Journal of the Royal College of Surgeons of Edinburgh
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To assess the results of operative treatment of ankle fractures in the elderly, we have reviewed the results of ankle fracture fixation in 76 patients aged over 50 years. This was carried out with special reference to the early complications. ⋯ In no case did fixation fail because of poor bone quality. We conclude that internal fixation of ankle fractures in the elderly carries acceptable risks, so long as careful attention is paid to surgical technique, and fixation is in accordance with AO/ASIF principles.
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J R Coll Surg Edinb · Apr 1994
Comment Letter Case ReportsAir-weapon crimes and accidents: a source of preventable injury.
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J R Coll Surg Edinb · Dec 1993
Free fibular bone grafting for femoral neck fractures: precise graft placement using a 'cannulated screw' technique.
Use of the fibula as a free bone graft has been advocated in the treatment of femoral neck fractures, either fresh or where there is established non-union. There is debate about the best surgical technique; we present ours, which is simple and trouble-free.
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J R Coll Surg Edinb · Oct 1993
Treatment of grade III osteonecrosis of the femoral head with a Charnley/Bicentric hemiarthroplasty.
Thirty-eight hips with Charnley/Bicentric hemiarthroplasties were reviewed. Preoperatively all hips had a Grade III osteonecrosis (Arlet & Ficat) of the femoral head. Follow-up ranged from 42 to 72 months with a mean of 56 months. ⋯ The mean total movement from full abduction to full adduction at the cup-acetabular articulation was 21 degrees, compared to 14 degrees at the inner component articulation. The results of cemented femoral components are predictably unfavourable in this young age group. However, the double articulation of the bipolar cup offers an acceptable method of treatment for this grade of osteonecrosis in the medium term.