The aim of this study was to analyse the gait
pattern, muscle force and functional outcome of patients who had undergone
replacement of the proximal
1. An unexplained case of extensive subperiosteal haematoma of the
Aims. This is a prospective randomised study which compares the radiological
and functional outcomes of ring and rail fixators in patients with
an infected gap (>
3 cm) nonunion of the
We report a patient with a subperiosteal ganglion cyst of the
The ipsilateral and contralateral fibulae have been used as a vascularised bone graft for loss of
1. "Reed" osteotomy has proved a satisfactory method for the correction of torsional deformity of the
We have used the Ilizarov technique for the management of subarticular defects after the excision of giant-cell tumours in the proximal
1. The conservative school of treatment of fractures of the
In six unloaded cadaver knees we used MRI to determine the shapes of the articular surfaces and their relative movements. These were confirmed by dissection. Medially, the femoral condyle in sagittal section is composed of the arcs of two circles and that of the
We report the results of limb salvage for non-metastatic osteosarcoma of the distal
Intramedullary infection in long bones represents
a complex clinical challenge, with an increasing incidence due to the
increasing use of intramedullary fixation. We report a prospective
case series using an intramedullary reaming device, the Reamer–Irrigator–Aspirator
(RIA) system, in association with antibiotic cement rods for the
treatment of lower limb long bone infections. A total of 24 such
patients, 16 men and eight women, with a mean age of 44.5 years
(17 to 75), 14 with femoral and 10 with tibial infection, were treated
in a staged manner over a period of 2.5 years in a single referral
centre. Of these, 21 patients had had previous surgery, usually
for fixation of a fracture (seven had sustained an open fracture
originally and one had undergone fasciotomies). According to the
Cierny–Mader classification system, 18 patients were classified
as type 1A, four as 3A (discharging sinus tract), one as type 4A
and one as type 1B. Staphylococcus species were
isolated in 20 patients (83.3%). Local antibiotic delivery was used
in the form of impregnated cement rods in 23 patients. These were
removed at a mean of 2.6 months (1 to 5). Pathogen-specific antibiotics
were administered systemically for a mean of six weeks (3 to 18).
At a mean follow-up of 21 months (8 to 36), 23 patients (96%) had
no evidence of recurrent infection. One underwent a planned trans-tibial
amputation two weeks post-operatively due to peripheral vascular
disease and chronic recalcitrant osteomyelitis of the
We report five patients with
Three women with osteoarthritis of the knee presented after sudden worsening of their symptoms. In each case this was found to be due to a stress fracture of the
Mechanical loading during physical activity produces strains within bones. It is thought that these forces provide the stimulus for the adaptation of bone. Tibial strains and rates of strain were measured in vivo in six subjects during running, stationary bicycling, leg presses and stepping and were compared with those of walking, an activity which has been found to have only a minimal effect on bone mass. Running had a statistically significant higher principal tension, compression and shear strain and strain rates than walking. Stationary bicycling had significantly lower tension and shear strains than walking. If bone strains and/or strain rates higher than walking are needed for
We report the technique and results of percutaneous cerclage used in treating 186 torsional fractures of the
We have carried out a retrospective review of 20 patients with segmental fractures of the
1. Five patients with seven fatigue fractures of the lower third of the
After severe poliomyelitis, which is still relatively common in some developing countries, lateral rotation deformity of the
1. Experimental epiphysiodesis was performed on either the upper or lower epiphysial cartilage of one
1. Ninety-eight cases of fracture of the upper end of the