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February 1931

FORTY-THIRD REPORT OF PROGRESS IN ORTHOPEDIC SURGERY

Author Affiliations

BOSTON; ROCHESTER, MINN.; PROVIDENCE, R. I.; LONDON, ENGLAND; LOUVAIN, BELGIUM; HALLE, GERMANY

Arch Surg. 1931;22(2):325-352. doi:10.1001/archsurg.1931.01160020148009
Abstract

CONGENITAL DEFORMITIES 

Congenital Clubfoot.  —Brockman,1 in the Robert Jones prize essay, advocated the correction of rigid and relapsed types of clubfoot by an open operation, based on the conception that the deformity was due primarily to a congenital atresia of the socket for the head of the astragalus. The operation aimed at making this socket sufficiently large for the head of the astragalus to be replaced in its normal position, and in addition the muscles, which controlled the variations in the capacity of the socket, were lengthened. Under an Esmarch bandage an incision was made on the outer side of the foot over the os calcis. Through this the plantar muscles and fascia were detached as far backward and inward as possible. A second incision was made on the inner side of the foot, and the remaining attachments of these muscles were completely freed from their origin. The origins

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