The Concealment of Significant Pelvic Injuries on Computed Tomography Evaluation by Pelvic Compression Devices.

Background: Fractures of the pelvis and acetabulum are relatively rare, with a reported incidence of 3% to 8% of all adult fractures, but occur in approximately 20% of all polytrauma cases. They have high associated morbidity (40% to 50%) and mortality (5% to 30%). It is recommended that an external compression splint be applied in the presence of a suspected pelvic fracture before transfer and definitive investigation and management.

A comparison of surgical approaches for primary hip arthroplasty: a cohort study of patient reported outcome measures (PROMs) and early revision using linked national databases.

The posterior and lateral approaches to primary hip arthroplasty were compared using national data from England and Wales. Specific component combinations of the most commonly used cemented and cementless implant brands were analysed separately. There was no significant difference between the approaches for all-cause revision risk (cemented: P = 0.

Outpatient parenteral antibiotic therapy in primary hip and knee arthroplasty infection managed with debridement and retention of prosthesis: a retrospective cohort study.

Background: Attempted joint salvage of infected primary arthroplasty traditionally has utilized joint washouts in combination with costly long-term inpatient parenteral antibiotic regimens. Outpatient and home parenteral antibiotic therapy (OHPAT) represents a potential alternative. However, there is a lack of published data on its value for primary deep arthroplasty infection.

The effect of surgeon volume on the need for transfusion following primary unilateral hip and knee arthroplasty.

Introduction: we reviewed transfusion practice following primary hip and knee arthroplasty with emphasis on the relationship between surgeon volume and the need for transfusion.

Materials/methods: review of a consecutive series of 508 primary, elective, unilateral arthroplasties (248 THR/260 TKR) performed over a 12-month period. Data were analysed to determine the overall rate of transfusion and the details of any such transfusion.

Direct exchange endoprosthetic reconstruction with tumour prosthesis for periprosthetic knee infection associated with segmental bone defects.

Revision knee arthroplasty for infection poses a treatment challenge. The presence of massive osteolysis limits the treatment options in this cohort. Controversy exists in the management of these patients.

Early results of a new highly porous modular acetabular cup in revision arthroplasty.

Background: The 'Tritanium' (Stryker, New Jersey, USA) highly porous acetabular cup is a new implant used in revision hip arthroplasty.

Aim: To determine the early results of this device.

Methods: A prospective study of 43 acetabular component revisions performed using the implant between March 2007 and February 2008 was undertaken.

The treatment of distal femoral fractures in children using the LISS plate: a report of two cases.

We report two cases in which the technique of fracture fixation using the Less Invasive Stabilisation System (LISS) has been successfully used in the management of distal femoral fractures in the child.

A biomechanical study comparing a raft of 3.5 mm cortical screws with 6.5 mm cancellous screws in depressed tibial plateau fractures.

There has been a recent trend towards using a raft of small diameter 3.5mm cortical screws for supporting depressed tibial plateau fractures (Schatzker type III). Our aim was to compare the biomechanical properties of a raft of 3.

Arthroplasty in the octogenarian: quantifying the risks.

The objective of this study was to determine the risk of complications after primary total hip and knee arthroplasties in octogenarians. Using administrative data, we compared the rate of complications for octogenarians vs patients aged 65 to 79 years who underwent total hip or knee arthroplasty in Ontario between 1993 and 1997. Octogenarians were 3.