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The Bone & Joint Journal
Vol. 100-B, Issue 1 | Pages 6 - 10
1 Jan 2018
Lovelock TM Broughton NS

The number of arthroplasties of the hip and knee is predicted to increase rapidly during the next 20 years. Accompanying this is the dilemma of how to follow-up these patients appropriately. Current guidelines recommend long-term follow-up to identify patients with aseptic loosening, which can occur more than a decade postoperatively. The current guidelines and practices of orthopaedic surgeons vary widely. Existing models take up much clinical time and are expensive. Pilot studies using ‘virtual’ clinics and advanced-practice physiotherapists have shown promise in decreasing the time and costs for orthopaedic surgeons and patients.

This review discusses current practices and future trends in the follow-up of patients who have an arthroplasty.

Cite this article: Bone Joint J 2018;100-B:6–10.


The Journal of Bone & Joint Surgery British Volume
Vol. 79-B, Issue 5 | Pages 875 - 876
1 Sep 1997
BROUGHTON NS GRAHAM HK NATTRASS GR TORODE IP MARSHALL PD O’SULLIVAN M


The Journal of Bone & Joint Surgery British Volume
Vol. 78-B, Issue 6 | Pages 912 - 916
1 Nov 1996
Marshall PD Broughton NS Menelaus MB Graham HK

We report the results of a prospective study of the surgical release of 45 knee flexion contractures in 28 patients with myelomeningocele. The neurosegmental level was thoracic in ten patients, L1/2 in one, L3/4 in 11, and L5/S1 in six. In walkers the indication for surgery was a fixed flexion contracture impeding walking, and in non-walking patients it was a flexion contracture impeding transfers or sitting balance, or likely to do so with increasing deformity.

The mean age at surgery was 6.4 years (3 to 21) and the mean period of follow-up 13 years (4 to 20). The mean knee flexion contracture before surgery was 39° (25 to 70) which improved to 5° at maximum correction and to 13° at latest follow-up.

We conclude that surgical release of knee flexion contractures in myelomeningocele improves gait in all children who walk, particularly those with low lumbar lesions. Recurrence of knee flexion contractures after surgical release is most common in those with thoracic lesions who do not achieve independent walking.


The Journal of Bone & Joint Surgery British Volume
Vol. 78-B, Issue 2 | Pages 299 - 302
1 Mar 1996
Frawley PA Broughton NS Menelaus MB

We reviewed the results of anterior hip release for fixed flexion deformity in 57 hips in 38 children with spina bifida at an average follow-up of 8.9 years (2 to 22). The indication for this operation was a fixed flexion deformity of more than 30° which interfered with function.

In 43 hips there was a good outcome in that the fixed flexion deformity remained less than 30° at follow-up. Four hips had a good initial result but deteriorated after an average of five years, and ten had a poor outcome with deformity of over 30°. Six hips required a repeated anterior hip release and two of these were successful.

The success of anterior hip release could not be related to the neurological level or the age at operation. Successful surgery correlated with the walking ability of the child at the latest follow-up.