To determine the relative risk of complications in treating
Injuries to the
Fresh frozen allogeneic tendon was used to reconstruct the lateral ligaments in 17
Most posterior hindfoot procedures have been
described with the patient positioned prone. This affords excellent access
to posterior hindfoot structures but has several disadvantages for
the management of the airway, the requirement for an endotracheal
tube in all patients, difficulty with ventilation and an increased
risk of pressure injuries, especially with regard to reduced ocular
perfusion. We describe use of the ‘recovery position’, which affords equivalent
access to the posterior aspect of the
1. Sixty feet operated upon either by triple or pantalar tarsal fusion for instability after poliomyelitis were re-examined ten to twenty-four years later. 2. After triple fusion with preservation of the
Chronic instability of the
We assessed the prevalence of abnormal
We treated 52 patients with impingement of the anterolateral soft tissues of the
A multicentre, randomized, clinician-led, pragmatic, parallel-group orthopaedic trial of two surgical procedures was set up to obtain high-quality evidence of effectiveness. However, the trial faced recruitment challenges and struggled to maintain recruitment rates over 30%, although this is not unusual for surgical trials. We conducted a qualitative study with the aim of gathering information about recruitment practices to identify barriers to patient consent and participation to an orthopaedic trial. We collected 11 audio recordings of recruitment appointments and interviews of research team members (principal investigators and research nurses) from five hospitals involved in recruitment to an orthopaedic trial. We analyzed the qualitative data sets thematically with the aim of identifying aspects of informed consent and information provision that was either unclear, disrupted, or hindered trial recruitment.Aims
Methods
We have reviewed 104 patients who had partial resection of the fibula for use as a graft. Only 44 were completely free from symptoms, and six had developed significant
1. A series of patients with recent ligamentous injuries of the
1. Partial diastasis of the tibio-fibular syndesmosis is believed to be common, but it is often overlooked as a cause of recurrent sprains of the
We randomised prospectively 60 consecutive patients who were undergoing internal fixation of similar fractures of the
Two hundred and thirty-two
We undertook a prospective study to analyse the
outcome of 48 malunited pronation-external rotation fractures of the
ankle in 48 patients (25 females and 23 males) with a mean age of
45 years (21 to 69), treated by realignment osteotomies. The interval
between the injury and reconstruction was a mean of 20.2 months
(3 to 98). . In all patients, valgus malalignment of the distal tibia and
malunion of the fibula were corrected. In some patients, additional
osteotomies were performed. Patients were reviewed regularly, and
the mean follow-up was 7.1 years (2 to 15). . Good or excellent results were obtained in 42 patients (87.5%)
with the benefit being maintained over time. Congruent
Thirty patients with osteochondritis dissecans of the