1. The results are presented of upper tibial osteotomy carried out in ten patients for osteoarthritis of the knee associated with lateral deformity. 2. The operation is indicated when there is severe pain, valgus or varus deformity, and a range of flexion of at least 90 degrees. 3. In every case pain has been relieved, and recovery of movement after operation has been easy.

An anteroposterior radiograph oftheleg to include the hip and ankle, taken with the patient standing, provides an estimate ofthe line ofload-bearing at the knee. Gait analysis may be used to determine the way in which the load in the knee is shared between the medial and lateral compartments during normal walking. A comparison ofthe results from the two methods, carried out on a group of47 patients, led to the conclusion that both calculations are required for the successful outcome of a tibial osteotomy or a total arthroplasty.

No abstract

THE choice of treatment lies between arthrodesis of the terminal interphalangeal joint, tenodesis or restoration of tendon action by tendon grafting. The decision depends upon age, state of the finger, the occupation and the wishes of the patient. Tendon grafting is an operation of some magnitude for a comparatively small disability and should only be undertaken by the surgeon experienced in this work and when the patient is determined to seek perfection.Analysis of 33 consecutive cases operated upon by tendon grafting during the past eighteen years reveals 4 failures. Of the remaining 29 cases, 92 % attained 30 degrees or more flexion range at the terminal interphalangeal joint and 55% reached to within half an inch or less of the distal palmar crease. In no case was the finger harmed by surgical intervention.(A film demonstrating the technique of the operation was presented.) Tibial

No abstract