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The Journal of Bone & Joint Surgery British Volume
Vol. 43-B, Issue 4 | Pages 664 - 671
1 Nov 1961
Charnley J Guindy A

1. The findings in this series of fractures of the shaft of the femur treated by intramedullary nailing confirm the observation of Smith (1959) that the incidence of non-union is significantly diminished when operative intervention is postponed more than one week from the time of the injury.

2. The series is too small to afford conclusive proof, and it offers no explanation of the opposite findings of Smith and Sage (1957), but it indicates that this very important aspect of the operative treatment of fractures ought to be submitted to thorough investigation by many more observers.




The Journal of Bone & Joint Surgery British Volume
Vol. 42-B, Issue 1 | Pages 28 - 30
1 Feb 1960
Charnley J



The Journal of Bone & Joint Surgery British Volume
Vol. 42-B, Issue 1 | Pages 3 - 4
1 Feb 1960
Charnley J



The Journal of Bone & Joint Surgery British Volume
Vol. 40-B, Issue 4 | Pages 633 - 635
1 Nov 1958
Charnley J Lowe HG

1. An analysis of 171 cases of compression arthrodesis in the knee is presented.

2. A total success rate of 98·8 per cent was revealed.

3. The average time between operation and walking free of splintage was nine weeks.

4. When the compression was removed, after an average period of four weeks, 88·2 per cent of the knees already showed clinical union.



The Journal of Bone & Joint Surgery British Volume
Vol. 39-B, Issue 1 | Pages 45 - 65
1 Feb 1957
Charnley J Blockey NJ Purser DW

We adduce the following conclusions from our experience of using this spring-loaded compression screw on completely displaced medial fractures of the femoral neck:

1. That this method probably eliminates non-union when the head is fully viable.

2. That primary "first-intention" osseous union occurs in approximately 33·3 per cent of cases.

3. That a vascular complication, of varying severity, undetectable by orthodox radiological tests, is revealed by extrusion of the screw in 66·6 per cent of cases.

4. That these observations disprove the idea that the main obstacle to revascularisation of an ischaemic head is the existence of forces so inclined to the axis of the femoral neck as to cause "shear."

5. That, compared with the Smith-Petersen nail used for completely displaced fractures, continuous spring compression can materially reduce the incidence of utter mechanical failure within the first year after operation. This is the result of "mushroom" impaction which itself can resist shearing strain and so can permit function as a fibrous union.

6. That early and rapid extrusion is a sensitive indication of a vascular complication in the head. Forewarned by this, activity can be restricted, or possibly other measures adopted, to anticipate or permanently postpone serious trouble.



The Journal of Bone & Joint Surgery British Volume
Vol. 35-B, Issue 2 | Pages 288 - 289
1 May 1953
Charnley J


The Journal of Bone & Joint Surgery British Volume
Vol. 34-B, Issue 2 | Pages 187 - 199
1 May 1952
Charnley J Baker SL


The Journal of Bone & Joint Surgery British Volume
Vol. 34-B, Issue 1 | Pages 162 - 162
1 Feb 1952
Charnley J


The Journal of Bone & Joint Surgery British Volume
Vol. 33-B, Issue 4 | Pages 634 - 635
1 Nov 1951
Charnley J Wright JK


The Journal of Bone & Joint Surgery British Volume
Vol. 33-B, Issue 2 | Pages 180 - 191
1 May 1951
Charnley J


The Journal of Bone & Joint Surgery British Volume
Vol. 33-B, Issue 1 | Pages 122 - 123
1 Feb 1951
Charnley J


The Journal of Bone & Joint Surgery British Volume
Vol. 32-B, Issue 2 | Pages 271 - 272
1 May 1950
Charnley J