Aims. Abduction bracing is commonly used to treat developmental dysplasia of the hip (DDH) following
Aims. Eccentric reductions may become concentric through femoral head ‘docking’ (FHD) following
Aims. The goal of
Aims. There is no level I evidence dealing with the optimal period of immobilization for patients with a displaced distal radial fracture following
We reviewed 98 children (133 hips) with developmental dysplasia of the hip who underwent arthrography immediately after
The efficacy of traction before an attempted
The treatment of developmental dysplasia of the hip diagnosed after the first year of life remains controversial. A series of 36 children (47 hips), aged between one and 4.9 years underwent gradual
We have reviewed the serial radiographs of 63 hips in 53 children treated by
We treated 22 children with a supracondylar fracture of the humerus and an ipsilateral fracture of the forearm by
We studied the pathogenesis, incidence and consequences of avascular necrosis in 184 children treated for congenital dislocation of the hip. Of 210 hips, 99 (47%) had some evidence of avascular necrosis (total 81, partial 18). The incidence was not influenced by the age at reduction, the duration of traction or the use of adductor tenotomy. Patients treated by
We used ultrasound to investigate the anatomy and stability of the hip during the phase of joint stabilisation after
We reviewed the serial radiographs of 54 hips in 47 children treated by
A case of posterior fracture-dislocation of the hip complicated by displacement of a segment of the acetabular rim into the joint at the time of
The management of an anterior supracondylar fracture by
Aims. Dual-mobility (DM) components are increasingly used to prevent and treat dislocation after total hip arthroplasty (THA). Intraprosthetic dissociation (IPD) is a rare complication of DM that is believed to have decreased with contemporary implants. This study aimed to report incidence, treatment, and outcomes of contemporary DM IPD. Methods. A total of 1,453 DM components were implanted at a single academic institution between January 2010 and December 2021: 695 in primary and 758 in revision THA. Of these, 49 presented with a dislocation of the large DM head and five presented with an IPD. At the time of
Injury to the sciatic nerve following closed manipulation of a dislocated total hip replacement is rare. We present such a case in an elderly patient with partial recovery following exploration and release of the nerve.
We present a method for the reducing a displaced radial head in children, by rotating the forearm while pressing over the displaced fragment. This has been successful in a series of 10 cases.
The aim of this study was to investigate whether clinical and radiological outcomes after intramedullary nailing of displaced fractures of the fifth metacarpal neck using a single thick Kirschner wire (K-wire) are noninferior to those of technically more demanding fixation with two thinner dual wires. This was a multicentre, parallel group, randomized controlled noninferiority trial conducted at 12 tertiary trauma centres in Germany. A total of 290 patients with acute displaced fractures of the fifth metacarpal neck were randomized to either intramedullary single-wire (n = 146) or dual-wire fixation (n = 144). The primary outcome was the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire six months after surgery, with a third of the minimal clinically important difference (MCID) used as the noninferiority threshold. Secondary outcomes were pain, health-related quality of life (EuroQol five-dimensional questionnaire (EQ-5D)), radiological measures, functional deficits, and complications.Aims
Patients and Methods