Eighteen patients with acute dislocation of the patella had associated osteochondral
This annotation discusses the findings of two papers in the current issue describing the management of the neurovascular complications of supracondylar
We have evaluated the effect of the short-term administration of low therapeutic doses of modern COX-2 inhibitors on the healing of
Seventy-nine open tibial
Compression testing of cadaver specimens showed that excision of the radial head allowed proximal radial displacement. The insertion of a metallic radial head restored normal mechanics, while a silicone rubber implant did not. We reviewed 31 of 36 comminuted
We treated 49 patients at an average age of 80 years (75 to 90) with distal mostly intraarticular humeral
One hundred consecutive closed
The results of the use of Harrington rods in the treatment of spinal fractures were reviewed. It was found that with burst
1. The development of sclerosis of the femoral head after
Torus (buckle)
Interobserver reliability of the AO system of classification of
Intramedullary rods manufactured from polyacetal were used to fix diaphyseal
Four men who presented with chronic dislocation of the radial head and nonunion or malunion of the ulna were reviewed after open reduction of the radial head and internal fixation of the ulna in attempted overcorrection. Their mean age was 37 years (28 to 46) and the mean interval between injury and reconstruction was nine months (4 to 18). The mean follow-up was 24 months (15 to 36). One patient who had undergone secondary excision of the radial head was also followed up for comparison. The three patients who had followed the treatment protocol had nearly normal flexion, extension and supination and only very occasional pain. All had considerable loss of pronation which did not affect patient satisfaction. Preservation of the radial head in chronic adult Monteggia
Three cases are described of elbow injuries in infants, to illustrate the difficulty of differentiating a dislocation from a supracondylar
Fifty-six patients with displaced malleolar
We treated 39 patients with
1. A case of the scapho-capitate
The quantification of local bone blood flow in man has not previously been possible, despite its importance in the study of normal and pathological bone. We report the use of positron emission tomography, using 15O-labelled water, to measure bone blood flow in patients with closed unilateral
Flail chest from a blunt injury to the thorax is associated with
significant morbidity and mortality. Its management globally is
predominantly non-operative; however, there are an increasing number
of centres which undertake surgical stabilisation. The aim of this
meta-analysis was to compare the efficacy of this approach with
that of non-operative management. A systematic search of the literature was carried out to identify
randomised controlled trials (RCTs) which compared the clinical
outcome of patients with a traumatic flail chest treated by surgical
stabilisation of any kind with that of non-operative management.Aims
Patients and Methods
We have reviewed the early complications of 121 surgically treated closed ankle