1. True claw-foot is due to a lesion of the spinal cord, usually spina bifida occulta or poliomyelitis, with resulting weakness of certain muscles of the foot. It is, therefore, a symptom and not an entity.
2. By systematic treatment some cases at least can be checked and others corrected with good functional feet resulting.
3. Transplantation of the toe extensors to the cuneiform bones will aid in keeping the sole flat and preventing a progressive cavus.
4. When wedge osteotomy is necessary to overcome the cavus, an anterior tarsal wedge will save function, and correct the deformity.
(C) 1940 All Rights Reserved.The Journal of Bone and Joint Surgery, Inc.