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BACKGROUND Controversy exists with regard to whether to treat AO/OTA 31-A2 fractures of the proximal part of the femur with an intramedullary device or an extramedullary device. A prospective, randomized, controlled trial was performed to compare the outcome of treatment of these unstable fractures of the proximal part of the femur with either a sliding hip(More)
BACKGROUND There is a growing trend to treat displaced midshaft clavicular fractures with primary open reduction and plate fixation; whether such treatment results in improved patient outcomes is debatable. The aim of this multicenter, single-blinded, randomized controlled trial was to compare union rates, functional outcomes, and economic costs for(More)
AIM At present there is no data looking at modern multislice computerised tomography (CT) in the investigation of occult hip fracture. The aim of this study was to retrospectively compare the reports of patients sent for magnetic resonance imaging (MRI) or CT with negative radiographs and a clinical suspicion of a fractured neck of femur. METHODS All(More)
The results of 100 'Long Gamma Nails' (LGN) inserted in 97 patients, for the treatment of complex proximal femoral fractures and pathological lesions, are reported. The mean patient age was 74 (16-98). Seven significant complications occurred; four lag screws cut out, one broken nail, one infected non-union and one peri-prosthetic fracture. Five patients(More)
BACKGROUND It is often assumed that hip fractures occur more commonly in winter, but the evidence is conflicting. It is important to clarify this issue to aid planning of health resources and understanding of the aetiology of these fractures in the elderly. AIM To determine whether the incidence of fractures altered with the daily temperature, seasons or(More)
OBJECTIVES To determine the incidence of complications of external fixation in pelvic ring injuries, comparing fixator use for temporary and definitive treatment. DESIGN Retrospective case-note review. SETTING A regional centre for pelvic trauma in the UK. PATIENTS 100 consecutive patients. INTERVENTION All patients were treated with pelvic external(More)
Pelvic and acetabular injury may occur in isolation, or, in two-thirds of cases be associated with other significant injuries to the skeleton or other body systems. Most unstable pelvic and acetabular injuries require specialist surgical treatment which often means transfer to a specialist centre. The associated injuries also require assessment and(More)
A retrospective review was performed of Vancouver type C periprosthetic femoral fractures treated using the Less Invasive Stabilisation System (LISS) femoral locking plate system. Five patients with stable hip prostheses (only one of which was an uncomplicated primary arthroplasty) were treated with the LISS plating system in combination with bone grafting(More)
Traumatic disruption of the pelvic ring caused by high-energy impact is associated with significant mortality and morbidity. A variety of fixation techniques have been developed for treating these injuries with the main aims of restoring the stability of the pelvic ring and promoting recovery of normal function. The stability of fixation of these techniques(More)