Tapered, fluted, modular, titanium stems are
increasingly popular in the operative management of Vancouver B2 and
selected B3 peri-prosthetic femoral fractures. We have reviewed
the results at our institution looking at stem survival and clinical
outcomes and compared this with reported outcomes in the literature.
Stem survival at a mean of 54Â months was 96% in our series and 97%
for combined published cases. Review of radiology showed maintenance
or improvement of bone stock in 89% of cases with high rates of
femoral union. Favourable clinical outcome scores have reported
by several authors. No difference in survival or clinical scores
was observed between B2 and B3
Comminuted and displaced
We analysed the results of 93 tibial shaft
A patient with a
It is now clear that vitamin K1 is part of a biochemical cycle that is essential for the conversion of specific bone peptides into a form that can bind calcium. We have used a recently described procedure for assaying vitamin K1 in plasma to test the involvement of this vitamin in fracture healing. Markedly depressed circulating levels were found in patients with
The results of a prospective controlled trial of early mobilisation of Colles'
In this study 201 elderly patients with femoral neck
We recorded inter- and intra-observer variations in the classification of ankle
We reviewed a series of 79 distal radial
In a prospective study of 132 patients with an average age of 35 years, unstable intra-articular
We have investigated the level of physical activity of 49 women between the ages of 15 and 45 years who sustained a
We measured the changes during operation in seven markers of coagulation in a prospective series of 84 patients with
We report the use of combined anterior and posterior approaches for the reduction and fixation of complex tibial plateau
Of 110 consecutive open tibial
In a series of 150 consecutive patients with unstable
We studied prospectively the regional inflammatory response to a unilateral distal radial
We have carried out a prospective study of 17 patients (14 women, 3 men) of mean age 48 years (21 to 76) with transcervical
Studies derived from analyses of radiographs and dissections of cadaveric wrists have been directed at testing and disproving the commonly held theories that link chip
In a prospective study, 204 consecutive patients with displaced Colles'
Between 1971 and 1991 we treated 98 patients with giant-cell tumours, 15 of whom presented with a pathological