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The Journal of Bone & Joint Surgery British Volume
Vol. 87-B, Issue 9 | Pages 1187 - 1191
1 Sep 2005
Pitts D Rowley DI Sher JL


The Journal of Bone & Joint Surgery British Volume
Vol. 87-B, Issue 9 | Pages 1182 - 1186
1 Sep 2005
Sher JL Reed MR Calvert P Wallace WA Lamb A


The Journal of Bone & Joint Surgery British Volume
Vol. 86-B, Issue 8 | Pages 1197 - 1198
1 Nov 2004
Burke JG Sher JL

We report the case of a 13-year-old obese child presenting with bilateral stable slipped capital femoral epiphyses, which were managed by percutaneous single screw fixation in situ under image intensifier control using arthrography.


The Journal of Bone & Joint Surgery British Volume
Vol. 86-B, Issue 1 | Pages 34 - 38
1 Jan 2004
Duffy P Sher JL Partington PF

The ABG I cementless hip prosthesis has demonstrated unacceptably high rates of wear and osteolysis in our patients. We performed a retrospective study of 97 hips implanted between 1992 and 1998. Radiographic analysis revealed high rates of wear of the polyethylene liner with marked periacetabular osteolysis. Clinical examination indicated that many of these patients were initially asymptomatic. Wear-related problems have required ten hips to be revised and a furher 13 are awaiting revision.

This gives a failure rate of 24% at a mean follow-up of 69 months. Contributing factors are likely to include poor wear characteristics of the polyethylene liners which were gamma irradiated in air, and increased wear debris caused by a poor fit of the polyethylene liner within the shell. We believe that all ABG I implants should be immediately reviewed and remain under careful, long-term follow-up.


The Journal of Bone & Joint Surgery British Volume
Vol. 84-B, Issue 6 | Pages 858 - 860
1 Aug 2002
Reed MR Bliss W Sher JL Emmerson KP Jones SMG Partington PF

We undertook a prospective, randomised study of 135 total knee arthroplasties to determine the most accurate and reliable technique for alignment of the tibial prosthesis. Tibial resection was guided by either intramedullary or extramedullary alignment jigs.

Of the 135 knees, standardised postoperative radiographs suitable for assessment were available in 100. Correct tibial alignment was found in 85% of the intramedullary group compared with 65% of the extramedullary group (p = 0.019).

We conclude that intramedullary guides are superior to extramedullary instruments for alignment of the tibial prosthesis.


The Journal of Bone & Joint Surgery British Volume
Vol. 84-B, Issue 5 | Pages 625 - 626
1 Jul 2002
Sher JL Galasko CSB


The Journal of Bone & Joint Surgery British Volume
Vol. 84-B, Issue 3 | Pages 322 - 323
1 Apr 2002
Hooper G Sher JL Mulligan PJ


The Journal of Bone & Joint Surgery British Volume
Vol. 81-B, Issue 4 | Pages 660 - 662
1 Jul 1999
Birdsall PD Hayes JH Cleary R Pinder IM Moran CG Sher JL

Between 1992 and 1994 we performed a prospective study of the effect of total knee replacement (TKR) on the health status of 119 patients over the age of 80 years who had had a primary unilateral TKR.

The Nottingham Health Profile was used to assess this before and at three and 12 months after operation. We found a significant improvement in the scores for pain, emotional reaction, sleep and physical mobility at three months. After 12 months, the scores for pain and sleep were well maintained. The other factors had deteriorated slightly but remained better than before operation.

Our findings show that TKR leads to a significant improvement in the general health status of the very elderly.