Abstract: dertaken with the idea that it is a simple procedure, for it is an extremely difficult undertaking to get from out its position, between the astra- galus and the internal cuneiform, a bone of the shape of the scaphoid and having its great depth in a side-to-side diameter.The strong intertarsal ligaments which hold it in place are very difficult to sever, particularly on the far side, and there are no instruments devised especially for the purpose of getting at these fibrous bands.It is almost impossible to remove the bone intact.