We reviewed the rate of
We report the effectiveness of
A number of studies have reported satisfactory
results from the isolated
Polyethylene liners of modular acetabular components wear sometimes need to be replaced, despite the metal shell being well fixed. Replacing the liner is a relatively simple procedure, but very little is known of the outcome of
We describe the clinical and radiological results of 120 consecutive
The treatment of bone loss in
Aims. To evaluate the hypothesis that failed osteosynthesis of periprosthetic
Vancouver type B1 fractures can be treated successfully with stem
revision using a transfemoral approach and a cementless, modular,
tapered
We have investigated the outcome of arthroscopic revision surgery for recurrent instability of the shoulder after failed primary anterior stabilisation. We identified 40 patients with failed primary open or arthroscopic anterior stabilisation of the shoulder who had been treated by
We evaluated the rates of survival and cause
of
The outcome of total knee replacement (TKR) using
components designed to increase the range of flexion is not fully
understood. The short- to mid-term risk of aseptic
Aims. We compared the outcome of total hip arthroplasty (THA) in obese
patients who previously underwent bariatric surgery and those who
did not, in a matched cohort study. Patients and Methods. There were 47 THAs in the bariatric group (42 patients), and
94 THAs in the comparison group (92 patients). The mean age of the
patients was 57 years in both groups (24 to 79) and 57% of the patients
in both groups were women. The mean time between bariatric surgery
and THA was five years (four months to 12 years) in the bariatric group.
The mean follow-up after THA was three years (2 to 9). . Results. The mean BMI improved from 49.7 kg/m. 2. (35 to 75) prior
to bariatric surgery to 35.3 kg/m. 2 . (21 to 49) at the
time of THA (p <
0.001). Patients in the comparison group had
an increased risk of re-operation (Hazard Ratio (HR) 3.2; 95% confidence
intervals (CI) 1.3 to 9.5, p = 0.01) and
Our aim was to determine the success rate of repeated debridement and two-stage cementless revision arthroplasty according to the type of infected total hip replacement (THR). We enrolled 294 patients (294 hips) with an infected THR in the study. There were 222 men and 72 women with a mean age of 55.1 years (24.0 to 78.0). The rate of control of infection after the initial treatment and after repeated debridement and two-stage
Between 1996 and 2008, nine patients with severe post-traumatic arthritis underwent
We report our experience of
In this paper we make the case for the use of
single-stage
The aims of this retrospective study were to
compare the mid-term outcomes following
Symptomatic cobalt toxicity from a failed total
hip replacement is a rare but devastating complication. It has been reported
following
Instability after arthroplasty of the shoulder
is difficult to correct surgically. Soft-tissue procedures and
We compared the rate of
The use of large-diameter metal-on-metal (MoM)
components in total hip arthroplasty (THA) is associated with an increased
risk of early failure due to adverse local tissue reaction to metal
debris (ARMD) in response to the release of metal ions from the
bearing couple and/or head-neck taper corrosion. The aim of this
paper was to present a review of the incidence and natural history
of ARMD and the forms of treatment, with a focus on the need for
and extent of resection or debulking of the pseudotumour. An illustrative
case report is presented of a patient with an intra-pelvic pseudotumour
associated with a large diameter MoM THA, which was treated successfully
with