Rib fracture fixation by orthopaedic and cardiothoracic surgeons has become increasingly popular for the treatment of chest injuries in trauma. The literature, though mainly limited to Level II and III evidence, shows favourable results for operative fixation. In this paper we review the literature and discuss the indications for rib fracture fixation, surgical approaches, choice of implants and the future direction for
This review explores recent advances in fixator design and used in contemporary orthopaedic practice including the
The April 2015 Trauma Roundup. 360 . looks at: Negative presure wound therapy in open tibial fractures; Priority-driven approach to pelvic injuries; Early surgery essential in hip fracture
The April 2015 Wrist &
Hand Roundup360 looks at: Non-operative hand fracture
The December 2015 Trauma Roundup. 360 . looks at: Delay to surgery in hip fracture; Hexapod fixators in the
The December 2014 Wrist &
Hand Roundup360 looks at: ultrasound for carpal tunnel diagnosis; where we are at with
The October 2014 Children’s orthopaedics Roundup. 360 . looks at: spondylolisthesis
The February 2015 Trauma Roundup. 360 . looks at: Evaluating the syndesmosis in ankle fractures; Calcaneal fracture
The number of clinical negligence claims in the UK is constantly increasing. As a specialty, trauma and orthopaedic surgery has one of the highest numbers of negligence claims. 1. This study analyses NHS Litigation Authority (NHSLA) claims in trauma and orthopaedics between 2004 and 2014. . A formal request was made to the NHSLA under the Freedom of Information Act in order to obtain all data related to claims against orthopaedic surgery. It was found that the number of claims, and percentage of successful claims, has been constantly increasing over this period, with compensation paid of over £349 million.* Errors in clinical
The December 2013 Children’s orthopaedics Roundup. 360. looks at: Long term-changes in hip morphology following osteotomy; Arthrogrypotic wrist contractures are surgically amenable; Paediatric femoral lengthening over a nail; Current
The October 2013 Children’s orthopaedics Roundup. 360. looks at: Half a century of Pavlik treatment; Step away from the child!: trends in fracture
While the Cochrane Collaboration have been busy over the last four months, only a handful of their published reviews have been of any relevance to orthopaedic and trauma surgeons. Those that are provide the reader with an overview of work on imaging modalities, antibiotic therapy, changes to the surgical site dressing and practices surrounding post-operative wound
The April 2014 Research Roundup. 360 . looks at: scientific writing needed in orthopaedic papers; antiseptics and osteoblasts; thromboembolic
The October 2012 Children’s orthopaedics Roundup. 360. looks at: magnetic growing rods and scoliosis correction; maintaining alignment after manipulation of a radial shaft fracture; Glaswegian children and swellings of obscure origin; long-term outcome of femoral derotation osteotomy in cerebral palsy; lower-leg fractures and compartment syndrome in children; fractures of the radial neck in children;