The release of prostaglandins E and F from the tibiae of rabbits and the surrounding muscle in vitro after
We present the results of 13 patients who suffered severe injuries to the lower leg. Five sustained a traumatic amputation and eight a Gustilo-Anderson type IIIC open
Aims. This study aims to assess first, whether mutations in the epidermal
growth factor receptor (EGFR) and Kirsten rat sarcoma (kRAS) genes
are associated with overall survival (OS) in patients who present
with symptomatic bone metastases from non-small cell lung cancer
(NSCLC) and secondly, whether mutation status should be incorporated into
prognostic models that are used when deciding on the appropriate
palliative treatment for symptomatic bone metastases. Patients and Methods. We studied 139 patients with NSCLC treated between 2007 and 2014
for symptomatic bone metastases and whose mutation status was known.
The association between mutation status and overall survival was
analysed and the results applied to a recently published prognostic
model to determine whether including the mutation status would improve
its discriminatory power. Results. The median OS was 3.9 months (95% confidence interval (CI) 2.1
to 5.7). Patients with EGFR (15%) or kRAS mutations (34%) had a
median OS of 17.3 months (95% CI 12.7 to 22.0) and 1.8 months (95%
CI 1.0 to 2.7), respectively. Compared with EGFR-positive patients,
EGFR-negative patients had a 2.5 times higher risk of death (95%
CI 1.5 to 4.2). Incorporating EGFR mutation status in the prognostic
model improved its discriminatory power. Conclusion. Survival prediction models for patients with symptomatic bone
metastases are used to determine the most appropriate (surgical)
treatment for painful or
I. Five cases of dislocation of the head of the radius associated with
To investigate the origin of
The design and use of a prong plate for the treatment of displaced
In a prospective study, 170 impacted femoral neck
1. A report is presented of the results of a trial to compare the effects of early and late weight-bearing in patients with a transcervical
Serial serum C-reactive protein (CRP) measurements were made, for three weeks, in 42 consecutive patients with solitary tibial
The stability of union following the conservative treatment of tibial shaft
There is a high risk of the development of avascular
necrosis of the femoral head and nonunion after the treatment of
displaced subcapital
In the assessment of fracture healing by monitoring stiffness with vibrational analysis or instrumented external fixators, it has been assumed that there is a workable correlation between stiffness and strength. We used four-point bending tests to study time-related changes in stiffness and strength in healing tibial
Displaced
1 . A preliminary report is presented of a clinical trial to compare the results of early and late weight bearing in randomly selected patients of comparable age groups whose displaced femoral neck
The Cambridge Cup has been designed to replace the horseshoe-shaped articular cartilage of the acetabulum and the underlying subchondral bone. It is intended to provide physiological loading with minimal resection of healthy bone. The cup has been used in 50 women with displaced, subcapital
Resurfacing arthroplasties of the hip are being undertaken with increasing frequency and the complications associated with this procedure are well documented. We have encountered a further problem with a
Osteochondral
We reviewed 19 patients treated for upper arm
We identified 11 women with a mean age of 74 years (65 to 81) who sustained comminuted distal radial and ulnar