Aim: Long term results of the Stanley& Winson procedure on the elbow.

Material: 15 patients in the last 10 years. 2 lost to follow-up and 13 were evaluated with Andrews and Carson scoring system. The mean time for follow-up was 2.3 years. Primary OA in 8, post-traumatic arthritis in 4 and rheumatoid arthritis in 1 patient was responsible for the symptoms.

Results: Before operation, the mean pain score was 9.23 (range 5–20) out of 60 on the Andrew Carson rating scale. Postoperatively this score increased to 18 (range 10–25) i.e. 50% beneþt of pain.

Changes in ROM of Elbow: All patients returned towork in mean of 6.5 weeks (range 4–24). Postoperatively 2 patients developed haemarthrosis, which was aspirated. Conclusion: O-K procedure has good to excellent results, it is technically simple, has low morbidity and avoids extensive release for stiff elbows.

1. Forty-five cases of zoster paralysis, not involving the cranial nerves, are detailed. These include eighteen cases not previously published. Of these eighteen patients, one-third were referred for an orthopaedic opinion.

2. Complete or almost full recovery occurred within a year in two-thirds of the patients. Permanent paralysis occurred in one-sixth of the patients studied.

3. Muscles that failed to recover were mainly or wholly supplied from single segments of the spinal cord; so the prognosis must be guarded in those cases in which such muscles are completely paralysed.

4. Various phenomena occurring in zoster paralysis are discussed.