Aims. The fundamental concept of open reduction and internal fixation
(ORIF) of ankle fractures has not changed appreciably since the
1960s and, whilst widely used, is associated with complications
including wound dehiscence and infection, prominent hardware and
failure. Closed reduction and intramedullary fixation (CRIF) using
a fibular
Aims. Proximal femur fractures treatment can involve anterograde
Aims. The study objective was to prospectively assess clinical outcomes for a pilot cohort of tibial shaft fractures treated with a new tibial
Aims. The aim of this study was to compare the functional and radiological outcomes and the complication rate after
Aims. The management of a significant bony defect following excision
of a diaphyseal atrophic femoral nonunion remains a challenge. We
present the outcomes using a combined technique of acute femoral
shortening, stabilized with a long retrograde intramedullary nail,
accompanied by bifocal osteotomy compression and distraction osteogenesis with
a temporary monolateral fixator. Patients and Methods. Eight men and two women underwent the ‘rail and
Aims. The aim of this study was to identify risk factors for the failure
of exchange
Aims. To compare the outcomes for trochanteric fractures treated with
a sliding hip screw (SHS) or a cephalomedullary
We compared the outcome of patients treated for an intertrochanteric fracture of the femoral neck with a locked, long intramedullary nail with those treated with a dynamic hip screw (DHS) in a prospective randomised study. Each patient who presented with an extra-capsular hip fracture was randomised to operative stabilisation with either a long intramedullary Holland
The Gamma
Aims. The aim of this study was to compare the incidence of anterior knee pain after antegrade tibial
We investigated a new intramedullary locking
nail that allows the distal interlocking screws to be locked to
the
A single antegrade Rush
We treated 108 patients with a pertrochanteric femoral fracture using either the dynamic hip screw or the proximal femoral
Retrograde femoral
Intramedullary tibial
In a randomised trial involving 598 patients
with 600 trochanteric fractures of the hip, the fractures were treated with
either a sliding hip screw (n = 300) or a Targon PF intramedullary
nail (n = 300). The mean age of the patients was 82 years (26 to
104). All surviving patients were reviewed at one year with functional
outcome assessed by a research nurse blinded to the treatment used.
The intramedullary nail was found to have a slightly increased mean
operative time (46 minutes (. sd. 12.3) versus 49
minutes (. sd. 12.7), p <
0.001) and an increased mean radiological
screening time (0.3 minutes (. sd. 0.2) versus 0.5
minutes (. sd. 0.3), p <
0.001). Operative difficulties
were more common with the intramedullary nail. There was no statistically
significant difference between implants for wound healing complications
(p = 1), or need for post-operative blood transfusion (p = 1), and
medical complications were similarly distributed in both groups.
There was a tendency to fewer revisions of fixation or conversion
to an arthroplasty in the
Antegrade
We performed a randomised, prospective trial to evaluate the use of unreamed titanium
Between 1996 and 2003 six institutions in the United States and France contributed a consecutive series of 234 fractures of the femur in 229 children which were treated by titanium elastic
We report retrospective and prospective studies to identify the causes of fracture of the femoral neck associated with femoral shaft