The deformed feet which have been treated with skeletal traction include 52 recurrent club feet, 3 acquired club feet and 6 cavus feet. All the patients were children between the ages of 2 and 12 years and the deformed feet had been previously treated by various methods, with poor or inadequate end results.
In this particular age group the growth factor is important. Tissue change is rapid, and therefore any factors which tend to increase or to retard growth or to change in any way the normal direction of growth will produce a deformity.
Congenital deformities of the foot generally present a series of partial dislocations of the tarsal and midtarsal bones together with contractures of tendons and of interosseous ligaments. If these deforming factors are allowed to persist, the deformity will increase steadily with growth. The same is true of acquired deformities.
Taking into consideration the factor of growth,