1. The deformity in club-foot does sometimes recur after apparently adequate conservative treatment.
2. The faulty mechanism of the anterior tibial muscle is a mechanical factor in this recurrence.
3. Correction of the equinus is necessary to obtain the best mechanical advantage of the transferred force.
4. End-result studies of fifty-six feet indicate that the continuous influence of the transferred force is an important factor in the correction of resistant cases.
5. No bad effects were noted from the sacrifice of the anterior tibial tendon.
6. Satisfactory end results were obtained in 93 per cent. of the feet so treated.
(C) 1940 All Rights Reserved.The Journal of Bone and Joint Surgery, Inc.