TENDON OPERATIONS ABOUT THE ANKLE FOR DEFORMITY AFTER INFANTILE PARALYSIS

Tendon transplantations about the ankle are valuable procedures in selected cases for deformities after infantile paralysis.

Careful and prolonged supervision and coöperation of the parents are important factors to insure success.

Transplanted tendons should always be attached to bone, and not to soft parts.

The transplantation should be done through a sufficiently long incision to give the muscle a direct pull.

Tendon implantation (Gallie operation), when properly performed, is a valuable procedure.

After transplantation of the extensor proprius hallucis, deformity of the great toe occasionally results. The distal end of this tendon, therefore, should be attached to the common extensor tendons.

The peroneus tertius, though a small muscle, is in a favorable position to make it an important abductor of the foot.

Astragalo-scaphoid arthrodesis deserves further trial in paralytic deformities of the foot.

Recovery of power in seemingly paralyzed muscles often contributes to a good result.

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