Ann R Coll Surg Engl
March 2024
Background: The purpose of this study was to investigate different radiological characteristics for isolated greater tuberosity (GT) fracture-dislocations and their effects on complication and reoperation rates.
Methods: A two-centre, retrospective study was performed on patients with a minimum 1-year follow-up (median 4.5 years).
Background: Non-union in non-operatively managed humeral shaft fractures are associated with significant morbidity. Hence, developing a robust system that could help with early diagnosis is important. We aimed to evaluate the validity of the Radiographic Union Score for HUmeral fractures (RUSHU) at 6 weeks (RUSHU-6) and test whether a RUSHU at 12 weeks (RUSHU-12) would be a better predictor of non-union.
View Article and Find Full Text PDFIntroduction: In recent years, the rotationplasty procedure has become popular amongst tumour surgeons as an alternative to endoprosthetic replacement or amputation. There are very few documented cases of this technique in young patients with malignancy.
Presentation Of Case: We describe an extremely rare case of Ewing's sarcoma in a 14-month-old boy that involved the entire length of the left femur.
We prospectively assessed the efficacy of a ceramic-on-metal (CoM) hip bearing with uncemented acetabular and femoral components in which cobalt-chrome acetabular liners and alumina ceramic heads were used. The cohort comprised 94 total hip replacements (THRs) in 83 patients (38 women and 45 men) with a mean age of 58 years (42 to 70). Minimum follow-up was two years.
View Article and Find Full Text PDFAn Asian man presented to the Foot and Ankle Clinic with a 5-month history of right ankle pain of gradual onset. He had a non-fluctuant swelling around the Achilles tendon insertion with a tender palpable lump. Radiograph demonstrated Haglund's deformity and also possible calcification at the attachment of the Achilles tendon for which he had an injection of a local anaesthetic and a steroid to treat the insertional Achilles tendinitis.
View Article and Find Full Text PDFImplants used for hip and knee arthroplasties have recently come under increased scrutiny. In England, a large variety of prostheses are currently being used. With the need for savings within the NHS of up to £20 billion over the next five years, we should be 'getting it right first time' by using the most reliable implants with proven survivorship.
View Article and Find Full Text PDFDislocation is a common complication of total hip replacement, which has been quoted in the literature as having an incidence of 1-4%. This is commonly treated with closed reduction. The authors present a case report of displacement of a cemented smooth-polished tapered femoral stem, which occurred while attempting closed reduction of a dislocated hybrid total hip replacement.
View Article and Find Full Text PDF