Aims. To identify unanswered questions about the prevention, diagnosis, treatment, and rehabilitation and delivery of care of first-time
Aims. Complex joint fractures of the lower extremity are often accompanied by
Aims. The primary objective of this study was to develop a validated classification system for assessing iatrogenic bone trauma and
Aims. The aim of this study was to determine the rate of indocyanine green (ICG) staining of bone and
Aims. Intraoperative pressure sensors allow surgeons to quantify
Aims. Total knee arthroplasty (TKA) using functional alignment aims to implant the components with minimal compromise of the
Prediction tools are instruments which are commonly used to estimate the prognosis in oncology and facilitate clinical decision-making in a more personalized manner. Their popularity is shown by the increasing numbers of prediction tools, which have been described in the medical literature. Many of these tools have been shown to be useful in the field of
Aims. The aim of this study was to identify factors associated with five-year cancer-related mortality in patients with limb and trunk
Aims. Current literature suggests that survival outcomes and local recurrence rates of primary
In our database of 7935 patients referred for investigation of a
Aims. The aim of this study was to evaluate the surgical management and outcome of patients with an acral
Aims. Surgical site infection (SSI) after
Aims. Time to treatment initiation (TTI) is generally defined as the time from the histological diagnosis of malignancy to the initiation of first definitive treatment. There is no consensus on the impact of TTI on the overall survival in patients with a
Aims. Urgent referral to a specialist centre for patients with a
Aims. The modified Glasgow Prognostic Score (mGPS) uses preoperative CRP and albumin to calculate a score from 0 to 2 (2 being associated with poor outcomes). mGPS is validated in multiple carcinomas. To date, its use in
Although bone and
Aims. Patients with
Aims. While a centralized system for the care of patients with a sarcoma has been advocated for decades, regional variations in survival remain unclear. The aim of this study was to investigate regional variations in survival and the impact of national policies in patients with a
We investigated the incidence of soft-tissue
lesions after small head metal-on-metal total hip replacement (MoM THR).
Between December 1993 and May 1999, 149 patients (195 hips) underwent
primary cementless MoM THR. During the follow-up period, three patients (five THRs) died
and eight patients (14 THRs) were lost to follow-up. We requested
that all patients undergo CT evaluation. After exclusion of five
patients (six THRs) who had undergone a revision procedure, and
22 (28 THRs) who were unwilling to take part in this study, 111
patients (142 THRs) were evaluated. There were 63 men (88 THRs)
and 48 women (54 THRs) with a mean age of 45.7 years (37 to 56)
at the time of surgery. The mean follow-up was 15.4 years (13 to
19). A
Aims. The aims of this study were to evaluate the long-term outcome
of surgery for bone or
Aims. The Intraosseous Transcutaneous Amputation Prosthesis (ITAP)
may improve quality of life for amputees by avoiding soft-tissue
complications associated with socket prostheses and by improving
sensory feedback and function. It relies on the formation of a seal
between the soft tissues and the implant and currently has a flange
with drilled holes to promote dermal attachment. Despite this, infection
remains a significant risk. This study explored alternative strategies
to enhance
The direct anterior approach in total hip replacement anatomically offers the chance to minimise
We have investigated the oncological outcome of 63 patients with
We investigated whether our policy of routine re-excision of the tumour bed after an unplanned excision of a
Decreasing proprioception of the knee is multifactorial and is a function of age and degenerative joint disease. Soft-tissue release during total knee replacement may have an influence. We have quantified
We reviewed 98 children (133 hips) with developmental dysplasia of the hip who underwent arthrography immediately after closed reduction by overhead traction. We followed the patients to skeletal maturity to investigate whether
We reviewed retrospectively 236 consecutive patients seen in our
We reviewed two similar groups of patients with medial osteoarthritis of the knee treated by unicompartmental arthroplasty. The group receiving an Oxford meniscal-bearing implant, with no medial release, showed significantly better mechanical alignment than that receiving a fixed-bearing implant. Under-correction, with its ominous mechanical implications, was much more common with the fixed-bearing design. Over-correction was rare and was seen in both designs about equally. Degenerative stenosis of the intercondylar notch was common and appeared to put the anterior cruciate ligament at risk of rupture, especially after correction of the varus deformity. We consider that postoperative leg alignment and
We have investigated the significance of the method of treatment on the oncological and functional outcomes and on the complications in 184 patients with
We have compared the sonographic findings of six femoral fractures with
We retrospectively reviewed 71 histopathologically-confirmed bone and
Necrotising
Smart trials are total knee tibial trial liners
with load bearing and alignment sensors that will graphically show quantitative
compartment load-bearing forces and component track patterns. These
values will demonstrate asymmetrical ligament balancing and misalignments
with the medial retinaculum temporarily closed. Currently surgeons
use feel and visual estimation of imbalance to assess soft-tissue
balancing and tracking with the medial retinaculum open, which results
in lower medial compartment loads and a wider anteroposterior tibial
tracking pattern. The sensor trial will aid the total knee replacement
surgeon in performing
We evaluated the oncological and functional outcome of 27 patients who had limb salvage for a
A major pathway of closed
We evaluated the risk of late relapse and further
outcome in patients with
We report a variant of tibial hemimelia in a six-year-old boy that did not comply with recognised classification systems. The femur and knee were normal, but the fibula was displaced proximally and there was severe diastasis of the proximal and distal tibiofibular joints to the extent that a grossly deformed foot articulated with the fibula and there was separate
Primary skin closure after surgery for club foot in children can be difficult especially in revision operations. Between 1990 and 1996 a
We performed a retrospective analysis to evaluate the ability of whole-body . 18. F-fluorodeoxyglucose positron emission tomography (FDG PET) to identify local recurrence and pulmonary metastases in patients with
The aim of this study was to determine whether
the high-sensitivity modified Glasgow prognostic score (Hs-mGPS) could
predict the disease-specific survival and oncological outcome in
adult patients with non-metastatic
We report four patients with a form of Ehlers-Danlos syndrome associated with
A case is reported of a patient who presented with a
We reviewed 43 patients who had sustained
We analysed 256 patients with primary
We have managed 21 patients with a fracture of the tibia complicated by bone and
We reviewed 277 patients with
The existing clinical guidelines do not describe a clear indication for adjuvant radiotherapy (RT) in the treatment of superficial soft tissue sarcomas (STSs). We aimed to determine the efficacy of adjuvant RT for superficial STSs. We retrospectively studied 304 patients with superficial STS of the limbs and trunk who underwent surgical resection at a tertiary sarcoma centre. The efficacy of RT was investigated according to the tumour size and grade: group 1, ≤ 5 cm, low grade; group 2, ≤ 5cm, high grade; group 3, > 5 cm, low grade; group 4, > 5 cm, high grade.Aims
Methods
We investigated the pathogenesis of
We have investigated the significance of local recurrence on survival in 173 patients with localised