Congenital talipes equinovarus occurs in 1.2 per 1000 live births in Europe and is twice as common in boys. Over the last decade, non-surgical management has re-established itself as the first line treatment; after long-term follow-up of surgically treated patients, revealed high rates of over correction, stiffness and pain. The commonly practiced non-surgical approaches are the Ponseti technique of serial manipulation and casting, and French taping. Ram's technique of taping is a truly conservative approach with a higher success rate to address this problem. Unlike French taping, it involves taping alternate days during the first week followed by twice in the second week, then once the following week, which is left in situ for a further two weeks. After the initial five weeks of taping, patients are provided with talipes splint for all time use, up till a year. This is followed by talipes shoes for walking and splint for nighttime use for another year. At the end of two years patients can wear normal shoes.

The study includes 225 patients with 385 clubfeet, who were treated with Ram's taping technique from September 1991 to August 2008. Inclusion criteria were age up to three months and previously untreated clubfeet. Average follow up was of 5.6 years. Outcome ratings at a minimum of two years were performed. Initial correction rate at the end of five weeks was 99%. A relapse of 21% was noted, two-third of which was salvaged via further taping and exercise, while remaining one third needed some form of surgical intervention. The comparative outcome for Ram's taping is better to Ponseti or French taping with good outcome in 93%, in comparison to 72% and 67% respectively.

To conclude Ram's taping is a fast, more effective, less cumbersome and fully conservative approach of correcting the clubfoot deformity.

Thirty patients with old displaced femoral neck fractures have been treated by accurate reduction, two Asnis-type cannulated screws and whole free fibular graft fixation. Patients were of the age group 18yrs–50yrs, presented to our centre 3–6 months post injury and included Garden’s grade III/IV fractures with varying degrees of neck reabsorption, but no avascular necrosis. No plaster was applied, and early return to function encouraged. Bony union was achieved in 27 (90%) of the cases with a mean time of 19.5 weeks, varying from 16wks–24wks. Good function was seen in all patients with union in subsequent follow up of up to 10years.

Our procedure allows early return of function in a young active population disabled by femoral neck fractures and compounded by neglect of early treatment.