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The Journal of Bone & Joint Surgery British Volume
Vol. 86-B, Issue 5 | Pages 631 - 635
1 Jul 2004
Uglow MG Clarke NMP


The Journal of Bone & Joint Surgery British Volume
Vol. 86-B, Issue 4 | Pages 592 - 594
1 May 2004
Kapoor V Theruvil B Warwick DJ Uglow MG

We describe a patient with fractures of both bones of the forearm in whom flexible intramedullary nail fixation of the radius alone led to ulnar malunion and a symptomatic distal radio-ulnar joint subluxation. This was successfully treated by ulnar osteotomy.


The Journal of Bone & Joint Surgery British Volume
Vol. 83-B, Issue 2 | Pages 309 - 309
1 Mar 2001
UGLOW MG CLARKE NMP


The Journal of Bone & Joint Surgery British Volume
Vol. 82-B, Issue 5 | Pages 739 - 743
1 Jul 2000
Uglow MG Clarke NMP

Between 1988 and 1995, we studied 91 club feet from a series of 120 recalcitrant feet in 86 patients requiring surgical treatment. There were 48 boys and 20 girls. The mean age at operation was 8.9 months. Surgery consisted of an initial plantar medial release followed two weeks later by a posterolateral release. This strategy was adopted specifically to address the problems of wound healing associated with single-stage surgery and to ascertain the rate of relapse after a two-stage procedure. Immobilisation in plaster was used for three months followed by night splintage. The feet were classified preoperatively and prospectively into four grades according to the system suggested by Dimeglio et al. Grade-1 feet were postural and did not require surgery. All wounds were closed primarily. One superficial wound infection occurred in a grade-4 foot and there were no cases of wound breakdown. The rate of relapse was 20.4% in grade-3 and 65.4% in grade-4 feet.

Two-stage surgery for the treatment of club foot seems to be effective in the reduction of wound problems but does not appear to give significantly better results in terms of relapse when performed for more severe deformities.


The Journal of Bone & Joint Surgery British Volume
Vol. 78-B, Issue 5 | Pages 751 - 753
1 Sep 1996
Uglow MG Clarke NMP

Only two cases have been reported of congenital dislocation of the hip in infants born after extrauterine pregnancies. We report a further two and discuss the management and the variable outcome. These cases seem to confirm that congenital dislocation of the hip is associated with moulding forces rather than being a teratological abnormality.