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Re-displacement of paediatric forearm and wrist fractures following manipulation and cast application is a common complication. Poor plaster application technique is an important risk factor for re-displacement. However, there are no reliable and validated objective radiological measurements to differentiate a well-applied plaster cast from a poorly padded(More)
BACKGROUND This study compares two diaphyseal osteotomies (scarf and Ludloff) which correct moderate to severe metatarsus primus varus. This is a single surgeon, prospective cohort study with clinical and radiological follow~up at 12 months. MATERIALS AND METHODS There were 57 patients in each group. Both groups were similar in terms of age, gender and(More)
Most of the literature on surgical site infections following the surgical treatment of fractures of the ankle is based on small series of patients, focusing on diabetics or the elderly. None have described post-operative functional scores in those patients who develop an infection. We performed an age- and gender-matched case-control study to identify(More)
PURPOSE We assessed the reliability and practicality of two radiographic measurements--cast index and padding index--of the quality of plaster cast in clinical decision making in forearm fractures in children. METHODS 40 orthopedic surgeons (20 consultants and 20 registrars) were asked to predict the risk of re-displacement in 5 randomly selected cases.(More)
Medical records of 100 consecutive patients who underwent hip and knee replacements (56 hips and 44 knees) in 1997-1998 were studied. Particular attention was paid to the out-patient follow-up appointments with regard to any postoperative complication and intervention based on the clinical and radiological assessment conducted during the follow-up visit.(More)
The aim of the present study was to assess the diagnostic accuracy of 7 clinical tests for Morton's neuroma (MN) compared with ultrasonography (US). Forty patients (54 feet) were diagnosed with MN using predetermined clinical criteria. These patients were subsequently referred for US, which was performed by a single, experienced musculoskeletal radiologist.(More)
Hydroxyapatite (HA)-coated implants for hemiarthroplasty for fractures of the femoral neck offer the advantages of stable and permanent fixation. Since April 1994, we have treated 562 patients using the JRI Furlong HA-coated hemiarthroplasty system at the Worthing and Southlands Hospitals. Fracture of the fully-HA-coated stainless steel stem was seen in two(More)
INTRODUCTION The objective of this prospective audit was to compare two methods of anticoagulation reversal in the pre-operative period for hip fracture patients. PATIENTS AND METHODS In the first part of the audit, our current practice was analysed. Data relating to the number of days from admission to surgery and the reasons for delay to surgery were(More)
BACKGROUND The purpose of this study was to investigate the influence of joint configuration and preparation on first metatarsophalangeal (MTPJ) union rates. METHODS We performed a retrospective analysis of first MTPJ arthrodeses undertaken in our institution. Clinical notes, radiographs and postal questionnaires were used to determine outcome. RESULTS(More)
We undertook a comparison evaluation of outcomes after 2 different high-volume image-guided injection (HVIGI) procedures performed under direct ultrasound guidance in patients with chronic noninsertional Achilles tendinopathy. In group A, the HVIGI involved high-volume (10 mL of 1% lidocaine combined with 40 mL of saline) and no dry needling. In group B,(More)