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The authors analyse the results of 10 amputations and 10 conservatives treatments for complex isolated trauma of the second ray. The localisation of this finger in the hand require an utilisation in "all or nothing" function. The comparison of the two series show that the amputated one's gives the best results as much for the function that for the cosmetic level. So, the non conservative treatment seems the better solution for the problems of complex trauma of the index finger.

A series of 80 cases of recent isolated fracture of tibia in adults demonstrated the specific problems raised by this type of fracture, related for the most part to the integrity of the fibular splint. A resulting therapeutic attitude is based on a biomechanical study, the place of osteotomy of the fibula being discussed: orthopaedic treatment is suggested for fractures without displacement, under strict radiologic surveillance, and surgical treatment for fractures with primary or secondary displacement. The indications for fibular osteotomy are reviewed.