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Article
August 31, 1929

A MANIPULATIVE METHOD OF TREATMENT FOR RECALCITRANT AND NEGLECTED CLUBFOOT

Author Affiliations

CHICAGO

From the University of Illinois College of Medicine and St. Luke's Hospital.

JAMA. 1929;93(9):688-692. doi:10.1001/jama.1929.02710090028009

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Abstract

Whether congenital or acquired, the unsightly clubfoot can be corrected in the child, the adolescent or the adult without mutilation. Almost irrespective of age, the worst type of clubfoot can be converted into a normal foot by means of the method here described. The technic of the method is founded on principles that hold for all cases. The fundamental principles of treatment are based on an analysis of the anatomic and physiologic changes present in a clubfoot. A brief review of these changes will precede the description of the technic.

The common type of clubfoot has been described as a triple deformity—equinus, varus and cavus. The equinus usually predominates because it is the most obvious. The varus surpasses the others in importance. In fact the varus comprises three deformities—varus at the ankle, adduction at Chopart's, and inversion at Lisfranc's joint. The varus of the ankle is important because it is

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