"Derotation" of the Tibia

Abstract

presence of a reaction of degeneration, at any rate -n the early stages. The importance of this is clear. While Willing to advise.decompression in the early stage of a Bell's palsy, one has been more reluctant when this reaction has developed, on the grounds that there was no prospect of immediate recovery. We may now be entitled to take a more optimistic view, if confirmation is obtainable. Summary 1. Permanent deformity after Bell's palsy is far commoner than is generally realized.2. In a young, sensitive woman its effects may be so serious as to justify operation.3. Up till now it has been impossible to advise operation owing to our ignorance as to the prognosis in any given case.4. A criterion is proposed for such cases, and indications for further research into the problem are outlined.My grateful thanks are due to the various colleagues who allowed me access to their files, and also to Miss Margaret Frank, without whose enthusiastic co-operation this laborious questionary could not have been compiled.

Supramalleolar osteotomy for unilateral tibial torsion

“…Diaphyseal osteotomies have been advocated early in the development of the procedure [6,7]. Osteotomies at this level, however, are potentially less stable and have a higher incidence of non-union.…”