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We report the surgical treatment of an 18 months old child who had a partial duplication of the right lower limb.R6sum6. Prgsentation, avec un recul de quatre a n s , d'un cas de duplication cong6nitale partielle clu membre infdrieur clroit chez un enfant de 18 mobs, trait6 chirurgicalement avec succbs gt l'h@ital de Cuttack.

A boy, aged 14 years, sustained a fracture of the midshaft of the femur. This was treated conservatively and healed in 13 weeks. One year later an osteosarcoma developed at the site of the healed fracture.

Plantar ulcers present a serious problem in the management of leprosy. After studying the mechanism of ulceration and the causes of their indolence, it appears that the treatment of the disease by antileprotic drugs is not sufficient. The underlying causes, such as anaesthesia, bony deformities and paralysis, should usually be treated by surgical means. Anaesthesia can be reversed by decompression of the posterior tibial nerve if this is done early. Deformities should be corrected by procedures on the soft tissues or bones, and chronic infection eradicated to prevent recurrence of the ulceration. A combination of procedures may sometimes be needed.

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