Peri-operative outcomes for ORIF of acetabular fracture in the elderly: Comparison with displaced intracapsular hip fractures in a national pelvic and acetabular referral centre over 5 years.

Introduction: The increasing incidence of acetabular fractures in the elderly and the fracture complexity seen in this cohort represents one of the greatest challenges faced by trauma orthopaedic surgeons today. There are no formal guidelines of best practice in the treatment of these patients. Management options vary from non-operative, acute ORIF, and/or total joint replacement.

Heterotopic Ossification following acetabular fixation: Incidence and risk factors: 10-year experience of a tertiary centre.

Background: Heterotopic Ossification (HO) is a well-recognized complication following acetabular fracture fixation and its presence is prognostic for suboptimal clinical outcome. There are many controversies pertaining to its aetiology, including surgical approach, associated injuries and the use of HO prophylaxis. Long term data from high volume centres is necessary to address these issues.

Impact of road traffic "penalty points" on high energy pelvic trauma.

Background: The penalty points system (PPS) was introduced in 2002 in an attempt to reduce the increasing rate of road traffic accident (RTA) related fatalities and serious injuries. Points are awarded based on the severity of the offence and are cumulative. A total of 12 points results in the disqualification from driving.

Fatigue fracture of tibial arthroplasty implant masked by contralateral knee arthritis.

Introduction: The wear of polyethylene components is a well-recognised long-term complication of total knee arthroplasty.

Presentation Of Case: We present a case of fatigue fracture of a geomedic tibial tray 17 years after implantation. The symptoms were masked by primary osteoarthritis of the contralateral knee.

A hypoplastic patella fracture in nail patella syndrome: a case report.

Introduction: Nail patella syndrome is a rare autosomal dominant hereditary condition, with an incidence of 22 per million in the United Kingdom. The syndrome's most common features include iliac horns, hypoplastic patella and nail dysplasia.

Case Presentation: We report the case of a 26-year-old Caucasian man with nail patella syndrome who sustained a fracture of his right hypoplastic patella after a fall.

Anticoagulant use and its effect on bleeding and complications in total knee arthroplasty.

Currently, there is very limited literature on the effect of long-term anticoagulants on total knee arthroplasty. The primary purpose of this study was to determine the effect of warfarin and clopidogrel on the transfusion rate, intra-operative blood loss, and postoperative blood loss for total knee arthroplasty. The secondary purpose was to determine their effect on post operative wound complications and length of stay.

Minimum ten-year follow-up of acetabular fracture fixation from the Irish tertiary referral centre.

Background: Successful outcome from acetabular fracture fixation is multi-factorial. Long-term results are not frequently reported. Pooling such data from high output centres will help progress acetabular fixation.

Skype: a tool for functional assessment in orthopaedic research.

Skype is a free program which enables PC users to make video calls to other users with Internet access. We carried out a prospective review of all acromioclavicular joint hook plates for lateral-third clavicle fractures over a five-year period. Functional assessment with Oxford and Constant shoulder scores were carried out using Skype and compared to outpatient review using the Bland-Altman method.

Clavicle hook plate fixation for displaced lateral-third clavicle fractures (Neer type II): a functional outcome study.

Background: Controversy exists with the use of the acromioclavicular hook plate for the treatment of lateral-third clavicle fractures (Neer type II). This is thought to stem from problems associated with the hook plate causing impingement symptoms, which can cause long-term limitation of movement and pain. Our aim was to evaluate the functional outcomes of patients with lateral-third clavicle fractures treated with the hook plate.

Acetabular fractures following rugby tackles: a case series.

Introduction: Rugby is the third most popular team contact sport in the world and is increasing in popularity. In 1995, rugby in Europe turned professional, and with this has come an increased rate of injury.

Case Presentation: In a six-month period from July to December, two open reduction and internal fixations of acetabular fractures were performed in young Caucasian men (16 and 24 years old) who sustained their injuries after rugby tackles.

An unusual mode of failure of a tripolar constrained acetabular liner: a case report.

Dislocation after primary total hip arthroplasty (THA) is the most commonly encountered complication and is unpleasant for both the patient and the surgeon. Constrained acetabular components can be used to treat or prevent instability after primary total hip arthroplasty. We present the case of a 42-year-old female with a BMI of 41.

Minimally invasive percutaneous plate fixation of distal tibia fractures.

We report a series of 42 patients reviewed at a mean of 19.6 months after treatment of distal tibial and pilon fractures using the AO distal tibia locking plate with a minimally invasive percutaneous plate osteosynthesis (MIPPO) technique. Mean time to union was 22.

"Osteoporosis and orthopods" incidences of osteoporosis in distal radius fracture from low energy trauma.

Fracture of the distal radius from low energy trauma is a common presentation to orthopaedic trauma services. This fragility type fracture is associated with underlying osteoporosis. Osteoporosis is a 'silent disease' where fragility fracture is a common presentation.

Periprosthetic malignancy as a mode of failure in total hip arthroplasty.

The presence of periprosthetic malignancy in proximity to arthroplasty implants has been infrequently reported. We present the clinical, radiographic, and pathological features of three patients in whom loosening and failure of total hip arthroplasties occurred secondary to malignant infiltration. They consisted of a 66-year-old man with the first presentation of metastatic gastric carcinoma as a periacetabular lytic lesion, a 64-year-old man presenting with femoral metastases from a previously undiagnosed lung carcinoma, and a 75-year-old woman presenting with a painless discharging thigh sinus around a total hip arthroplasty subsequently diagnosed as immunoblastic lymphoma.

Radiation exposure of the hands and thyroid gland during percutaneous wiring of wrist and hand procedures.

The aim of this study was to investigate the radiation exposure of the hands and thyroid glands of orthopaedic surgeon and assistant during procedures involving percutaneous wiring of the hand and wrist. The radiation dose to the hand and thyroid glands was prospectively studied from a total of 30 percutaneous hand and wrist procedures. Four thermolucent densitometers were used to measure the radiation exposure.

Hylamer wear rates and shelf life: a clinical correlation.

We evaluated the performance of 84 Hylamer polyethylene components and zirconia modular femoral heads which were implanted in a single institution over a 5 year period. Patients were followed up for a mean of 6.2 years.