If the muscles are felt during these movements, especially if some force is exerted, as in lifting a weight, the changes in the form and consistency of the muscles can be easily determined.
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In complete paralysis of the foot it is better to fix the mid-tarsal as well as the ankle joint, as this guards against dropping forward of the front part of the foot, but if some of the muscles are acting their tendons can be transplanted into the tarsus to allow movement at the astragalo-scaphoid and calcaneo-cuboid joints, while the fixed ankle Arthrodesis of a flail knee should be reserved for poorer patients, to whom it may be more convenient to be independent of apparatus; to the better-class patient a permanently stiff' leg soon liecomes a great trial, and he will prefer a walking caliper with a joint opposite the knee so that he can sit comfortably.
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