The influence of pre-operative Computed Tomography (CT) on surgical approach and fixation for fractures of the tibial plateau.

Background: It is well known that a computed tomography (CT) scan improves the classification of tibial plateau fractures (TPF) compared with radiographs. However, it is less clear how this translates into clinical practice. The aim of this study is to establish to what extent a pre-operative CT scan alters the approach, setup and fixation choice in TPF compared to radiographs.

The Relationship between Sacral Kyphosis and Pelvic Incidence.

Study Design: Retrospective cohort study.

Purpose: Evaluate the fixed anatomical parameter of sacral kyphosis (SK) and its relationship with pelvic incidence (PI).

Overview Of Literature: Pelvic parameters determine pelvic and lumbar spinal position.

Myelography in the Assessment of Degenerative Lumbar Scoliosis and Its Influence on Surgical Management.

Objective: Myelography has been shown to highlight foraminal and lateral recess stenosis more readily than computed tomography (CT) or magnetic resonance imaging (MRI). It also has the advantage of providing dynamic assessment of stenosis in the loaded spine. The advent of weight-bearing MRI may go some way towards improving assessment of the loaded spine and is less invasive, however availability remains limited.

Stem compatibility for cement-in-cement femoral revision: an in vitro study.

Cement-in-cement femoral component revision is a useful and commonly practised technique. Onerous and hazardous re-shaping of the original cement mantle is required if the new stem does not seat easily. Furthermore, without removing the entirety of the original cement mantle, the freedom to alter anteversion or leg length is difficult to predict preoperatively.

A Radiological Evaluation of Lateral Vertebral Subluxation Associated With Spinal Stenosis in the Lumbar Spine in Degenerative Scoliosis.

Study Design: Retrospective longitudinal cohort.

Objective: To evaluate the different patterns of stenosis with lateral subluxation in degenerative lumbar scoliosis (DLS).

Summary Of Background Data: Lateral subluxation of the vertebra is commonly seen in DLS.

Percutaneous fluoroscopically guided placement of peritoneal dialysis catheters--a 10-year experience.

Peritoneal dialysis (PD) catheters maybe inserted surgically or percutaneously. Since 1997, 209 patients in our unit have had a PD catheter inserted percutaneously with fluoroscopic guidance. Data on all these PD catheters were collected prospectively on a PROTON computer database.

Spontaneous rupture of the superficial femoral artery treated with endovascular stent-grafting.

Spontaneous rupture of the superficial femoral artery (SFA) is rare. It may occur in the presence of an SFA aneurysm or in a nonaneurysmal, but usually atherosclerotic, artery. Previously these ruptures have been treated by surgical exclusion, often with bypass grafting.