioned, also, that sections of the tendoAchillis have been used to strengthen either the posterior ad-ductors and abdnctors. As has been stated, one must plan theoperation according to the function that is lost and the powerthat rema
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