Aims. Our aim was to examine the Elixhauser and Charlson comorbidity indices, based on administrative data available before surgery, and to establish their predictive value for mortality for patients who underwent hip arthroplasty in the management of a
Aims. We aimed to quantify the relative contributions of the medial
femoral circumflex artery (MFCA) and lateral femoral circumflex
artery (LFCA) to the arterial supply of the head and neck of the
femur. Materials and Methods. We acquired ten cadaveric pelvises. In each of these, one hip
was randomly assigned as experimental and the other as a matched
control. The MFCA and LFCA were cannulated bilaterally. The hips
were designated LFCA-experimental or MFCA-experimental and underwent
quantitative MRI using a 2 mm slice thickness before and after injection
of MRI-contrast diluted 3:1 with saline (15 ml Gd-DTPA) into either
the LFCA or MFCA. The contralateral control hips had 15 ml of contrast
solution injected into the root of each artery. Next, the MFCA and
LFCA were injected with a mixture of polyurethane and barium sulfate
(33%) and their extra-and intra-arterial course identified by CT
imaging and dissection. Results. The MFCA made a greater contribution than the LFCA to the vascularity
of the femoral head (MFCA 82%, LFCA 18%) and neck (MFCA 67%, LFCA
33%). However, the LFCA supplied 48% of the anteroinferior femoral
neck overall. Conclusion. This study clearly shows that the MFCA is the major arterial
supply to the femoral head and neck. Despite this, the LFCA supplies
almost half the anteroinferior aspect of the
In a series of 450 patients over 70 years of age with displaced fractures of the
1. Seventy patients with impacted fractures of the
Fractures of the hip are common, often occurring
in frail elderly patients, but also in younger fit healthy patients following
trauma. They have a significant associated mortality and major social
and financial implications to patients and health care providers.
Many guidelines are available for the management of these patients,
mostly recommending early surgery for the best outcomes. As a result,
healthcare authorities now put pressure on surgical teams to ‘fast
track’ patients with a fracture of the hip, often misquoting the
available literature, which in itself can be confusing and even
conflicting. This paper has been written following an extensive review of
the available literature. An attempt is made to clarify what is
meant by early surgery (expeditious Cite this article:
The incidence and long-term outcome of undisplaced fatigue fractures of the
Nutritional osteomalacia is a metabolic bone disorder common among the Asian female immigrant population in the United Kingdom. We describe the case of a female of Asian origin, who was found to have a unilateral undisplaced pseudofracture of the
In a prospective, randomised trial, we compared the use of three Ullevaal hip screws with that of two Hansson hook-pins in 278 patients with fractures of the
We compared the clinical and radiological outcomes
of two cementless femoral stems in the treatment of patients with
a Garden III or IV fracture of the
A study of a collected series of
We report a series of 50 patients under 70 years of age who had an ununited
1. A technique of transarticular nailing for subcapital and transcervical fractures of the
1. Various types of fracture of the
Fractures of the
1. At necropsy the arterial distribution within the head and
We describe a method of internal fixation for
We studied the rate of revision in 84 consecutive total hip replacements performed for failed osteosynthesis of
We report retrospective and prospective studies to identify the causes of fracture of the
Aims. The objective of this study was to investigate bone healing after
internal fixation of displaced
We adduce the following conclusions from our experience of using this spring-loaded compression screw on completely displaced medial fractures of the