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The Bone & Joint Journal

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The Journal of Bone & Joint Surgery British Volume
Vol. 76-B, Issue 3 | Pages 348 - 349
1 May 1994
Williams D


The Journal of Bone & Joint Surgery British Volume
Vol. 71-B, Issue 3 | Pages 471 - 474
1 May 1989
Pryor G Williams D

The rehabilitation of elderly patients after hip fractures is important: we report a prospective study which compares supported home rehabilitation with management in hospital in two similar groups of patients. Our results show that early discharge from hospital and home rehabilitation produces substantial savings in bed days, and also provides quicker and more effective recovery.


The Journal of Bone & Joint Surgery British Volume
Vol. 70-B, Issue 4 | Pages 577 - 582
1 Aug 1988
Marshall R Williams D Birch R Bonney G

We have reviewed 50 patients at a mean period of 2.7 years after operations to restore elbow flexion lost as a result of traction injuries of the brachial plexus. A variety of operations were used and, in general, patient satisfaction was high. Objectively, however, the power in the transferred muscles was poor; less than half of the patients had a significant improvement in function. Poor control of the shoulder often compromised the result. Latissimus dorsi and triceps transfers proved most reliable, and some Steindler flexorplasties also gave satisfactory results. Pectoralis major transfers were disappointing and we do not recommend their use in women.


The Journal of Bone & Joint Surgery British Volume
Vol. 63-B, Issue 1 | Pages 102 - 107
1 Feb 1981
Williams D

Six mechanisms which may produce fracture-separation of the proximal humeral epiphysis are proposed. Four of them are illustrated by case reports. It is suggested that they may be differentiated by examination of the patient and study of the radiographs. In unstable fractures manipulation is indicated and, if performed with an understanding of the mechanism of injury, will produce a stable reduction.


The Journal of Bone & Joint Surgery British Volume
Vol. 59-B, Issue 4 | Pages 385 - 392
1 Nov 1977
Hardinge K Williams D Etienne A MacKenzie D Charnley J

Fifty-four hips converted to low friction arthroplasty between 1965 and 1975 have been reviewed one to eleven years after operation. In many cases malposition had led to degenerative changes in the opposite hip, the lumbar spine or the knee, often with severe loss of function due to pain. It was found that total replacement could give useful relief of pain and improved function, though the range of movement obtained was not as good as in primary replacement. An outstanding feature was the correction of inequality of leg length. In general, the results were much better in cases of ankylosis acquired in adult life than in cases of spontaneous fusion after sepsis in childhood. The most important complication was a single case of sciatic palsy.