Background. Lisfranc/midfoot injuries are complex injuries with a reported incidence of 1 in 55000 in literature and frequently overlooked. But, recently they are becoming more commonly diagnosed with advent of CT scan and examination under anaesthesias (EUA) for suspicion fractures. Here we present a case series results of a
Background: Dislocation after total hip replacement (THR) is a significant concern with the increased number of THR carried out all over the world, although there has been a substantial lack of information regarding revision THR for instability in literature. Purpose: The purpose of this study was to evaluate the effectiveness of operative treatment for recurrent dislocation after THR. Material and methods: One hundred and eleven cases were treated operatively for recurrent dislocation after THR by a senior author (BMW). Group A; 104 cases were operated with change of either or both of components, a socket and a stem. Twenty-two mm head was used in 90 cases (A-1), 32 mm head in twelve (A-2), and 36 mm head in two (A-3). Group B; only modular head was changed in one case. Group C; augmentation device was applied on a cup in six cases. The average follow-up period was 6.2 years (range, 1 to 21 years). Results: Group A-1; twelve cases (13%) required further operations for instability (N=90). Group A-2; one case (8.3%) was converted to Girdle-Stone for recurrent dislocation (N=12). Group A-3; one of them was revised for periprosthetic fracture (N=2). Group B; the case survived at the follow-up of 3.3 years (N=1). Group C; two cases (33%) were revised for dislocation (N=6). Conclusion: We reported the largest series of revision THR for recurrent dislocation by a
Introduction. Femoroacetabular impingement(FAI) is a relatively common cause causes of hip pain and dysfunction in active young adults. The concept of FAI was popularized by Ganz et al in early 2000s. Surgical treatment for FAI has been widely employed over the last two decades. The long term outcome of femoroacetabular osteoplasty (FAO) and risk factors for long-term failure of FAO is less studied. The goal of this
An independent audit of Lumbar Spinal surgery performed by a
We retrospectively analysed a
Introduction: Less invasive hip arthroplasty has been promoted since 2002 but with few reports having follow-up data. Existing information is often from developer-surgeons, selecting patients and investigating only the immediate post-operative course. More complete and less biased information is needed. Methods: This prospective series, 275 hips done consecutively beginning April 2003, by a
TER is a viable surgical option in patients with advanced RA with painful stiff elbows. We retrospectively analysed 22 TER performed in 21 patients over a 12 year period by a
PURPOSE. To report the experience and evolution of treatment of Congenital Pseudarthrosis of the Tibia in a
Simultaneous bilateral Total Knee Arthroplasty (TKA) has been reported to bring greater patient satisfaction, reduce in-patient stay and recovery, with similar outcomes to single sided or staged TKA, but higher complication rates. No validated selection criteria exist. We report the results of a
Aim:. Audit of the outcome of subcapital osteotomy for a series of cases of severe unstable slipped capital femoral epiphysis. Method:. 57 cases of unstable severe slipped capital femoral epiphysis were operated on by a
Introduction. Extensor digitorum brevis (EDB) transfer is a useful method for treating chronic ankle instability in selected patients. It adds strength to the anterolateral capsule and provides proprioceptive feedback to functionally unstable ankles. Method. A
Introduction. We present a
The aim of the paper is to provide an independent
Clinical success of total knee arthroplasty is correlated with correct orientation of the components. Controversy remains in the orthopaedic community as to whether the intramedullary or extramedullary tibial alignment guide is more accurate in the tibial cut. Is there any difference between intramedullary and extramedullary jigs to achieve better accuracy of the tibial components in total knee replacements?. A retrospective study done on 100 patients during the time period 2007 to 2010. The 100 knee replacements were done by the same surgeon, where 50 patients had the intramedullary tibial alignment guide and the other 50 had the extramedullary one. The tibiofemoral angle was measured pre-operatively as well as post operatively, the tibial alignment angle was measured post operatively then the results were statistically analysed using the SPSS. There was no significant difference between both groups regarding the tibial alignment angles. Both techniques proved accurate in producing an acceptable post operative tibial component alignment angle. We recommend orthopaedic surgeons choose either technique knowing that accuracy levels are similar. The debate between intramedullary and extramedullary tibial cutting jigs/guides/ devices continues and most orthopaedic surgeons will use their preferred technique and will continue to achieve good post operative results as we have found in our centre. Our study is rare due to the fact we have a
Introduction: Percutaneous epiphysiodesis is a well established procedure in the treatment of leg length discrepancy. Many techniques have been described ranging from an open technique to the more recently described percutaneous technique. This study assesses the percutaneous single portal technique, in combined distal femoral and proximal tibial lower limb epiphysiodesis, performed by a
Introduction: REEF™ is a modular distal locking implant, indicated for use in extensive loosening of femoral stems, peri-prosthetic hip fractures, and tumour surgery requiring distal anchorage to allow resection of the femur proximally. Very little experience with the REEF™ has been reported. Objective: We report on a
Purpose: To present results of a series of patients treated with Trapeziectomy, Ligament Reconstruction and Tendon Interposition for treatment of 1st CMC joint arthritis. Methods: 59 patients (65 thumbs) from
Aim: We present the outcome of Birmingham Hip Resurfacing Arthroplasty performed by a
Introduction: The Taylor spatial frame (TSF) (Smith &
Nephew) is a hexapod ring fixator that utilises the Ilizarov principles. The TSFs design is based on the Stewart-Gough platform, the use of which was originally described in mechanical engineering. Due to its unique design the TSF is extremely versatile in limb reconstruction surgery, allowing six degrees of freedom bone fragment manipulation with a high degree of precision that is aided by correction planning software. Methods: Between October 2003 and December 2008 66 consecutive patients were treated using the TSF by a
Introduction: Revision hip arthroplasty places a significant burden on hospital resources. Huge pressure is being placed on the orthopaedic community to alter practices with respect to implant selection and bearing surfaces in order to try to reduce the likelihood of revision due to aseptic socket loosening. To date there is little clinical evidence to support these changes. Aim: To review the case mix requiring revision surgery at a specialist arthroplasty unit in order to identify the common reasons for failure of primary arthroplasties. Methods: A retrospective