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In the treatment of the various forms of talipes even after tenotomy of the tendo-Achilles, or the plantar fascia of other muscles and ligaments, or as individual case may require, great force is required to break up the adhesion between the tarsal bones.
The bones which have been in abnormal position for years are bound together by dense adhesions, and have new articulating facets in abnormal position.
These distorted relationships must be disturbed. The hand of the average surgeon is not sufficiently powerful to bring the foot to a normal position. It may be necessary to even fracture the bones to overcome the deformity and when it is found necessary to do so it should be done, for by the time treatment is completed the fracture will have had ample time to unite.
The "T. T." or "Thomas Twister" as introduced in this country by Dr. Ridlon is not entirely
McCURDY SL. A NEW CLUB FOOT WRENCH. JAMA. 1895;XXIV(8):277–278. doi:10.1001/jama.1895.02430080019002a
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