We describe a new method of reconstruction after resection of tumours of the proximal tibia by grafting and arthrodesis of the knee. Two separate vascularised bone grafts from the ipsilateral limb were used, one a gastrocnemius-pedicled femoral graft and the other a pedicled fibular graft. An anatomical study of the gastrocnemius-pedicled femoral graft was made. The method was shown to be practical and reproducible. One patient with osteosarcoma has a successful result with no recurrence at two-and-a-half years.

Since 1964, 3573 uncemented Ring total hip replacements of all types have been performed; 194 (5.4%) have required revision for infection, loosening or breakage. Of these, 102 were available for review; 81 had satisfactory results five years after operation. These results are better than many of those reported after revision of cemented hip replacements. It is suggested that the absence of cement makes revision easier because bone erosion rarely occurs.