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July 1948

ARTHRODESIS OF THE TARSAL BONES: A Study of Failure of Fusions

Author Affiliations

From the Department of Orthopedic Surgery, University of Pennsylvania Hospital.

Arch Surg. 1948;57(1):162-170. doi:10.1001/archsurg.1948.01240020165014

SINCE G. G. Davis1 first demonstrated his procedure for stabilization of the tarsus in 1913, this technic has undergone numerous revisions and refinements until today several modified descendants of the parent operation constitute tested methods for the alleviation of deformities of the foot resulting from many diseases. Operations on the tendons and ligaments, once popular as stabilizing forces in themselves, have now become complementary to fusions of the bones.

The criteria of Hoke2 formulated over twenty years ago still indicate the aim to be sought. The operation should make the foot appear natural in a shoe, stabilize against lateral forces in standing and walking and supplant braces wherever possible, and it should leave no deformity of the bare foot. Hoke felt that the Davis operation was done blindly, with too scant attention to detail. In this respect he advanced the technic of stabilization of the feet. Since then