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Ten tibial plateau fractures treated arthroscopically are reported. In eight cases, closed internal fixation was performed under arthroscopic control while in another two patients, arthroscopic washout alone was undertaken. Only one case required external splintage (a cast brace), the remainder being mobilized non-weight-bearing without plaster immediately… (More)
A case of proximal tibiofibular synostosis is presented along with a review of the literature. The variety of presenting complaints is discussed and the syndrome is compared with that of radio-ulnar synostosis. Possible modes of treatment are explained.
Ninety-five cases of medial epicondylitis are reported in 83 patients; 90% were related to work and only 10% to sport or leisure activities. Most recovered with conservative treatment. Operation was needed in 12%, which compared with under 4% of patients with lateral epicondylitis over the same period. The results of open release of the common flexor origin… (More)
Seventy tibial shaft fractures treated by intramedullary nailing using two different techniques were compared. The first group (35 cases) was treated with a Herzog intramedullary nail following hand reaming and minimal traction. The second group (35 cases) had a Grosse and Kempf or AO nail inserted following power reaming and skeletal traction. Fracture… (More)
The notes and radiographs of 281 adult tibial shaft fractures were reviewed. In 17 per cent there was an intact fibula. Delayed union rates were lower when the fibula remained intact, thus confirming that this is a good prognostic indicator. This fracture is caused by less severe trauma than fractures where both bones are broken. It is rare over the age of… (More)
Tibial plateau fractures remain one of the most difficult fractures to treat. A multitude of classifications exist and several treatment options have been advocated. In the last few years arthroscopy has been used in the treatment of these fractures. We report our experience of treating over 30 cases by this method and review the literature.
Seventy one Exeter bipolar hemiarthroplasties were reviewed after a mean follow up of 3.2 years (range 1-7 years). Patients with displaced subcapital fractures were selected for operation on the basis of good mobility before the fracture. The operation was well tolerated and the mortality at 1 month and 6 months was 3.7% and 6.5% respectively. Using a newly… (More)
A retrospective study of 191 patients undergoing 203 Burgess type below knee amputations for end-stage peripheral vascular disease showed that the only clinical feature which associated significantly with wound healing was the lowest palpable pulse. The pulse level was noted preoperatively and was compared with the healing rates in the amputation stumps.… (More)
Electricity is a major cost in running a data centre, and servers are responsible for a significant percentage of the power consumption. With the rising cost of electricity and slow adoption of cleaner electricity-generating technology, servers should become more energy efficient. This paper looks at web servers, as HTTP is a common service provided by data… (More)
The effect of several factors on the healing rates of tibial shaft fractures with an intact fibula were examined. Those found to adversely affect healing rates included: 1. Open fractures; 2. Oblique or comminuted fractures; 3. High-velocity injuries; 4. Angulation in the sagittal plane; 5. Displacement. No other factors examined were associated with… (More)