A treatise on orthopedic surgery . mechanicalprevention of both lateral and anteroposterior deformity. See Fig. 58(5. ACQUIRED CALCANEOVALGUS AND CALCANEOVAEUS. In many cases, the foot deformed as a result of paralysis ofthe calf muscle is in addition turned in a lateral direction, sothat the weight of the body falls to the inner or outer side of itscentre (Fig. 593). Calcaneovalgus, in which the foot is turned outward andupward, so that the patient walks on the inner side of the heelor even on the inner ankle, is by far the most common. It isusually a result of more extensive paralysis than s
A treatise on orthopedic surgery . mechanicalprevention of both lateral and anteroposterior deformity. See Fig. 58(5. ACQUIRED CALCANEOVALGUS AND CALCANEOVAEUS. In many cases, the foot deformed as a result of paralysis ofthe calf muscle is in addition turned in a lateral direction, sothat the weight of the body falls to the inner or outer side of itscentre (Fig. 593). Calcaneovalgus, in which the foot is turned outward andupward, so that the patient walks on the inner side of the heelor even on the inner ankle, is by far the most common. It isusually a result of more extensive paralysis than simple cal-caneus. For example, all the muscles about the foot may bedisabled except the peronei. or in cases of a milder type thetibialis anticus may be the only muscle of the front of the footthat is paralyzed. Treatment.—When the foot inclines toward calcaneovalgus itis diflicult to hold it in proper position by the ordinary more efficient support is shown in Fig. 59-i. A plaster DEFORMITIES OF THE 593. 867. Talipes calcaneovalgus showing the 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 beenper
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
