Aims.
Aims. The aim of this study was to investigate the association between fracture displacement and survivorship of the native hip joint without conversion to a total hip arthroplasty (THA), and to determine predictors for conversion to THA in patients treated nonoperatively for
Aims.
We prospectively analysed the epidemiology of
We performed a systematic review of the literature
pertaining to the functional outcomes of the surgical management
of
Aims. Displaced, comminuted
Aims. Complex displaced osteoporotic
The increasing prevalence of osteoporosis in
an ageing population has contributed to older patients becoming
the fastest-growing group presenting with
In the time since Letournel popularised the surgical
treatment of
We have examined the accuracy of reduction and the functional outcomes in elderly patients with surgically treated
This study compared the quality of reduction
and complication rate when using a standard ilioinguinal approach and
the new pararectus approach when treating
Surgical dislocation of the hip in the treatment of
A new anterior intrapelvic approach for the surgical
management of displaced
We report the outcome of 161 of 257 surgically fixed
Over a five-year period, adult patients with
marginal impaction of
Isolated fractures of the anterior column and anterior wall are a relatively rare subgroup of
Aims. The aims of this study were to determine the cumulative ten-year
survivorship of hips treated for
To assess the stability of the hip after
Early total hip replacement (THR) for acetabular
fractures offers accelerated rehabilitation, but a high risk of heterotopic
ossification (HO) has been reported. The purpose of this study was
to evaluate the incidence of HO, its associated risk factors and
functional impact. A total of 40 patients with acetabular fractures
treated with a THR weres retrospectively reviewed. The incidence
and severity of HO were evaluated using the modified Brooker classification,
and the functional outcome assessed. The overall incidence of HO
was 38%
(n = 15), with nine severe grade III cases. Patients who underwent
surgery early after injury had a fourfold increased chance of developing
HO. The mean blood loss and operating time were more than twice
that of those whose surgery was delayed (p = 0.002 and p <
0.001,
respectively). In those undergoing early THR, the incidence of grade
III HO was eight times higher than in those in whom THR was delayed
(p = 0.01). Only three of the seven patients with severe HO showed
good or excellent Harris hip scores compared with eight of nine
with class 0, I or II HO (p = 0.049). Associated musculoskeletal
injuries, high-energy trauma and head injuries were associated with
the development of grade III HO. The incidence of HO was significantly higher in patients with
a displaced
We investigated whether patients who underwent internal fixation for an isolated