Novel custom made composite spacer for first-stage revision total hip replacement in the presence of extensive acetabular/femoral bone loss with abductor deficiency.

A two-stage revision total hip replacement (THR) remains the gold standard for treating chronic periprosthetic joint infection. The goals for the first stage are twofold: (1) remove infected tissue/implants, obtaining tissue samples for culture; (2) deliver local antibiotics and maintain hip function with a prosthesis with antibiotic-loaded acrylic cement. With extensive bone loss prefabricated spacers are not sufficient, therefore customised spacers are required.

Lateral Intercondylar Ridge: Is it a reliable landmark for femoral ACL insertion?: An anatomical study.

Background: Incorrect femoral tunnel placement is the most common cause of graft failure during Anterior Cruciate Ligament (ACL) Reconstruction. A reliable landmark can minimize errors.

Aim: To identify whether the Lateral Intercondylar Ridge (LIR) is a consistent anatomical structure and define its relationship with the femoral ACL insertion.

Novel technique to accurately measure femoral diameter using a Thomas splint.

Introduction: During surgical management of femoral shaft fractures, difficulties arise when treating patients with narrow femoral diaphyseal canals, such as young patients and those with dysplastic femurs secondary to underlying pathology. Accurate pre-operative assessment of the femoral diaphyseal canal diameter would allow the surgeon to plan surgical technique and ensure appropriate equipment was available, such as narrow, unreamed or paediatric sized nails.

Technique: When secured to the patient both longitudinal rods of the main Thomas Splint component lie parallel with the femoral shaft and horizontal to the radiographic x-ray plate.

Bizarre parosteal osteochondromatous proliferation: a locally aggressive benign tumor.

Background: Bizarre parosteal osteochondromatous proliferation (BPOP) is a benign lesion of bone, and numerous questions remain unresolved regarding its etiology, diagnosis, and treatment.

Questions/purposes: We present the Scottish Bone Tumour Registry experience of this rare lesion.

Patients And Methods: We performed a retrospective analysis of the Scottish Bone Tumour Registry records.

Diagnostic accuracy of static graf technique of ultrasound evaluation of infant hips for developmental dysplasia.

Introduction: Ultrasound examination of infant hips is a widely used and accepted tool for the diagnosis and monitoring of developmental dysplasia of the hip. Its use and timing is still a focus of debate and its diagnostic accuracy has not been fully investigated.

Method: We have compared the ultrasound findings by the Graf technique with radiographic appearance (acetabular index) at 6 months of age.

Femoral neck resorption following hybrid metal-on-metal hip resurfacing arthroplasty: a radiological and biomechanical analysis.

Introduction: With the resurgence of resurfacing hip arthroplasty complications such as femoral neck fracture and thinning have been identified. We therefore conducted a radiological and biomechanical evaluation of factors affecting femoral neck resorption following resurfacing hip arthroplasty (RHA).

Methods: We retrospectively reviewed 61 resurfacing hip arthroplasties in 53 patients with a minimum of a 2-year follow-up.

Clopidogrel in Orthopaedic patients: a review of current practice in Scotland.

Background: Clopidogrel bisulfate is an antiplatelet agent used to prevent ischaemic events in patients with vascular disease. Current guidelines recommend withholding clopidogrel for 7 days pre-operatively. However these are not based on orthopaedic patients.