Aims.
To address the natural history of severe post-tuberculous (TB)
kyphosis, with focus upon the long-term neurological outcome, occurrence
of restrictive lung disease, and the effect on life expectancy. This is a retrospective clinical review of prospectively collected
imaging data based at a single institute. A total of 24 patients
of Southern Chinese origin who presented with spinal TB with a mean
of 113° of kyphosis (65° to 159°) who fulfilled inclusion criteria
were reviewed. Plain radiographs were used to assess the degree
of spinal deformity. Myelography, CT and MRI were used when available
to assess the integrity of the spinal cord and canal. Patient demographics,
age of onset of spinal TB and interventions, types of surgical procedure,
intra- and post-operative complications, and neurological status
were assessed. Aims
Patients and Methods
We report a case of peri-prosthetic
The dismal outcome of
A prospective series of 32 cases with
Vertebral disease constitutes approximately 50% of all skeletal
The case histories of these Black Notley patients show that no serious harmful effects have been caused by pregnancies going to full term. Most of the patients had normal confinements; Caesarian sections were few and were usually done for obstetric reasons, not for fear of reactivation of the disease. This experience bears out a remark made to me by Marcel Galland. When asked if Caesarian sections were required for women who became pregnant after treatment at Berck for skeletal
A series of 14 patients suffering from
There has been an increase in the incidence of bone and joint
Streptomycin and iso-nicotinic acid hydrazide are two powerful drugs lethal to tubercle bacilli, when access to the infected tissues is free. For early disease, before ischaemia and necrosis become established, they are curative: afterwards they are not. In this paper the use of surgery to augment their action has been discussed. The development of such methods may well revolutionise the treatment of skeletal
1. Nine hundred and fourteen cases of
Among the variety of differential diagnoses for chronic patellar tendinopathy, isolated
Aims. The surgical treatment of
Of the 4172 patients in a survey of all cases of
The lack of an accurate, rapid diagnostic test
for mycobacterium
1. Experience in the treatment of tuberculous disease of the spine, hip and knee by combined constitutional, antibiotic and operative measures is described. 2. In patients with
We report 79 cases of bone and joint
The timing of total hip replacement (THR) in
patients with active
In two centres in Korea 350 patients with a diagnosis of
The immigrant Asian population of Bradford has a relatively high incidence of bone and joint
1. Thirty-eight cases of
1. Three hundred and twenty cases of
We have reviewed six patients with old
We treated 13 children with histologically confirmed cystic
We report the results of cementless total joint replacement in 18 patients with old
1. A case of osteochondritis of the cuboid, with co-existing
One hundred and fifty patients in Hong Kong with a diagnosis of
We studied 51 patients with osteo-articular
In 44 patients with
Two hundred and eighty-three patients with
1. Eleven cases of
1. Thirty-one cases of
The localisation of acute haematogenous pyogenic osteomyelitis following a local injury is well known. Whilst there is often a history of trauma in patients developing bone and joint
We report 60 patients with
Six patients, aged between 3 and 51 years, with
1. The previous literature in English on
We reviewed 33 children with
1. A case of multiple pseudo-cystic
1. A case of multiple pseudo-cystic
Twelve adult patients with confirmed
The results obtained from combined chemotherapy and radical surgery in eighteen patients with trochanteric
Streptomycin and the newer antibiotics have already belied the pessimistic agnosticism of 1947. In certain instances, notably in disease of the knee and hip and in some cases with draining sinuses, it appears that they are sufficient to produce a quiescence which may be a cure. For the rest it remains to map out in detail what has in part been explored. In particular it is essential to confirm how far antibiotics enable surgeons to treat
1. Fifty cases of arthrodesis of the hip joint in tuberculous arthritis are analysed; in forty cases the late end-result has been ascertained two or more years after operation. 2. The indications for arthrodesis are discussed. The operation should not be performed when disease is active; it should not be undertaken before the age of twelve to thirteen years; it is not advisable in elderly patients; it may be contra-indicated when there are multiple foci of infection. Subject to these limitations every patient with unsound ankylosis after adequate conservative treatment should be treated by arthrodesis; painful fibrous ankylosis and late onset of deformity are definite indications. 3. Three types of operation have been used: intra-articular arthrodesis; extra-articular ilio-femoral arthrodesis; combined intra- and extra-articular arthrodesis. Extra-articular ilio-femoral arthrodesis is preferred, deformity being first corrected by traction or osteotomy. 4. Post-operation complications were few; the mortality rate was low (2 per cent.). 5. There was bone ankylosis with solid incorporation of the graft in 87·5 per cent., failure of union of the graft (to the trochanter) in 10 per cent., and destruction of the graft in 2·5 per cent. 6. Late end-results show full working capacity in 87·5 per cent. of patients, part working capacity in 2·5 per cent. and inability to work in 7·5 per cent. The writer wishes to express his thanks to Professor Harry Platt and Professor T. P.. McMurray for criticism and advice in the preparation of this paper, and to Dr F. C. S. Bradbury, Central Consultant
Amputation or post-mortem specimens from eight cases of joint
Fresh-frozen allografts from the humerus were used to help to stabilise the spine after anterior decompression for
Arthroplasty of the hip using an interposed multi-layered cap of amniotic membrane is reported in 28 patients with tuberculous arthritis. The disease had been present from one to seven years, and five patients had multiple discharging sinuses. Follow-up was from 30 to 46 months. Amniotic tissue caused no inflammatory reaction, or obvious rejection, and 25 patients were free of symptoms, with a good range of movement and a stable joint. The three failures were caused by dislocation, fracture of the femoral neck and extra-articular bone formation respectively. Amniotic arthroplasty seems to be capable of providing a painless, mobile and stable joint in patients with
We reviewed 64 anterolateral decompressions performed on 63 patients with
Of 37 consecutive patients suffering from