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During our hospital training we have been particularly impressed by the totally inadequate methods in vogue for the prevention of foot drop in cases requiring prolonged treatment in extension apparatus.
Our previous attempts at preventing foot drop had usually been by careful policing of the patients and definite exercising of the ankle joint, or by placing some wadding of cotton or other soft material between the spreader and the foot, which was effectual so long as it stayed in place. This usually slipped and was a constant source of worry to the patient, nurse and house officer. The most universally used and most satisfactory method up to this time was found by placing a padded wooden sole on the bottom of the foot, fixing this lightly with adhesive tape, placing strings or tape in the support and then holding the foot in proper position by attaching these to the cradle
Hewitt JF, Owings JC. APPARATUS FOR PREVENTION OF FOOT DROP IN CASES REQUIRING PROLONGED TREATMENT IN EXTENSION. JAMA. 1931;96(20):1680. doi:10.1001/jama.1931.27220460001007