BACKGROUND Delay to surgery for patients with hip fracture is associated with higher incidence of post-operative complications, prolonged recovery and length of stay, and increased mortality. Therefore, many health care organisations launch improvement programmes to reduce the wait for surgery. The heterogeneous application of similar methods, and the multifaceted nature of the interventions, c...

Quadriceps muscle contracture is the main pathology in cases of congenital dislocation of Knee. This can be easily accessed and released through percutaneous approach using a wide bore needle. This technical note describes the technique in details. It is a simple technique with minimum complications and gives good results in selected cases.

We studied the effect of trochanteric osteotomy in 192 total hip replacements in 140 patients with congenital hip disease. There was bony union in 158 hips (82%), fibrous union in 29 (15%) and nonunion in five (3%). The rate of union had a statistically significant relationship with the position of reattachment of the trochanter, which depended greatly on the pre-operative diagnosis. The pre-op...

background: children with myelomeningocele (mmc) develop a wide variety of hip deformities such as muscle imbalance, contracture, subluxation, and dislocation. various methods and indications have been introduced for treatment of muscle imbalances and other hip problems in patients with mmc but there is no study or meta-analysis to compare the results and complications. this review aims to find...

The important role of polygenic acetabular configuration and monogenic joint laxity has again been proved in the aetiology of congenital dislocation of the hip. According to the findings reported these two genetic predispositions seem to be unrelated. The time of diagnosis in accetabular dysplasia type and joint laxity type did not differ, thus the neonatal and late-diagnosed cases do not seem ...

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 and three female. The mean age at presentation...