to cobalt with negative results for chromium, nickel and cement. Both prostheses were removed and the joints were sterile but contained grey pultaceous material with a relatively high cobalt and chromium content; there were multiple acetabular fractures on each side and the acetabular wall was paper-thin. Following the removal of the second prosthesis she became cobalt-negative and her urinary ...

A MORI poll earlier this year indicated that nearly 4 million people in the United Kingdom are incontinent. These patients have yet to appear in large numbers for investigation and treatment mainly because of reticence on their part, but also because of failure of doctors in general to understand that incontinence can be investigated and treated successfully in a majority of cases. Also some gy...

s of Papers RESULTS AND COMPLICATIONS OF PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY W. D. Jeans, Bristol The technique of dilatation of narrowed and occluded segments of artery by an intra-arterial catheter having a distensible balloon in its distal end was first described in 1974 by A. Gruntzig. Its use has gradually increased and is now widely accepted. One report (Motorjeme et al., 1980) suggests...

Recent advances have proved advantageous in paediatrics and renal transplantation. Continuous Ambulatory Peritoneal Dialysis (CAPD) facilitates dialysis of low weight children including babies. The beneficial effects of pretransplant blood transfusions are appreciated, likewise donor specific blood transfusions in the case of living donors. DR typing has a stronger correlation with graft succes...

A Meeting of the Club was held at Yeovil District Hospital on Saturday, 11th May 1974. There was a very excellent demonstration of Clinical Cases. These included several patients with severe flaying injuries of the forearm and hand which occurred to workers in the leather industry. Most of these had been treated very successfully with abdominal skin flaps, together with later tendon reconstruct...

Their experience had shown that the weakest part of the prosthesis was the bone implant interface. Their studies had shown that there were defects in the laminations beneath the collar and beneath the lower part of the stem. They had developed the larger straight stemmed prosthesis. This provided better weight transmission and the large size of the prosthesis filled to a large part the cavity o...

Leg Equalization by Epiphyseal Arrest 1952-1970 Mr. J. G. H. James (Cardiff and Neath) reviewed a personal series of 246 cases of leg disparity: 114 had been followed to maturity and 67 cases of epiphyseal stapling were analysed in detail. The intention was to staple one or both epiphyses under direct vision with accurate placement of the posterior femoral and lateral tibial staples particularl...

Fifty-nine patients with ureteric obstruction were divided into 2 groups, determined by the severity of the insult received by the affected kidney. In each renogram the slope of the second phase of the curve of the affected kidney was expressed as a percentage of that of the normal kidney, and termed the 'function index'. The transit time for the affected kidney was expressed as a multiple of t...