Advertisement for orthosearch.org.uk
Results 1 - 20 of 26
Results per page:
The Bone & Joint Journal
Vol. 96-B, Issue 12 | Pages 1713 - 1713
1 Dec 2014
Jones D Hill R


The Journal of Bone & Joint Surgery British Volume
Vol. 92-B, Issue 10 | Pages 1480 - 1480
1 Oct 2010
Jones D


The Journal of Bone & Joint Surgery British Volume
Vol. 90-B, Issue 9 | Pages 1260 - 1260
1 Sep 2008
Jones D


The Journal of Bone & Joint Surgery British Volume
Vol. 88-B, Issue 6 | Pages 799 - 806
1 Jun 2006
Jones D Parkinson S Hosalkar HS

We reviewed retrospectively 45 patients (46 procedures) with bladder exstrophy treated by bilateral oblique pelvic osteotomy in conjunction with genitourinary repair.

The operative technique and post-operative management with or without external fixation are described. A total of 21 patients attended a special follow-up clinic and 24 were interviewed by telephone. The mean follow-up time was 57 months (24 to 108).

Of the 45 patients, 42 reported no pain or functional disability, although six had a waddling gait and two had marked external rotation of the hip. Complications included three cases of infection and loosening of the external fixator requiring early removal with no deleterious effect. Mid-line closure failed in one neonate managed in plaster. This patient underwent a successful revision procedure several months later using repeat osteotomies and external fixation.

The percentage pubic approximation was measured on anteroposterior radiographs pre-operatively, post-operatively and at final follow-up. The mean approximation was 37% (12% to 76%). It varied markedly with age and was better when external fixation was used. The wide range reflects the inability of the anterior segment to develop naturally in spite of close approximation at operation.

We conclude that bilateral oblique pelvic osteotomy with or without external fixation is useful in the management of difficult primary closure in bladder exstrophy, failed primary closure and secondary reconstruction.


The Journal of Bone & Joint Surgery British Volume
Vol. 86-B, Issue 5 | Pages 779 - 779
1 Jul 2004
Jones D


The Journal of Bone & Joint Surgery British Volume
Vol. 84-B, Issue 7 | Pages 1088 - 1088
1 Sep 2002
Jones D


The Journal of Bone & Joint Surgery British Volume
Vol. 83-B, Issue 1 | Pages 106 - 111
1 Jan 2001
Brown R Hussain M McHugh K Novelli V Jones D

Discitis is uncommon in children and presents in different ways at different ages. It is most difficult to diagnose in the uncommunicative toddler of one to three years of age. We present 11 consecutive cases. The non-specific clinical features included refusal to walk (63%), back pain (27%), inability to flex the lower back (50%) and a loss of lumbar lordosis (40%). Laboratory tests were unhelpful and cultures of blood and disc tissue were negative.

MRI reduces the diagnostic delay and may help to avoid the requirement for a biopsy. In 75% of cases it demonstrated a paravertebral inflammatory mass, which helped to determine the duration of the oral therapy given after initial intravenous antibiotics.

At a mean follow-up of 21 months (10 to 40), all the spines were mobile and the patients free from pain. Radiological fusion occurred in 20% and was predictable after two years. At follow-up, MRI showed variable appearances: changes in the vertebral body usually resolved at 24 months and recovery of the disc was seen after 34 months.


The Journal of Bone & Joint Surgery British Volume
Vol. 81-B, Issue 4 | Pages 744 - 744
1 Jul 1999
JONES D


The Journal of Bone & Joint Surgery British Volume
Vol. 81-B, Issue 3 | Pages 560 - 560
1 May 1999
JONES D


The Journal of Bone & Joint Surgery British Volume
Vol. 80-B, Issue 6 | Pages 943 - 945
1 Nov 1998
Jones D


The Journal of Bone & Joint Surgery British Volume
Vol. 73-B, Issue 6 | Pages 969 - 971
1 Nov 1991
Phelan S Jones D Bishay M

Transverse fractures of the sacrum with neurological complications have been studied in four patients illustrating the following features: diagnosis is often delayed, there are radiological difficulties in making the diagnosis, and the indications for surgery are not well defined. Specific radiographic views are recommended. All the cases presented in this report responded well to conservative management.


The Journal of Bone & Joint Surgery British Volume
Vol. 73-B, Issue 2 | Pages 216 - 218
1 Mar 1991
Jones D

Ten normal neonatal hips were examined in stillborn babies. At first, forcible Barlow manoeuvres did not produce subluxation or dislocation, but by repeated examination a previously stable joint could be rendered unstable. Dissection of the hips showed that the vacuum fit between the femur and the acetabulum was an important factor in neonatal hip stability. The posterior capsule was not a strong or, in itself, an important structure. It is postulated that the capsule and the labrum act together as 'O' rings to maintain the vacuum fit; it is possible that repeated examinations, by producing an effusion, could break the seal and allow instability.


The Journal of Bone & Joint Surgery British Volume
Vol. 73-B, Issue 1 | Pages 179 - 179
1 Jan 1991
Graham G Dent C Jones D


The Journal of Bone & Joint Surgery British Volume
Vol. 72-B, Issue 3 | Pages 457 - 459
1 May 1990
Jones D Powell N

We describe a simple, quick ultrasound screening test for CDH, and its use in a prospective study of babies with a 'high risk' factor, over one year from January 1987. From a birth population of 3,879, 812 hip scans were performed on 406 babies and 98 babies were abnormal. So far, there have been no late cases of CDH. Family history, breech malposition, and postural foot deformities were confirmed to be important risk factors, but babies with a simple click were equally at risk. Our early results indicate that a large proportion of the potential late cases are contained within our extended high-risk group.


The Journal of Bone & Joint Surgery British Volume
Vol. 71-B, Issue 2 | Pages 227 - 228
1 Mar 1989
Jones D

Three cases are reported which presented as "irritable" or "observation" hips and failed to respond to rest at home and in hospital. In each case a campylobacter organism was grown from the faeces; none were found in a group of 20 patients in the paediatric ward for other reasons. The patients responded to a course of erythromycin. It is postulated that they may have had a reactive arthropathy of the hip and suggested that cultures for Campylobacter be made as part of the investigation of irritable hip.


The Journal of Bone & Joint Surgery British Volume
Vol. 70-B, Issue 1 | Pages 29 - 33
1 Jan 1988
Weisl H Fairclough J Jones D

Patients with myelomeningocele who had had surgery to stabilise the hip were reviewed; the results of the 106 operations in 88 patients were assessed. In the earlier part of the series there were 55 children who had 64 iliopsoas transfers; later in the series 33 children had 42 varus-rotation osteotomies combined with adductor tenotomy, anterior obturator neurectomy and psoas division. The technical results of both operations were satisfactory: following iliopsoas transfer only 19% of the hips were either dislocated or subluxated; the corresponding figure for the osteotomy was 12%. Thus varus-rotation osteotomy with psoas division, adductor tenotomy and anterior obturator neurectomy was at least as effective in stabilising the hip as iliopsoas transfer. Nevertheless 80% of the latter and 61% of the osteotomy patients relied on wheelchairs for mobility.


The Journal of Bone & Joint Surgery British Volume
Vol. 69-B, Issue 2 | Pages 207 - 211
1 Mar 1987
Jenkins N Jones D Johnson Mintowt-Czyz W

In a prospective, controlled study 58 patients aged under 60 years with Colles' fractures were treated either by a forearm plaster or by the application of an external fixator. In 94% of those treated by a fixator it was possible to insert the distal pins of the frame into the fracture fragment, the fixation obtained being sufficient to forgo additional splintage. The external fixator proved more effective at holding the manipulated position, and the radiological loss of position during fracture union was minimal compared with that seen in patients treated in plaster.


The Journal of Bone & Joint Surgery British Volume
Vol. 69-B, Issue 1 | Pages 149 - 149
1 Jan 1987
Jones D


The Journal of Bone & Joint Surgery British Volume
Vol. 68-B, Issue 4 | Pages 557 - 560
1 Aug 1986
Esser M Kassab J Jones D

In a randomised prospective trial 98 elderly women with trochanteric fractures of the femur were treated with either a 135 degrees Jewett nail-plate or a 135 degrees Dynamic hip screw. The results at six weeks, three months and six months were statistically analysed. There were no significant differences in the two groups with regard to pain, length of hospital stay, morbidity or mortality. Although operative difficulties and open reduction were more common with the Dynamic hip screw, at the end of six months more patients in this group were mobile and there was significant radiological evidence of better compression without loss of fixation.


The Journal of Bone & Joint Surgery British Volume
Vol. 68-B, Issue 3 | Pages 476 - 477
1 May 1986
Jones D

Partridge bands have been developed and marketed on the assumption that their ribbed under-surface would ensure less interference with periosteal and cortical blood flow than other cerclage systems. Three cases are reported of serious clinical complications from loss of cortical bone under the band, and interference with the external bridging callus response.