▁tra uma ▁and ▁con gen ial ▁tal ipes ▁equ in ov arus ▁( club foot ). ▁It ▁is ▁no ▁longer ▁a ▁common ▁operation , ▁but ▁is ▁still ▁used ▁in ▁cases ▁of ▁a ▁de formed ▁calc ane us , ▁foot ▁par al ysis ▁following ▁pol iom y el itis , ▁and ▁rig id ▁club foot ▁de form ities ▁that ▁are ▁secondary ▁to ▁sp ina ▁b if ida ▁or ▁ar th ro gry pos is ▁( AM C ). ▁The ▁surg ery ▁is ▁also ▁performed ▁in ▁severe ▁cases ▁of ▁pul ver ized ▁or ▁inf ected ▁open ▁f ract ures . ▁ ▁Gener ally , ▁the ▁surg ical ▁procedure ▁involves ▁making ▁an ▁an ter ol ater al ▁inc ision , ▁stri pping ▁the ▁lig aments ▁from ▁both ▁m alle oli ▁and ▁the ▁calc ane us ▁so ▁that ▁the ▁foot ▁can ▁be ▁disp la ced ▁posterior ly . ▁The ▁tal us ▁is ▁then ▁res ected , ▁and ▁the ▁foot ▁is ▁placed ▁so ▁that ▁the ▁later al ▁m alle ol us ▁rest s ▁opposite ▁the ▁calc ane oc ub oid ▁joint , ▁and ▁the ▁med ial ▁m alle ol us ▁lies ▁just ▁above ▁and ▁behind ▁the ▁nav icular ▁b one . ▁The ▁foot ▁is ▁held ▁in ▁place ▁with ▁a ▁surg ical ▁pin ▁or ▁with ▁Kir sch ner ▁wire . ▁After ▁the ▁operation , ▁the ▁patient ▁we ars ▁an ▁above - k ne e ▁cast ▁for ▁six ▁weeks , ▁followed ▁by ▁a ▁below - k ne e ▁cast ▁for ▁eigh teen ▁weeks . ▁ ▁See ▁also ▁▁ ▁List ▁of