1. Two cases of an unrecognised
Only two cases have been reported of
Five knees with
Fifty-four adults with eighty hips affected by
1. Twenty-one cases of
A few points in this report deserve to be stressed. Indications–It is important that the orthopaedic surgeon should decide at a very early stage which of the two methods, closed or open, he must use. These do not exclude each other but are on the other hand complementary. Nowadays the dislocated hip can be reduced by open operation with a very good chance of lasting success. This should be carried out if a hip cannot easily be reduced otherwise, or if there is any doubt that closed reduction has been successful–and as early as possible, preferably before the age of three years. Technique–Ample exposure of the joint and removal of all obstacles to reduction are important. Reduction must be complete and stable but without stress, and there must be no interference with the articular bone and cartilage. After-care–Reduction, however perfect, is only the first step towards recovery. The hip must be observed carefully and the most suitable moments for mobilisation and for walking must be chosen; this calls for nice judgment. When it is clear that the roof of the acetabulum is not developing or that persistent valgus and anteversion may encourage subluxation, a secondary operation should be undertaken at once. Radiography is necessary about every three months for the first two years. Assessment of results–With a strict system of assessment, like McFarland's, we have observed 68·3 per cent favourable results in 171 hips treated by open reduction. It is obvious that the problem of
1. Radiological criteria in the diagnosis of
1. A patient with ectopic bone in the upper arm associated with multiple
We present a systematic review of the results of the Ponseti method of management for
1. Breech malposition and hormonal joint laxity produce atraumatic posterior dislocations in the hip joints of young rabbits. 2. Experimental studies were shown to cause the development of a limbus and other softtissue changes similar to those found in human
Sixty patients with
1. The family history of, and associated
Between November 1997 and December 2000 we performed 27 total hip replacements in 22 patients with high
A clinical and radiological study was conducted on 97 total hip replacements performed for
We report for the first time the combination of
Instability of the knee is frequently found in association with
1.
1. Three cases of