Sanjeev S Madan

Sanjeev S Madan
Sheffield Children's NHS Foundation Trust · Department of Orthopaedics

FRCS (Tr & Orth); FRCSEng; FRCSGlasg; MCh (Orth); MBA; MS (Orth); MSc (Orth Eng); DNB (Orth); D'Orth; MD (USA); Diploma Paeds Orth (NYU); FInstLM; PG Cert Soft Eng (Oxon); MBBS

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Introduction

Publications

Publications (151)
Article
Full-text available
Importance Platelet-rich plasma injections are used as a treatment for chronic midportion Achilles tendinopathy, but evidence for this treatment is limited. Objective In adults with midportion Achilles tendinopathy, to assess the effects of a single platelet-rich plasma injection, compared with sham injection, on the outcome of the Victorian Insti...
Article
Full-text available
Background: Patients with Achilles tendon rupture who have non-operative treatment have traditionally been treated with immobilisation of the tendon in plaster casts for several weeks. Functional bracing is an alternative non-operative treatment that allows earlier mobilisation, but evidence on its effectiveness and safety is scarce. The aim of th...
Conference Paper
Thirty-four patients were studied through the whole of the Perthes’ disease in Alder Hey Children’s Hospital, Liverpool. The acetabular changes included osteopaenia of the roof, irregularity of its contour, and decrease in the depth. These changes were proportional to the femoral head involvement. The purpose of the study was to know the effect of...
Conference Paper
Introduction: Patients who develop proximal femoral growth arrest present a typical deformity of short femoral neck, high riding greater trochanter, and caput valgum. This is seen usually seen in Perthes, AVN due to treatment of CDH, and sometimes in epiphyseal dysplasia. Method: We present a series of 34 cases (34 hips) treated at the above insti...
Conference Paper
Introduction: Percutaneous in situ pinning of severe SUFE can lead to problems. We describe our technique and results for surgical dislocation to reduce severe SUFE. Method: Ganz’s approach of greater trochanteric flip, safe dissection and surgical dislocation to preserve the femoral head blood supply was followed to anatomically reduce the femora...
Conference Paper
Introduction: Plastic deformation of the regenerate bone is a complication noted soon after limb lengthening. However, less is known about the factors responsible for the development of plastic deformation. Materials and Methods: Retrospective analysis of 35 X-rays of achondroplast children who had limb lengthening were reviewed. The study compare...
Conference Paper
Background Slipped capital femoral epiphysis (SCFE) is commonly treated with in situ pinning. However, a severe slip may not be suitable for in situ pinning because the required screw trajectory is such that it risks perforating the posterior cortex and damaging the remaining blood supply to the capital epiphysis. In such cases, an anteriorly plac...
Conference Paper
Aim To evaluate the influence of arthrodiatasis in the natural history of the stages of the disease radiologically and also the timing of arthrodiatasis. Materials and methods 44 patients with Perthes' disease that had articulated hip distraction were radiologically evaluated. We assessed these based on Joseph's modified Elizabethtown classifica...
Conference Paper
Background The use of circular fixators for the treatment of tibial fractures is well established in the literature. The aim of this study was to compare the Ilizarov circular fixator (ICF) with the Taylor spatial frame (TSF) in terms of treatment results in consecutive patients with tibial fractures that required operative management. Method A...
Conference Paper
To determine the effectiveness of six-axis analysis deformity correction using the Taylor Spatial Frame for the treatment of post-traumatic tibial malunions and non-unions, the study design was a retrospectively reviewed, consecutive series. Mean duration of follow-up: 3.2 years (range 2–4.2 years). All patients had been referred to a tertiary refe...
Conference Paper
Aim: The purpose of this study is to define the hip anatomy in cerebral palsy in a three dimensional geometrical manner and then perhaps plan a better surgical reconstruction for these affected hips. Materials & Methods: The case notes and radiographs of 18 patients with cerebral palsy who underwent plain radiographs, axial CT and 3D CT scans from...
Conference Paper
Aim To study the results of using recombinant human bone morphogenic protein-2 (rhBMP-2) to achieve bone union in children with complex orthopaedic problems including skeletal dysplasia, congenital limb deficiencies and complex trauma. Materials & Methods Between November 2006 to April 2010, rhBMP-2 was used to achieve bone healing in a total of...
Conference Paper
Introduction: Obligatory external rotation during flexion is well recognised as a cardinal feature of Slipped Upper Femoral Epiphyses (SUFE). We have evaluated the significance of acetabular version in contributing to the external rotational deformity that is seen in otherwise normal hips. We present a small case series focussing on the characteris...
Conference Paper
The purpose of this study was to determine the oblique plane deformity in slipped upper femoral epiphysis. A retrospective radiographic review was undertaken in patients admitted with a slipped upper femoral epiphysis between March 2008 and October 2010. Patients in whom a CT scan had been performed in addition to plain radiographs were assessed f...
Conference Paper
Aim The use of intraoperative cell salvage as a tool for reducing allogenic transfusion has been demonstrated in pelvic osteotomies. The aims of this audit were to identify any problems or complications with cell salvage, reduction in allogenic transfusion and identify procedures that would benefit. Methods The use of cell salvage and allogenic...
Conference Paper
To compare the effectiveness of ALIF, using the Hartshill Horseshoe cage, and Graf ligamentoplasty for stabilisation of comparable severity of degenerative disc disease. Between 1995 and 1997, 27 patients who had single level ALIF with Hartshill Horseshoe cage [group A], and 28 patients who had single level Graf ligamentoplasty [group B] were asse...
Conference Paper
We utilized a dry-bone model of the pelvis and proximal femur, set upon transparent Lucite plates with four mounting screws and adjustable struts, allowing measurable and reproducible pelvic tilt and rotation. Our protocol for osteotome placement at each of the osteotomy sites strictly followed the technique described by Ganz. A 30°, 15 mm bifid os...
Conference Paper
The effects of NF-I on the hip have been underreported in literature. The bony changes in the hip can be mild to severe and are often present, but not diagnosed. Dislocation of the hip has been described but protrusio acetabulum is underdiagnosed and has only been reported from one institute. This is the first case where an open biopsy has been tak...
Conference Paper
To evaluate the correction of complex congenital deformities of the lower limb by six axes deformity analyses and computer assisted correction using the Taylor TM Spatial Frame (TSF), from 1998 to 2000, the authors performed corrections of multiple congenital deformities in 24 lower limbs in 18 patients. There were 9 males and 9 females. There were...
Conference Paper
This paper evaluates the ability to predict the need for a tenotomy prior to beginning the Ponseti method. The purpose of this study was to determine how one might predict the need for tenotomy at the initiation of the Ponseti treatment for clubfeet. Fifty clubfeet in thirty-five patients were treated with serial casting. The feet were prospective...
Conference Paper
A retrospective review of records, radiographs, Computerized Tomography (CT) scans, and Magnetic Resonance Imaging (MRI) scans was done from January 1994 to January 2002. Of the 35 patients in this study, 15 were females and 20 males. The mean age of the patients was 12.8 years (range, 9 to 19 years). There were 14 feet with bilateral coalition, 8...
Conference Paper
The aim of our study was to assess the efficacy and complications of treatment of limb deformities using six axes deformity analysis and the Taylor TM Spatial Frame [TSF] Between January 1997 and March 2000, we treated 75 lower limbs in 66 patients with deformities. Patients were divided into four groups. The groups were Blount’s disease, congenit...
Conference Paper
Purpose We share our experience in management of failed in-situ pinning in severe unstable Slipped Capital Femoral Epiphysis (SCFE) by surgical dislocation approach. Method A retrospective review of hip database from 2006 to 2013 showed 41 children underwent surgical dislocation for SCFE. We identified seven who had severe slip with failed in-situ...
Conference Paper
Purpose This report compares midterm results of open neck osteoplasty + neck osteotomy vs arthroscopic osteoplasty for severe Slipped Capital Femoral Epiphysis (SCFE). Method Database from 2006 to 2013 identified 22 patients out of 187 operations for SCFE. 12 underwent Open Neck Osteotomy (ONO) and osteoplasty by Ganz surgical dislocation approach...
Conference Paper
Introduction Taylor Spatial Frame (TSF) has been designed to treat complex tibial, foot and ankle deformities using computer software. We have performed various osteotomies in combination with different soft tissue procedures, with the use of TSF. Material and Methods A retrospective study of 20 consecutive patients operated by, senior author SSM,...
Conference Paper
Purpose This study aims to report the radiological corrections achieved and complication profile of Peri-Acetabular Osteotomy (PAO) undertaken through the minimally invasive approach. Method 106 PAOs were performed in 103 patients, by senior author, using a minimally invasive approach from 2007 to 2015. Pre- and post-operative radiographs were rev...
Conference Paper
The purpose of the study was to investigate the incidence of surgical site infection following elective paediatric orthopaedic surgery. A pro forma adopted from a pilot study was filled out preoperatively for each elective operation performed during the study period. Each patient was then followed up for six weeks postoperatively to record any SSI...
Conference Paper
Aim: The aim of the study was to evaluate the outcome of open surgery for DDH in a tertiary centre. Method: Primary and tertiary referrals between 1983 and 1996 were followed up for 8.2 years (4.1 to 16.8 years). 60 hips in 47 patients had open reduction for DDH. 39 patients were females. 13 hips had bilateral involvement. Age at operation was 2.1...
Conference Paper
The role of femoral and acetabular version in correction of dysplasia of the hip has been undereported. Between June 1995 and September 2000, a Bernese periacetabu-lar osteotomy (BPO) was performed in 25 patients (26 hips) by the senior author with an average follow-up of 3.7 years (range 2-5 years). The mean age of the patients (24 female, 1 male)...
Conference Paper
To assess the efficacy of software assisted correction using six axes analyses for Blounts deformity. Between 1998 and 2000, 22 tibiae in 19 patients underwent correction of Tibia Vara with the TSF. There were six females and thirteen males. There were 8 infantile and 14 adolescent forms. The mean patient age was 9.9 years (3–16 years). Shortening...
Conference Paper
We present our experience of the modified Dunn procedure in combination with a Ganz surgical dislocation of the hip to treat patients with severe slipped capital femoral epiphysis (SCFE). The aim was to prospectively investigate whether this technique is safe and reproducible. We assessed the degree of reduction, functional outcome, rate of complic...
Conference Paper
To evaluate the effectiveness of a casting method for the early treatment of clubfoot deformity, a scoring system utilizing the French [DiMeglio], English [Pirani], and our functional rating system before and after each casting session was used to determine the final assessment and results of the Iowa [Ponseti] clubfoot technique. Between Jan 2000...
Conference Paper
Dysplasia of the hip in children, characterised by a shallow acetabulum and a deficient coverage of the femoral head, generally causes altered biomechanics of the hip joint. A kinematic analysis on the individual and comparative spatial movement of the acetabulum with some of the pelvic osteotomy techniques is performed. The osteotomy providing gre...
Conference Paper
Background Ilizarov hip reconstruction is a salvage option traditionally done with fixators, which often face limited compliance. We aimed at reviewing our early results of a novel technique with internal devices. Material and Methods Retrospective evaluation of 7 patients was done that underwent Milch Batchelor procedure with dual plates followed...
Conference Paper
We report the radiological outcomes, and short-term clinical results, of 47 periacetabular osteotomies undertaken through both the traditional bikini incision, and a minimally invasive approach. 47 periacetabular osteotomies have been undertaken in 45 patients, by the senior author, between 2005 and 2013. There were 10 male and 35 female patients....
Conference Paper
Slipped capital femoral epiphysis (SCFE) may lead to symptomatic femoroacetabular impingement (FAI). We report our experience of arthroscopic treatment, including osteochondroplasty, for the sequelae of SCFE. Data were prospectively collected on patients undergoing arthroscopy of the hip for the sequelae of SCFE between March 2007 and February 201...
Conference Paper
AIM: The purpose of this prospective study was to asses the outcome of antegrade intramedullary wiring of displaced distal end of fifth metacarpal fracture in skeletally immature. Intramedullary wiring for fracture metacarpals have been well described in the literature. Retrograde wiring for neck of metacarpal fractures have been associated with li...
Conference Paper
Aim The Pelvic Support Osteotomy (PSO) or Ilizarov Hip Reconstruction(IHR) is well described for the treatment of septic sequelae of infancy. The purpose of this study was to clinically, functionally and radiographically assess our short-term results of this procedure. Method 25 patients (16 boys, 9 girls) who had undergone an IHR using the Ilizar...
Conference Paper
Purpose: The aim of this part retrospective and part prospective study was to establish the incidence of pinsite infections and assess evolution of changes in practice Methods: Data was collected retrospectively and prospectively for pin site infections from the inception of limb reconstruction service viz. 1985 to January 2002. There were 812 pat...
Conference Paper
Background: Femoroacetabular Impingement is now considered a prearthritic hip mechanism. It frequently occurs in patients with subtle anatomic abnormalities of the acetabulum, “acetabular retroversion”, which is often difficult to detect on standart xrays. Early diagnosis is of utmost importance as surgical intervention in early stages can most lik...
Conference Paper
Aim: The treatment of relapsed clubfeet presents a significant challenge. The Ilizarov method of gradual correction has been shown to provide satisfactory outcome. Since 2001 we have employed a newer differential soft tissue distraction using an Ilizarov frame in relapsed feet based on the Ponseti principles. The aim of our study was to analyse the...
Article
Aims Our main objectives were to evaluate the effect of surgery using self-assessed health scores. Secondary objectives were to correlate outcome with grade of deformity (Stulberg classification I–V) or age at surgery and whether additional periacetabular osteotomy (PAO) is beneficial for patients with concurrent acetabular dysplasia. Methods This...
Chapter
Slipped capital femoral epiphysis (SCFE) is a common paediatric orthopaedic problem that attracts substantive research and debate. The understanding of the pathophysiology of this disorder and its subsequent treatments are evolving at a slow pace. Some forms of treatments have become obsolete while new surgical techniques have emerged which have be...
Conference Paper
Abstract Text: Background: Management of AVascular Necrosis (AVN) of femoral head in Slipped Capital Femoral Epiphysis (SCFE) is difficult. We proposed to ascertain if staged hip distraction could prevent the collapse and recover the femoral head. Methods: A retrospective review of hip database retrieved 16 children with unstable SCFE and AVN. Al...
Poster
We detail a modified single incision approach to perform the Tonnis triple pelvic osteotomy by a minimally invasive approach. PATIENTS AND METHODS: 12 children underwent minimally invasive Tonnis Osteotomy. There were five boys and seven girls in this study group. Average age was 11 years (9-15 years) at the time of surgery. Mean follow-up was 20....
Article
Background:: Management of avascular necrosis (AVN) of the femoral head in slipped capital femoral epiphysis (SCFE) is difficult. We proposed to ascertain if staged hip distraction could prevent collapse and recover the femoral head. Methods:: A retrospective review of the hip database retrieved 16 children with unstable SCFE and AVN. All underw...
Chapter
Slipped capital femoral epiphysis (SCFE) is common paediatric orthopaedic problem that attract substantive research and debate. Understanding and subsequent treatments is evolving at a high pace. Some forms of treatments have become obsolete and a new surgical techniques have emerged and widely adopted without clear evidence of the long term outcom...
Article
Full-text available
Aims: We describe surgical dislocation with capital realignment as an option for management of failed in-situ pinning in children with severe unstable slipped capital femoral physis. Patients and methods: A retrospective data collection from our hospital hip database retrieved 7 patients with severe unstable slipped capital femoral physis who ha...
Article
The supracondylar humeral fracture is the most common elbow fracture in children accounting for just under one-fifth of all paediatric fractures and 60% of paediatric elbow fractures. Modifications of the Gartland classification have been made over the years. The mainstay treatment option is that of closed reduction and percutaneous wiring. However...
Chapter
Pathomechanics and Radiology of Aseptic Loosening in Total Hip Arthroplasty
Article
Aim We intend to compare the outcomes of arthroscopic osteoplasty with open neck osteotomy for correction of the hip impingement and improvement of hip function in children with moderate to severe healed Slipped Capital Femoral Epiphysis (SCFE). Our aim is to verify if arthroscopic osteoplasty could achieve the same outcome as open procedures. Pat...
Article
Full-text available
Background Femoroacetabular impingement syndrome is an important cause of hip pain in young adults. It can be treated by arthroscopic hip surgery, including reshaping the hip, or with physiotherapist-led conservative care. We aimed to compare the clinical effectiveness of hip arthroscopy with best conservative care. Methods UK FASHIoN is a pragmat...
Article
Full-text available
A good long-term outcome following a total knee arthroplasty relies on restoration of the mechanical axis and effective soft tissue balancing of the prosthetic knee. Arthroplasty surgery in patients with secondary osteoarthritis of the knee with an extra-articular tibial deformity is a complex and challenging procedure. The correction of mal-alignm...
Article
Aims: We detail a modified single incision approach to perform the Tonnis triple pelvic osteotomy by a minimally invasive approach. Patients and methods: 12 children underwent minimally invasive Tonnis Osteotomy. There were five boys and seven girls in this study group. Average age was 11 years (9-15 years) at the time of surgery. Mean follow-up...
Article
Full-text available
Restoration of the anatomy of the hip joint and biomechanics across it, carry the immense importance to prevent future osteoarthritis of the joint. The aim of this review is to provide the brief concept of the methods to preserve the hip, especially in young adults. Attempts to preserve the hips start with the intense preoperative planning of the...
Article
Purpose: Contemporary methods for the management of neck deformity following a healed severe slipped capital femoral epiphysis (SCFE) include subcapital neck osteotomy. Methods: 18 patients with chronic severe SCFE in the oblique plane (mean slip angle = 70°) constituted the study group. 6 patients with an open physis underwent modified Dunn cap...
Article
Full-text available
Unlabelled: Slipped capital femoral epiphysis (SCFE) may lead to symptomatic femoroacetabular impingement (FAI). We report our experience of arthroscopic treatment, including osteochondroplasty, for the sequelae of SCFE. Data were prospectively collected on patients undergoing arthroscopy of the hip for the sequelae of SCFE between March 2007 and...
Article
Full-text available
Mesenchymal stem cells (MSC) undergo a decline in function following ex vivo expansion and exposure to irradiation. This has been associated with accumulation of DNA damage and has important implications for tissue engineering approaches or in patients receiving radiotherapy. Therefore interventions, which limit accumulation of DNA damage in MSC, a...
Article
Abstract The purpose of the study was to investigate the incidence of surgical site infection following elective paediatric orthopaedic surgery. A pro forma adopted from a pilot study was filled out preoperatively for each elective operation performed during the study period. Each patient was then followed up for six weeks postoperatively to reco...
Article
Full-text available
We present our experience of lengthening and correction of complex deformities in the management of patients with Ollier's dysplasia (multiple enchondromatosis) from 1985 and 2002. All patients were under 18 years with a minimum follow-up time of 2 years (mean 9.6 years, range 2-15 years). There were a total of ten patients of which seven were male...
Conference Paper
Background: Hip resurfacing with metal-on-metal bearing has been used as an alternative to traditional total hip arthroplasty, especially in young and active patients. Benefits of the procedure include preservation of proximal femoral bone stock and lower dislocation rates when compared to conventional total hip arthroplasty. Methods: One hundred a...
Article
A 34 year old female typist presented to the orthopaedic outpatients clinic with a painless swelling in her right ring finger for 3 years duration. Examination revealed a mobile, hard lump on the volar aspect of the right ring finger at the level of the proximal interphalangeal (PIP) joint with restricted range of movement at the PIP joint. The swe...
Article
Full-text available
The use of circular fixators for the treatment of tibial fractures is well established in the literature. The aim of this study was to compare the Ilizarov circular fixator (ICF) with the Taylor spatial frame (TSF) in terms of treatment results in consecutive patients with tibial fractures that required operative management. A retrospective analysi...
Article
Full-text available
Slipped capital femoral epiphysis (SCFE) is commonly treated with in situ pinning. However, a severe slip may not be suitable for in situ pinning because the required screw trajectory is such that it risks perforating the posterior cortex and damaging the remaining blood supply to the capital epiphysis. In such cases, an anteriorly placed screw may...
Article
Abstract We report the radiological outcomes, and short-term clinical results, of 47 periacetabular osteotomies undertaken through both the traditional bikini incision, and a minimally invasive approach. 47 periacetabular osteotomies have been undertaken in 45 patients, by the senior author, between 2005 and 2013. There were 10 male and 35 female...
Conference Paper
Purpose: To evaluate the outcomes of the arthroscopic excision of the calcaneonavicular tarsal coalition. Method: This was a prospective study of all the patients who had the arthroscopic tarsal coalition surgery performed between Jan 2011-June 2011. The clinical outcomes were measured with FAOS scores. Results: Mean operating time was 30 min (Rang...
Article
Background: At present, clinical assessment of bone strength in children predominantly relies bone mass measurement using absorptiometry (DXA) or QCT densitometric approaches. However, bone strength is not only dependent on mass/density, but also structural and material mechanical properties. Currently no technique measures bone mechanical properti...
Article
Abstract Aim The Pelvic Support Osteotomy (PSO) or Ilizarov Hip Reconstruction(IHR) is well described for the treatment of septic sequelae of infancy. The purpose of this study was to clinically, functionally and radiographically assess our short-term results of this procedure. Method 25 patients (16 boys, 9 girls) who had undergone an IHR using...
Article
We present our experience of the modified Dunn procedure in combination with a Ganz surgical dislocation of the hip to treat patients with severe slipped capital femoral epiphysis (SCFE). The aim was to prospectively investigate whether this technique is safe and reproducible. We assessed the degree of reduction, functional outcome, rate of complic...
Article
This study reports the complications observed in children with long bone fractures treated using Elastic Stable Intramedullary Nailing (ESIN). One hundred and sixty-four (n = 164) fractures in 160 patients under the age of 16 years formed the basis of our review. This included 108 boys and 52 girls with the median age of 11 years and median follow...
Article
Abstract Aim To evaluate the influence of arthrodiatasis in the natural history of the stages of the disease radiologically and also the timing of arthrodiatasis. Materials and methods 44 patients with Perthes' disease that had articulated hip distraction were radiologically evaluated. We assessed these based on Joseph's modified Elizabethtown cl...
Article
Abstract Aim The use of intraoperative cell salvage as a tool for reducing allogenic transfusion has been demonstrated in pelvic osteotomies. The aims of this audit were to identify any problems or complications with cell salvage, reduction in allogenic transfusion and identify procedures that would benefit. Methods The use of cell salvage and al...
Article
Abstract Aim To study the results of using recombinant human bone morphogenic protein-2 (rhBMP-2) to achieve bone union in children with complex orthopaedic problems including skeletal dysplasia, congenital limb deficiencies and complex trauma. Materials & Methods Between November 2006 to April 2010, rhBMP-2 was used to achieve bone healing in a...
Article
Full-text available
Objective To compare the results of hip arthroscopy in patients under the age of 25 with those over 25 years. Design From March 2006 until May 2010, data were collected on all patients who underwent hip arthroscopy for symptomatic intra-articular hip pathology. The patients were divided into two groups based on age (less than 25 years and over 25 y...
Article
Human mesenchymal stem cells (hMSCs) have been shown to have potential in regenerative approaches in bone and blood. Most protocols rely on their in vitro expansion prior to clinical use. However, several groups including our own have shown that hMSCs lose proliferation and differentiation ability with serial passage in culture, limiting their clin...
Article
Abstract Aim The treatment of relapsed clubfeet presents a significant challenge. The Ilizarov method of gradual correction has been shown to provide satisfactory outcome. Since 2001 we have employed a newer differential soft tissue distraction using an Ilizarov frame in relapsed feet based on the Ponseti principles. The aim of our study was to an...
Article
Abstract The purpose of this study was to determine the oblique plane deformity in slipped upper femoral epiphysis. A retrospective radiographic review was undertaken in patients admitted with a slipped upper femoral epiphysis between March 2008 and October 2010. Patients in whom a CT scan had been performed in addition to plain radiographs were...
Article
Dysplasia of the hip is characterized by malpositioning of the proximal femur in a shallow acetabulum, providing deficient femoral head coverage. This abnormal relationship leads to altered biomechanics of the hip joint, as predicted by measurement of kinematic parameters such as increased load over reduced acetabular weight-bearing area, leading t...
Article
Abstract Introduction: Plastic deformation of the regenerate bone is a complication noted soon after limb lengthening. However, less is known about the factors responsible for the development of plastic deformation. Materials and Methods: Retrospective analysis of 35 X-rays of achondroplast children who had limb lengthening were reviewed. The stu...
Article
Abstract Introduction: Percutaneous in situ pinning of severe SUFE can lead to problems. We describe our technique and results for surgical dislocation to reduce severe SUFE. Method: Ganz’s approach of greater trochanteric flip, safe dissection and surgical dislocation to preserve the femoral head blood supply was followed to anatomically reduce...
Article
Abstract Introduction: Obligatory external rotation during flexion is well recognised as a cardinal feature of Slipped Upper Femoral Epiphyses (SUFE). We have evaluated the significance of acetabular version in contributing to the external rotational deformity that is seen in otherwise normal hips. We present a small case series focussing on the c...
Article
Abstract Dysplasia of the hip in children, characterised by a shallow acetabulum and a deficient coverage of the femoral head, generally causes altered biomechanics of the hip joint. A kinematic analysis on the individual and comparative spatial movement of the acetabulum with some of the pelvic osteotomy techniques is performed. The osteotomy pro...
Article
Introduction: The Ilizarov method and fixation is a well established treatment in lower limb reconstruction, but little has been reported about the outcome of its use in the treatment of segmental tibial fractures. Aim: To review a single unit's experience of the Ilizarov method in segmental tibial fractures. Materials and methods: 33 patients, age...
Article
Introduction: The Ilizarov method and fixation is a well established treatment in lower limb reconstruction, but little has been reported about the outcome of its use in the treatment of segmental tibial fractures. Aim: To review a single unit's experience of the Ilizarov method in segmental tibial fractures. Materials and methods: 33 patients, age...

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