UNLABELLED Uncemented fixation of implants to bone is a proven technology in traditional hip arthroplasty surgery. However, cement fixation is currently the standard method for the femoral component in hip resurfacing. The purpose of this study was to evaluate the performance of uncemented fixation of the femoral component in the first 100 fully porous-coated metal-on-metal hip resurfacing arth...

  During fixation of a femoral neck fracture in a 23-year-old male patient with cannulated screws, a broken guide wire fragment inadvertently advanced through the hip joint and protruded into the pelvis. A second surgical approach was needed to remove the broken fragment from the pelvis. Awareness of such a potentially devastating complication will make surgeons more cautious during implementa...

Although the majority of North American surgeons perform total knee arthroplasty by cementing both the femoral and the tibial components, hybrid fixation with a press-fit femur and cemented tibia is an alternative form of total knee arthroplasty performed by some. Currently, there is a paucity of literature evaluating long-term outcomes after hybrid total knee arthroplasty. As such, the purpose...

OBJECTIVE To review the clinical performance of the anatomic medullary locking (AML) femoral stem in total hip arthroplasty. DESIGN A clinical and radiographic review. SETTING A tertiary lower limb joint replacement centre. PATIENTS Two hundred and twenty-one patients with noninflammatory gonarthrosis. INTERVENTIONS Two hundred and twenty-seven primary total hip arthroplasties with the ...

Tibial anterolateral rotary instability associated with anterior cruciate ligament (ACL) tears is a well-documented and difficult problem long history of solutions. The lateral extra-articular tenodesis (LET) has undergone multiple refinements in technique, largely focusing on the femoral site insertion using either an interference screw versus staple for adequate fixation. In this article, we ...

during fixation of a femoral neck fracture in a 23-year-old male patient with cannulated screws, a broken guide wire fragment inadvertently advanced through the hip joint and protruded into the pelvis. a second surgical approach was needed to remove the broken fragment from the pelvis. awareness of such a potentially devastating complication will make surgeons more cautious during implementatio...

PURPOSE To compare 2 methods of fixation for maintenance of alignment during healing of valgus tibial osteotomies. METHODS We performed a retrospective chart and radiographic review of valgus tibial osteotomy cases of staple fixation supplemented by a postoperative cast and of blade plate fixation for maintenance of femoral-tibial alignment during healing of the osteotomy. RESULTS Both grou...

BACKGROUND The optimal treatment for femoral fractures in children is controversial. The purpose of this study was to compare the results of Rush pin fixation with those of conservative treatment, and to evaluate the sequels of growth plate injury by internal fixation. METHODS Eighteen femoral shaft fractures in 17 children who had concomitant head injury or multiple traumas were treated surg...

PURPOSE The management of proximal femoral deformity in fibrous dysplasia (FD) is a challenge to the orthopaedic surgeon. The purpose of this study was to analyze the various presentations of FD of proximal femur and the results of the various treatment modalities for the same. METHODS This is a retrospective cohort study of 23 patients (24 femora) with FD who underwent surgery for the proxim...