DECANCELLATION OF THE OS CALCIS, ASTRAGALUS, AND CUBOID IN CORRECTION OF CONGENITAL TALIPES EQUINOVARUS

¹ The Orthopaedic Clinic of the Children's Hospital, Detroit, Michigan

In summarizing the results of this operation, we feel it offers many advantages:

1. It allows full correction of the club foot at an early age. [See Fig. 3-A, 3-B, 4-A, 4-B, 5-A AND 5-B In Source PDF].

[SEE FIG. 6-A, FIG. 6-B, IN SOURCE PDF] 2. It is particularly applicable to the resistant and neglected club foot.

3. It leaves the foot with a good range of motion and there is not the stiffness which results from multiple manipulative procedures.

4. It shortens the period of treatment, and avoids the dissatisfaction of parents who tire of the length of time taken by the manipulative procedures and, therefore, neglect the child.

5. In five cases (when braces were not worn nor physiotherapy carried out), there was a recurrence of the deformity and the operation had to be performed a second time; but in all the cases except one the final results were good and the tendency to [SEE FIG. 7-A, FIG. 7-B, IN SOURCE PDF] [SEE FIG. 7-C FIG. 7-D IN SOURCE PDF] recurrence, which is found in the manipulative method, has not been evident.

6. We have found no interference with the growth of the bones operated upon, but checking the growth might be advisable as there would be less tendency to recurrence of the deformity.

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