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February 1947

PROGRESS IN ORTHOPEDIC SURGERY FOR 1945 A Review Prepared by an Editorial Board of the American Academy of Orthopaedic SurgeonsV. CONDITIONS INVOLVING THE FOOT AND ANKLE

Arch Surg. 1947;54(2):201-217. doi:10.1001/archsurg.1947.01230070206009

Static Strain on the Feet.  —Pemberton112 reports on the care of soldiers' feet. He says that mild strain on the feet manifested only by pain in the feet and legs on walking, plus tenderness, requires no treatment except proper fitting of shoes and foot hygiene. The commonest condition is faulty posture of the feet, resulting in one of the several types of flatfoot. Treatment is directed at correction of the pronation. Mild conditions are treated with a 3/16 inch (0.48 cm.) inner heel wedge. A firm flexible arch support is used in severer conditions, with the high point under the sustentaculum tali. Steel arch supports have no place in the Army. The flexible support is made of shoe leather with properly fitted felt pads. For a congenital weak foot, flexible arch supports and taping are advised. Congenital flatfoot is not disabling and probably no more subject to strain than

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