We have performed a form of lunate replacement arthroplasty, which included excision of the lunate and insertion of a vascularised radial bone flap wrapped in pronator quadratus, for stage IIIB or stage IV Kienböck's disease, in 41 patients who have been followed up for more than three years. All patients reported an improvement in their symptoms, and 20 of the 41 became free of pain after the ...

We report the results in 24 consecutive patients treated from 1976 to 1991 for nonunion of olecranon fractures. Their mean age was 42 years, and the mean interval from fracture to treatment for nonunion was 19 months. Management was by rehabilitation and activity as tolerated for three, continued immobilisation for one, and operative treatment for 20. Operations included excision of the olecran...

conversion of knee arthrodesis to total knee arthroplasty is a difficult procedure accompanied by many complications due to soft tissue and extensor mechanism contracture and bone defects. we report two cases of distal femur osteosarcoma that had been undergone wide resection arthrodesis initially. arthrodesis was converted to total knee arthroplasty with hinged prosthesis after many years. we ...

The article describes a case in which a popliteal cyst was identified presenting as a mass on the anterior aspect of theright tibia. This occurred as a result of polyethylene wear debris from previous total knee arthroplasty. Although alternativediagnoses for an anterior tibial mass are more likely, a popliteal cyst must be considered, particularly if the patient has ahistory of total knee arth...

In this Editorial I want to comment on eight recent articles that can help us to better understand still controversial matters related to total knee arthroplasty (TKA). In this Editorial I want to comment on eight recent articles that can help us to better understand still controversial matters related to total knee arthroplasty (TKA).

Introduction Cystic echinococcosis of the bone is rare and difficult to treat due to frequent recurrences, especially in certain locations such as ilium and hip, where radical surgery is difficult to achieve. Case Report We present a case of a 35-year-old female of the Indian subcontinent who had complaints of pain in left hip and limp since 1 year. The first clinical and radiological diagnos...

Management of the patient with rheumatoid forefoot deformity requires a multidisciplinary integrated approach for a successful outcome. Despite recent advances in the pharmacological management of rheumatoid arthritis and its impact upon disease progression, forefoot deformity and pain remain common manifestations requiring input from orthopaedic surgeons. The typical deformities encountered in...

We reviewed the clinical details and radiographs of 52 patients with ballistic fractures of the femur admitted to the International Committee of the Red Cross Hospital in Kenya (Lopiding), who had sustained injuries in neighbouring Sudan. In all cases there had been a significant delay in the initial surgery (> 24 hours), and all patients were managed without stabilisation of the fracture by in...

Early excision of heterotopic ossification was performed in 8 patients at an average of 10.2 months after total hip arthroplasty. All patients received a single irradiation dose of 7Gy the day before the operation, followed by oral indomethacin (3x25mg/day) for six weeks. Continuous passive mobilization under epidural anesthesia was started immediately post-operatively. At an average follow-up ...

Kenneth A. Johnson recommendation in every textbook description. A cadaveric study published in this issue of the Journal compared two methods of osteotomy (2). The authors found that use of a sagittal saw produced a smoother ostectomy surface in comparison to the use of an osteotome, which more often produced bone fissures and fragmentation (2). The findings of this study provide an impetus to...