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The Bone & Joint Journal
Vol. 95-B, Issue 11_Supple_A | Pages 3 - 6
1 Nov 2013
Wassef AJ Schmalzried TP

A modular femoral head–neck junction has practical advantages in total hip replacement. Taper fretting and corrosion have so far been an infrequent cause of revision. The role of design and manufacturing variables continues to be debated. Over the past decade several changes in technology and clinical practice might result in an increase in clinically significant taper fretting and corrosion. Those factors include an increased usage of large diameter (36 mm) heads, reduced femoral neck and taper dimensions, greater variability in taper assembly with smaller incision surgery, and higher taper stresses due to increased patient weight and/or physical activity. Additional studies are needed to determine the role of taper assembly compared with design, manufacturing and other implant variables.

Cite this article: Bone Joint J 2013;95-B, Supple A:3–6.


The Journal of Bone & Joint Surgery British Volume
Vol. 92-B, Issue 7 | Pages 905 - 913
1 Jul 2010
Jain AK

The dismal outcome of tuberculosis of the spine in the pre-antibiotic era has improved significantly because of the use of potent antitubercular drugs, modern diagnostic aids and advances in surgical management. MRI allows the diagnosis of a tuberculous lesion, with a sensitivity of 100% and specificity of 88%, well before deformity develops. Neurological deficit and deformity are the worst complications of spinal tuberculosis. Patients treated conservatively show an increase in deformity of about 15°. In children, a kyphosis continues to increase with growth even after the lesion has healed. Tuberculosis of the spine is a medical disease which is not primarily treated surgically, but operation is required to prevent and treat the complications. Panvertebral lesions, therapeutically refractory disease, severe kyphosis, a developing neurological deficit, lack of improvement or deterioration are indications for surgery. Patients who present with a kyphosis of 60° or more, or one which is likely to progress, require anterior decompression, posterior shortening, posterior instrumented stabilisation and anterior and posterior bone grafting in the active stage of the disease. Late-onset paraplegia is best prevented rather than treated. The awareness and suspicion of an atypical presentation of spinal tuberculosis should be high in order to obtain a good outcome. Therapeutically refractory cases of tuberculosis of the spine are increasing in association with the presence of HIV and multidrug-resistant tuberculosis.


The Journal of Bone & Joint Surgery British Volume
Vol. 91-B, Issue 4 | Pages 426 - 433
1 Apr 2009
Musahl V Tarkin I Kobbe P Tzioupis C Siska PA Pape H

The operative treatment of displaced fractures of the tibial plateau is challenging. Recent developments in the techniques of internal fixation, including the development of locked plating and minimal invasive techniques have changed the treatment of these fractures. We review current surgical approaches and techniques, improved devices for internal fixation and the clinical outcome after utilisation of new methods for locked plating.


The Journal of Bone & Joint Surgery British Volume
Vol. 90-B, Issue 7 | Pages 827 - 832
1 Jul 2008
Rees JL

This review discusses the pathogenesis and surgical treatment of tears of the rotator cuff.


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. 89-B, Issue 10 | Pages 1273 - 1279
1 Oct 2007
Giannoudis PV van Griensven M Tsiridis E Pape HC

Technological advances and shorter rescue times have allowed early and effective resuscitation after trauma and brought attention to the host response to injury. Trauma patients are at risk of progressive organ dysfunction from what appears to be an uncontrolled immune response. The availability of improved techniques of molecular diagnosis has allowed investigation of the role of genetic variations in the inflammatory response to post-traumatic complications and particularly to sepsis.

This review examines the current evidence for the genetic predisposition to adverse outcome after trauma. While there is evidence supporting the involvement of different polymorphic variants of genes in determining the post-traumatic course and the development of complications, larger-scale studies are needed to improve the understanding of how genetic variability influences the responses to post-traumatic complications and pharmacotherapy.


The Journal of Bone & Joint Surgery British Volume
Vol. 89-B, Issue 1 | Pages 1 - 4
1 Jan 2007
Robertsson O

This article considers the establishment, purpose and conduct of knee arthroplasty registers using the Swedish register as an example. The methods of collection of appropriate data, the cost, and the ways in which this information may be used are considered.


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 3 | Pages 281 - 289
1 Mar 2006
Giannoudis PV Papakostidis C Roberts C


The Journal of Bone & Joint Surgery British Volume
Vol. 87-B, Issue 12 | Pages 1595 - 1604
1 Dec 2005
Hadjipavlou AG Tzermiadianos MN Katonis PG Szpalski M