In the literature widely differing statements are found as to the extent of the radiographically seen tilt of the talus after rupture of the fibular ligaments. Our studies on cadavers showed that there can be no exact correlation between the instability found on X-ray investigation and the intraoperatively ascertained damage of the ligamentous structures. The intraoperatively found damage is usually greater than presumed on X-ray investigation. The main reason for these findings is to be seen in the various anatomical shapes of the fibular ligaments. We have certified this in our studies on 20 amputated feet. For clinical purpose it is not of interest which of the ligaments is damaged, but it is of great importance to know whether there is a rupture or not. Anamnesis and clinical state may be important in deciding whether to operate or not.

Between 1972 and 1982 45 patients with tears of the rotator cuff have been operated in our clinic. 41 of these patients could be controlled at an average of 3.5 years after the operation. According to the applied repair technique the observed patients were divided into three groups. The results were analysed in regard to this classification. A very good and good active movement was achieved in 2/3 of the cases.

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Late Results after Dislocations and Fractures of the Ankle and FootSummary. The report discusses late results after dislocations and fractures of the ankle and foot. From this broad area the most important questions were discussed in terms of traumatic surgery: chronic ligamentous instability, pseudarthrosis, arthrosis, mal-position and partial loss of the foot. Principles of management are given with the objective of restorati6n of function. Results of operative treatment of malleolar pseudarthrosis and of ankle fusion are given.

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