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The Journal of Bone & Joint Surgery British Volume
Vol. 93-B, Issue 2 | Pages 145 - 150
1 Feb 2011
Ng CY McQueen MM

The fracture most commonly treated by orthopaedic surgeons is that of the distal radius. However, as yet there is no consensus on what constitutes an ‘acceptable’ radiological position before or after treatment. This should be defined as the position that will predict good function in the majority of cases. In this paper we review the radiological indices that can be measured in fractures of the distal radius and try to identify potential predictors of functional outcome. In patients likely to have high functional demands, we recommend that the articular reconstruction be achieved with less than 2 mm of gap or step-off, the radius be restored to within 2 mm of its normal length, and that carpal alignment be restored. The ultimate aim of treatment is a pain-free, mobile wrist joint without functional limitation.


The Journal of Bone & Joint Surgery British Volume
Vol. 93-B, Issue 1 | Pages 1 - 11
1 Jan 2011
Murray IR Amin AK White TO Robinson CM

Most proximal humeral fractures are stable injuries of the ageing population, and can be successfully treated non-operatively. The management of the smaller number of more complex displaced fractures is more controversial and new fixation techniques have greatly increased the range of fractures that may benefit from surgery.

This article explores current concepts in the classification and clinical aspects of these injuries, reviewing the indications, innovations and outcomes for the most common methods of treatment.


The Journal of Bone & Joint Surgery British Volume
Vol. 89-B, Issue 11 | Pages 1413 - 1420
1 Nov 2007
FitzGerald J Fawcett J

The subject of central nervous system damage includes a wide variety of problems, from the slow selective ‘picking off’ of characteristic sub-populations of neurons typical of neurodegenerative diseases, to the wholesale destruction of areas of brain and spinal cord seen in traumatic injury and stroke. Experimental repair strategies are diverse and the type of pathology dictates which approach will be appropriate. Damage may be to grey matter (loss of neurons), white matter (cutting of axons, leaving neurons otherwise intact, at least initially) or both. This review will consider four possible forms of treatment for repair of the human central nervous system.


The Journal of Bone & Joint Surgery British Volume
Vol. 88-B, Issue 5 | Pages 562 - 575
1 May 2006
Boileau P Sinnerton RJ Chuinard C Walch G


The Journal of Bone & Joint Surgery British Volume
Vol. 88-B, Issue 4 | Pages 427 - 433
1 Apr 2006
van Vugt AB van Kampen A


The Journal of Bone & Joint Surgery British Volume
Vol. 88-B, Issue 2 | Pages 141 - 148
1 Feb 2006
Sarmiento A Latta L