Gonorrhea in Women

high sole, sloped to fit the equinus, and with side irons, can be satisfactorily fitted, there seems no reason for tenotomy of the Achillis.To sum up (in so far as one may generalize where cases bo vary): Osteotomy to be performed not merely because deformity exists, but only for definite indica- tions ; tenotomy only to reduce the valgus or as an ad- junct to osteotomy ; resection of the ankle or Bardeu- hauer's operation, where apparatus will not control the tipping of the ankle ; amputation only in cases utterly unfit for other treatment; treatment of all ordinary cases by apparatus to support the ankle, and prevent valgus -high sole to supplement the equinus in equalizing the shortening these would seem to be the general lines of treatment.The treatment seems to be at best unsatisfactory, and, as always in such case, operation is to be avoided unless we have some clear gain in view.