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We retrospectively reviewed outcomes of 79 patients with periprosthetic hip fractures around cemented tapered polished stem (CTPS) implants treated with osteosynthesis between January 1997 and July 2011. All patients underwent open reduction and fixation using a broad dynamic compression plate (DCP).Seventy two (91%) of fractures united. There were seven (9%) non-unions with failure of metal work,...
The aim of the present study was to investigate the relationship between generalised ligamentous laxity (GLL) and requirement for revision anterior cruciate ligament (ACL) reconstruction.The study cohort consisted of 139 patients undergoing primary ACL reconstruction, 44 patients undergoing revision ACL surgery and a control group of 70 patients without any knee ligament injury. A Beighton score of...
The aim of this study was to identify risk factors for failure of exchange nailing for femoral diaphyseal fracture non-unions. The study cohort comprised 40 patients with femoral diaphyseal non-unions treated by exchange nailing, of which six were open injuries. The median time to exchange nailing from primary fixation was 8.4 months. The main outcome measures were union, number of secondary fixation...
The MCL is the prime medial stabiliser of the knee and is a commonly injured structure which leads to valgus instability of the knee.We aim to analyse differences in recovery of knee motion and muscle function over one year follow up in the isolated MCL and combined ACL–MCL injured knee. We hypothesized that combined ACL–MCL injuries lead to greater knee motion and muscle function deficits at 1 year...
The advent of modern arthroscopic techniques has lead to widespread surgical repair of multiligament injuries of the knee. Although functional outcomes may be linked to the recovery of strength and range of movement, studies have failed to report objective measures of strength recovery. The primary aim of this study was to describe the recovery of isokinetic quadriceps and hamstrings’ strength. The...
The purpose of this study was to evaluate the functional outcome of surgical reconstruction of the posterior cruciate ligament (PCL). In particular we wanted to document the recovery of knee muscle function. Twenty three patients underwent single bundle reconstruction of the PCL. There were four isolated PCL reconstructions. The remainder had PCL reconstructions combined with other ligament reconstructions...
We reviewed 100 patients retrospectively following primary ACL reconstruction with quadruple hamstring autografts to evaluate the incidence and factors associated with postoperative stiffness. Stiffness was defined as any loss of motion using the contra-lateral leg as a control. The median delay between injury and operation was 15 months.The incidence of stiffness was 12% at 6 months post-reconstruction...
The requirement for laparotomy was analysed in 91 patients with unstable pelvic fractures. Laparotomies were classified as positive or negative. Injuries found at laparotomy were compared with the pelvic fracture pattern. Laparotomy was carried out in 28 patients but was unnecessary in 8. Eleven of the 28 patients died, a mortality of 39%. Vertical shear and combined mechanical injury pelvic fracture...
We documented functional outcome in 83 knees with tibial spine fractures. The mean age at injury was 35 years. There was a medial collateral ligament sprain in 17 knees and posterolateral corner injury in three knees. Twenty patients with displaced tibial spine fractures were treated with fixation of the tibial spine and 63 patients with undisplaced or minimally displaced fractures were treated non-operatively...
Objectives: To compare the use of an injectable calcium phosphate cement (Skeletal Repair System (SRS), Norian corporation, Cupertino, CA) and minimal internal fixation with buttress plating and bone grafting for lateral tibial plateau fractures.Study design: Retrospective analysis with 13 age, sex and fracture matched pairs of tibial plateau fractures.Methods: Thirteen patients with lateral tibial...
Complication rates were compared in 140 smoking and 133 non-smoking patients with open tibial fractures. Both the groups were evenly matched demographically and in terms of primary fracture treatment. Flap failure complicated 7 (20%) patients in the smoking group and 4 (14%) in the non-smoking group. The mean time to union was 32 weeks for smokers and 28 weeks for non-smokers (P<0.05). Bone grafting...
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