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The aim of this study was to describe, analyze, and compare the survival, functional outcome, and complications of minimally invasive (MI) and non-invasive (NI) lengthening total femoral prostheses.

Patients and Methods

A total of 24 lengthening total femoral prostheses, 11 MI and 13 NI, were implanted between 1991 and 2016. The characteristics, complications, and functional results were recorded. There were ten female patients and ten male patients. Their mean age at the time of surgery was 11 years (2 to 41). The mean follow-up was 13.2 years (seven months to 29.25 years). A survival analysis was performed, and the failures were classified according to the Modified Henderson System.

The Bone & Joint Journal

Vol. 100-B, Issue 12 | Pages 1626 - 1632

1 Dec 2018

Prognostic factors for local recurrence in extremity-located giant cell tumours of bone with pathological fracture

Medellin MR Fujiwara T Tillman RM Jeys LM Gregory J Stevenson JD Parry M Abudu A

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Aims

The aim of this paper was to investigate the prognostic factors for local recurrence in patients with pathological fracture through giant cell tumours of bone (GCTB).

Patients and Methods

A total of 107 patients presenting with fractures through GCTB treated at our institution (Royal Orthopaedic Hospital, Birmingham, United Kingdom) between 1995 and 2016 were retrospectively studied. Of these patients, 57 were female (53%) and 50 were male (47%).The mean age at diagnosis was 33 years (14 to 86). A univariate analysis was performed, followed by multivariate analysis to identify risk factors based on the treatment and clinical characteristics.

The Bone & Joint Journal

Vol. 100-B, Issue 12 | Pages 1609 - 1617

1 Dec 2018

Reconstruction of the glenoid using autologous bone-graft and the SMR Axioma TT metal-backed prosthesis

Malhas AM Granville-Chapman J Robinson PM Brookes-Fazakerley S Walton M Monga P Bale S Trail I

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Aims

We present our experience of using a metal-backed prosthesis and autologous bone graft to treat gross glenoid bone deficiency.

Patients and Methods

A prospective cohort study of the first 45 shoulder arthroplasties using the SMR Axioma Trabecular Titanium (TT) metal-backed glenoid with autologous bone graft. Between May 2013 and December 2014, 45 shoulder arthroplasties were carried out in 44 patients with a mean age of 64 years (35 to 89). The indications were 23 complex primary arthroplasties, 12 to revise a hemiarthroplasty or resurfacing, five for aseptic loosening of the glenoid, and five for infection.

The Bone & Joint Journal

Vol. 100-B, Issue 11 | Pages 1493 - 1498

1 Nov 2018

Can a reverse shoulder arthroplasty be used to revise a failed primary reverse shoulder arthroplasty?

Wagner ER Hevesi M Houdek MT Cofield RH Sperling JW Sanchez-Sotelo J

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Aims

Patients with a failed reverse shoulder arthroplasty (RSA) have limited salvage options. The aim of this study was to determine the outcome of revision RSA when used as a salvage procedure for a failed primary RSA.

Patients and Methods

We reviewed all revision RSAs performed for a failed primary RSA between 2006 and 2012, excluding patients with a follow-up of less than two years. A total of 27 revision RSAs were included in the study. The mean age of the patients at the time of revision was 70 years (58 to 82). Of the 27 patients, 14 (52% were female). The mean follow-up was 4.4 years (2 to 10).

The Bone & Joint Journal

Vol. 100-B, Issue 4 | Pages 549 - 556

1 Apr 2018

Flexed-knee gait in children with cerebral palsy

Church C Ge J Hager S Haumont T Lennon N Niiler T Hulbert R Miller F

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Aims

The purpose of this study was to evaluate the long-term outcome of adolescents with cerebral palsy who have undergone single-event multilevel surgery for a flexed-knee gait, followed into young adulthood using 3D motion analysis.

Patients and Methods

A total of 59 young adults with spastic cerebral palsy, with a mean age of 26 years (sd 3), were enrolled into the study in which their gait was compared with an evaluation that had taken place a mean of 12 years (sd 2) previously. At their visits during adolescence, the children walked with excessive flexion of the knee at initial contact and surgical or therapeutic interventions were not controlled between visits.

Bone & Joint 360

Vol. 7, Issue 5 | Pages 30 - 33

1 Oct 2018

Oncology

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The Bone & Joint Journal

Vol. 100-B, Issue 9 | Pages 1260 - 1260

1 Sep 2018

Errata/Corrigenda

Haddad FS

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Bone & Joint 360

Vol. 7, Issue 5 | Pages 21 - 24

1 Oct 2018

Shoulder & Elbow

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Bone & Joint 360

Vol. 7, Issue 5 | Pages 33 - 36

1 Oct 2018

Children’s orthopaedics

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Bone & Joint 360

Vol. 7, Issue 3 | Pages 18 - 21

1 Jun 2018

Wrist & Hand

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The Bone & Joint Journal

Vol. 100-B, Issue 9 | Pages 1162 - 1167

1 Sep 2018

The Avon patellofemoral joint arthroplasty

Metcalfe AJ Ahearn N Hassaballa MA Parsons N Ackroyd CE Murray JR Robinson JR Eldridge JD Porteous AJ

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Aims

This study reports on the medium- to long-term implant survivorship and patient-reported outcomes for the Avon patellofemoral joint (PFJ) arthroplasty.

Patients and Methods

A total of 558 Avon PFJ arthroplasties in 431 patients, with minimum two-year follow-up, were identified from a prospective database. Patient-reported outcomes and implant survivorship were analyzed, with follow-up of up to 18 years.

The Bone & Joint Journal

Vol. 100-B, Issue 9 | Pages 1241 - 1248

1 Sep 2018

Long-term patient survival after the surgical treatment of bone and soft-tissue metastases from renal cell carcinoma

Higuchi T Yamamoto N Hayashi K Takeuchi A Abe K Taniguchi Y Kato S Murakami H Tsuchiya H

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Aims

The aims of this study were to evaluate the long-term outcome of surgery for bone or soft-tissue metastases from renal cell carcinoma (RCC) and to determine factors that affect prognosis.

Patients and Methods

Between 1993 and 2014, 58 patients underwent surgery for bone or soft-tissue metastases from RCC at our hospital. There were 46 men and 12 women with a mean age of 60 years (25 to 84). The mean follow-up period was 52 months (1 to 257). The surgical sites included the spine (33 patients), appendicular skeleton (ten patients), pelvis (eight patients), thorax (four patients), and soft tissue (three patients). The surgical procedures were en bloc metastasectomy in 46 patients (including 33 patients of total en bloc spondylectomy (TES)) and intralesional curettage in 12 patients. These patients were retrospectively evaluated for factors associated with prognosis.