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The Bone & Joint Journal
Vol. 96-B, Issue 5 | Pages 567 - 568
1 May 2014
K. Graham H Narayanan UG


The Journal of Bone & Joint Surgery British Volume
Vol. 77-B, Issue 5 | Pages 791 - 796
1 Sep 1995
Templeton P Graham H

During a six-year period we prospectively studied eight children who presented with supracondylar fractures of the humerus and of the forearm on the same side. They were treated by prompt closed reduction, percutaneous fixation with Kirschner wires, and appropriate management of neurovascular and soft-tissue injuries. The results were assessed clinically and radiographically at a minimum of 12 months after injury. According to a clinical scoring system they were acceptable in seven children and poor in one.


The Journal of Bone & Joint Surgery British Volume
Vol. 77-B, Issue 3 | Pages 439 - 441
1 May 1995
Nicholas R Boston V Small J Kerr Graham H

Combined bony and vascular injuries present challenging problems to orthopaedic and vascular surgeons. The use of temporary intraluminal vascular shunts produces significant reductions in ischaemia time and allows fracture stabilisation to be performed before definitive, delicate vascular repair. We report our management of a five-week-old infant who sustained a comminuted fracture of the femur with arterial and venous injuries in a shooting incident. Paediatric nasogastric feeding tubes were used as temporary vascular shunts to re-establish the distal circulation. Stabilisation of the fracture was then followed by vascular reconstruction and soft-tissue surgery, with a good result. We emphasise the need for skills from several surgical disciplines in the management of complex combined injuries.


The Journal of Bone & Joint Surgery British Volume
Vol. 75-B, Issue 1 | Pages 115 - 118
1 Jan 1993
Graham H Laverick M Cosgrove A Crone M

Seven patients with osteoid osteoma of the proximal femur were treated by percutaneous excision of the nidus. The combination of preoperative localisation by tomography and intraoperative localisation by image intensifier resulted in a curative procedure with minimal bone resection in all cases, although a second operation was required in one patient.


The Journal of Bone & Joint Surgery British Volume
Vol. 74-B, Issue 5 | Pages 760 - 764
1 Sep 1992
Steele J Graham H

We made a prospective study of angulated radial neck fractures in children reduced by leverage with a percutaneous Kirschner wire. Of 36 consecutive cases with angulation of more than 30 degrees reduction was successful in 33. We obtained an excellent or good final result in 31 (94%).


The Journal of Bone & Joint Surgery British Volume
Vol. 72-B, Issue 2 | Pages 202 - 204
1 Mar 1990
Simmons E Graham H Szalai J

Fifteen independent observers of three levels of experience (consultant staff, fellows, residents) assessed 40 radiographs of children presenting with Perthes' disease using the Catterall and the Salter-Thompson grading systems. Each observer was supplied with descriptions and illustrations of the classifications and each hip was grouped by both systems by each observer. The results were statistically analysed using 'kappa' statistics. The level of interobserver agreement was higher for the Salter-Thompson system and correlated with the level of experience of the observer. Both systems can give acceptable levels of interobserver agreement, but the Salter-Thompson grouping is simpler and easier to apply in the earlier stages of the disease when treatment must be decided, and has a higher degree of reproducibility amongst more experienced observers.


The Journal of Bone & Joint Surgery British Volume
Vol. 70-B, Issue 3 | Pages 472 - 475
1 May 1988
Graham H Fixsen J

For equinus deformity in spastic hemiplegia, correction by the White slide technique has been studied in a group of 35 patients followed up for 14 to 20 years. It is a simple, effective method of lengthening the calcaneal tendon, and is free from significant complications with an acceptable rate of recurrent deformity. The majority of patients achieved a heel-toe gait.


The Journal of Bone & Joint Surgery British Volume
Vol. 68-B, Issue 4 | Pages 577 - 583
1 Aug 1986
Piggot J Graham H McCoy G

Ninety-eight children with severely displaced supracondylar fractures of the humerus were treated by straight lateral traction. After a mean follow-up period of 3.5 years there were 90 satisfactory and only eight unsatisfactory results. Cubitus varus was present in only four children, which compares favourably with the results of operative treatment. The indications for straight lateral traction, and the advantages of this method, are discussed.


The Journal of Bone & Joint Surgery British Volume
Vol. 67-B, Issue 2 | Pages 302 - 304
1 Mar 1985
Graham H McCoy G Mollan R

A case of locked hypersupination of the distal radio-ulnar joint is described in which the ulnar displacement was purely rotational rather than volar. The mechanism of injury is discussed in the light of cadaveric dissections which reproduced the injury.