Literature based review of lateral hip approach (MacFarland, Osborne) modifications offered by Bauer, Harding, Mills, Moscal and Mann is presented. Surgical technique for the Moscal and Mann approach is described. The approach allows easy access to the proximal femur for reaming, cementing, prosthesis orientation and leg-length discrepancy correction. It offers visualization of the joint superi...

Introduction. Total hip arthroplasty (THA) infections with severe bone loss pose significant reconstructive challenges. We present our experience with two-stage hip reimplantation using an intramedullary, antibiotic-impregnated nail. Methods. Three patients with infected THA with severe proximal femoral bone loss (Mallory type IIIB or greater) were treated using a custom antibiotic spacer. Clin...

the natural history of an untreated case of a developmental dysplasia (dislocation) of the hip (ddh) associated with multiple congenital abnormalities is reported in a 55-years-old man. the patient’s complaints and the varieties of the typical manifestations emerged in other parts of the body throughout the life are reviewed and discussed as comorbidities of a dysplastic condition. two-stage bi...

ABSTRACT INTRODUCTION The recent trend in management of congenital idiopathic clubfoot tends towards conservative treatment. This study reviews the outcomes of treatment in our practice using the quantitative clubfoot assessment of the deformity (QCAD). METHODS Thirty patients (38 cases of clubfoot) with congenital idiopathic clubfoot treated at Sarawak General Hospital were followed-up fo...

Limb-length discrepancy, to one degree or another, is a problem that must be reckoned with after total hip arthroplasty (THA). It must be addressed as both a clinical issue for patients and, unfortunately, a potential medicolegal problem. Although a small limb-length discrepancy may cause no symptoms or may not be perceived, a large limb-length discrepancy may cause nerve palsy, low back pain, ...

We describe the management of nonunion combined with limb-length discrepancy following vascularised fibular grafting for the reconstruction of long-bone defects in the lower limb after resection of a tumour in skeletally immature patients. We operated on nine patients with a mean age of 13.1 years (10.5 to 14.5) who presented with a mean limb-length discrepancy of 7 cm (4 to 9) and nonunion at ...