Doctor when can I drive? A systematic review and meta-analysis of return to driving after total hip arthroplasty.

Background/objective: Advice given to patients on driving resumption after total hip arthroplasty (THA) is inconsistent. Due to a lack of clear guidelines, surgeons' recommendations range between 4-8 weeks after surgery to resume driving. Delays in driving return can have detrimental social and economic impact.

A biomechanical study comparing two fixation methods in depression fractures of the lateral tibial plateau in porcine bone.

Background: A novel method of fixation has been described for the treatment of pure depression fractures of the lateral tibial plateau. Fracture fragments are elevated through a reamed transtibial tunnel. An interference screw is then passed into the tunnel to buttress fracture fragments from beneath.

A prospective randomised study of minimally invasive midvastus total knee arthroplasty compared with standard total knee arthroplasty.

Introduction: Proposed advantages of minimally invasive surgery include shorter hospital stay, less blood loss, and a greater range of motion but potential concerns are raised about both prolonged learning curves and a compromise in exposure leading to implant malposition.

Patients And Methods: This powered study evaluates the outcomes of 80 patients randomised to have mini-midvastus (MMV) approach or standard medial parapatellar (MPP) approach. Rehabilitation protocols and discharge criteria were standardised.

Bilateral sleeve fracture of the inferior poles of the patella in a healthy child: case report and review of the literature.

The initial diagnosis of a sleeve fracture of the patella is key to a successful outcome with poor results well documented in the literature from delayed management. Diagnosis is difficult due to the rarity of this injury and thus the low likelihood the admitting junior doctor would think of this injury in their differential. They are very uncommon in incidence and have features on plain radiography that are difficult to interpret unless the surgeon is familiar with the anatomy of the immature patella.

Lateral entry fixation using three divergent pins for displaced paediatric supracondylar humeral fractures.

Background. Supracondylar fractures are the commonest elbow injury in children. Most displaced supracondylar fractures are manipulated and held with a medial/lateral entry or two lateral Kirschner wires.