Bone and joint tuberculosis.

During my early orthopaedic training, between 1936 and 1939, I failed to appreciate the full horror ofbone and joint tuberculosis, with its protracted treatment and crippling results; I encountered several cases during the war, but it was not until I became superintendent of the Derby County Tuberculosis and Orthopaedic Service in 1947 that this was borne in on me. The Orthopaedic Hospital at Bretby was almost entirely devoted to these disorders, and few interesting orthopaedic cases such as congenital dislocation of the hip, clubfoot and so forth were there to "leaven the lump" at that time.