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The Bone & Joint Journal
Vol. 103-B, Issue 1 | Pages 3 - 4
1 Jan 2021
Parker M


The Bone & Joint Journal
Vol. 95-B, Issue 10 | Pages 1402 - 1405
1 Oct 2013
Parker M Cawley S Palial V

A consecutive series of 320 patients with an intracapsular fracture of the hip treated with a dynamic locking plate (Targon Femoral Neck (TFN)) were reviewed. All surviving patients were followed for a minimum of two years. During the follow-up period 109 patients died.

There were 112 undisplaced fractures, of which three (2.7%) developed nonunion or re-displacement and five (4.5%) developed avascular necrosis of the femoral head. Revision to an arthroplasty was required for five patients (4.5%). A further six patients (5.4%) had elective removal of the plate and screws.

There were 208 displaced fractures, of which 32 (15.4%) developed nonunion or re-displacement and 23 (11.1%) developed avascular necrosis. A further four patients (1.9%) developed a secondary fracture around the TFN. Revision to a hip replacement was required for 43 patients (20.7%) patients and a further seven (3.3%) had elective removal of the plate and screws.

It is suggested that the stronger distal fixation combined with rotational stability may lead to a reduced incidence of complications related to the healing of the fracture when compared with other contemporary fixation devices but this needs to be confirmed in further studies.

Cite this article: Bone Joint J 2013;95-B:1402–5.


The Journal of Bone & Joint Surgery British Volume
Vol. 87-B, Issue 11 | Pages 1584 - 1584
1 Nov 2005
PARKER M ROWLANDS T GURUSAMY K


The Journal of Bone & Joint Surgery British Volume
Vol. 86-B, Issue 5 | Pages 777 - 777
1 Jul 2004
PARKER M HAY D


The Journal of Bone & Joint Surgery British Volume
Vol. 83-B, Issue 8 | Pages 1210 - 1210
1 Nov 2001
PARKER M


The Journal of Bone & Joint Surgery British Volume
Vol. 75-B, Issue 5 | Pages 797 - 798
1 Sep 1993
Parker M Palmer C

We assessed 882 patients presenting with a proximal femoral fracture by a new mobility score and by a mental test score, to determine which was of the most value in forecasting mortality at one year. Both scores gave a highly significant prediction, but the mobility score had a greater predictive value and is easier to perform.


The Journal of Bone & Joint Surgery British Volume
Vol. 74-B, Issue 4 | Pages 625 - 625
1 Jul 1992
Parker M


The Journal of Bone & Joint Surgery British Volume
Vol. 74-B, Issue 2 | Pages 203 - 205
1 Mar 1992
Parker M Pryor G

We studied prospectively a consecutive series of 765 patients with proximal femoral fractures to determine if the time interval between injury and surgery influenced the outcome. Patients in whom surgery had been delayed for medical reasons were excluded. We divided the patients into four groups depending on the delay to surgery. Analysis of pre- and postoperative characteristics showed the groups to be similar. Mortality in the four groups was not significantly different but morbidity was increased by delay, particularly with regard to the incidence of pressure sores.


The Journal of Bone & Joint Surgery British Volume
Vol. 74-B, Issue 2 | Pages 261 - 264
1 Mar 1992
Parker M Myles J Anand J Drewett R

We have determined the quality-adjusted-life-years and cost of such in several types of hip fracture and various treatment options. Operative treatment proved more cost-effective than other methods for displaced subcapital fractures and for extracapsular fractures. For undisplaced subcapital fractures conservative treatment was almost as cost-effective as surgery.


The Journal of Bone & Joint Surgery British Volume
Vol. 73-B, Issue 5 | Pages 826 - 827
1 Sep 1991
Parker M Porter K Eastwood D Schembi Wismayer M Bernard A

The results of treatment in 242 patients with intracapsular fractures of the neck of femur treated with Garden screws are presented with reference as to whether the screws were crossed or parallel. The incidence both of nonunion and of avascular necrosis was less in those fractures treated with parallel screws. The outcome was also superior if the reduction was good.