Pantalar fusion by astragalectomy and replacement of the denuded bone has its greatest usefulness in paralysis resulting from poliomyelitis, but can be used in other types paralytic feet in children, as well as in adults, for new and old injuries which formerly were subjected to two arthrodesing procedures or an astragalectomy. All flail feet, all complete drop feet, and all calcaneocavus deformities due to paralysis are best treated by pantalar fusion.