Aims. Surgical site infection can be a devastating complication of
hemiarthroplasty of the hip, when performed in elderly patients
with a displaced fracture of the
1. Aching pain in the thigh, hip or buttock in an elderly person should lead to radiological examination of the hip region. In patients who have been subjected to irradiation for pelvic neoplasms a spontaneous fracture should be strongly suspected and the patient kept under close review, even if the first radiograph is negative. 2. Patients with spontaneous fractures of the
Twenty-one post-irradiation fractures of the
We performed dynamic MRI of the femoral head within 48 hours of injury on 22 patients with subcapital fracture of the
We reviewed the records and radiographs from 10 hospitals to identify 50 patients with rheumatoid arthritis (RA) who had sustained 52
1. Fracture of the
A method of nailing the
Neglected fractures of the
1. Experimental work with piglets supports the theory that diminished blood supply to the femoral head not only causes necrosis of the epiphysis but also a decrease in cartilage cell production in the germinal layer of the epiphysial plate, thus causing decreased longitudinal bone growth. Appositional growth continues in the metaphysis because its blood supply remains intact or, at least, is less impaired. The resulting disturbance of the normal remodelling must lead to a short wide neck such as occurs in Legg-Perthes' disease. 2. Measurements were made of the length and width of the
We performed curettage and bone grafting of amyloid cysts of the
We have reviewed our experience of four iatrogenic
1. A method of internal fixation of displaced subcapital fractures of the
In a prospective study, 170 impacted
We describe a series of 20 patients with ununited fractures of the
We evaluated the outcome of treatment of nonunion
of an intracapsular fracture of the
The hypothesis provides a theoretical justification for, and re-emphasises the practical importance of, close reduction and strict immobilisation in the treatment of fractures of the
1. It is now more than three years since a group of ninety-one patients with transcervical fracture of the
We explored the role of iron overload, deficiency of vitamin C and alcohol abuse in the aetiology of cervical and intertrochanteric fractures of the
The records of 243 patients with Thompson prostheses for displaced
We randomised 50 patients with extracapsular fractures of the