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The authors present a case of bilateral middle facet talocalcaneal coalitions with peroneal spasm producing a fixed valgus heel. They introduce a corrective procedure used at the Fountain Valley Regional Hospital and Medical Center and discuss its application in podiatric surgery. Correction included resection of the synostosis and lateral opening wedge heterogenous bone graft in the calcaneus to redistribute the body's weight on the heel and centralized over the axis of the subtalar joint.
This paper discusses the normal adult values of the fibular deviation of the distal phalanx of the great toe. Occurrence of this deviation at birth is a normal finding and an increase can be expected during periods of active growth within the foot. This developmental increase is dependent upon transverse plane stability at the metatarsophalangeal joint. Preoperative procedures and postoperative reviews are discussed.
