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Biomedical subjects

F H Norman-Taylor

Publications and source records attributed to F H Norman-Taylor.

6 recordsLinked to original sources

Hybrid hip arthroplasty in the younger patient. Quality of life.

In a hybrid hip arthroplasty, the acetabular component is uncemented. Without screw fixation, early stability depends on a press-fit. The demands placed on it by the younger patient may therefore be important. Eighty patients under the age of 70 before and after hybrid or Charnley hip arthroplasty were studied. Scores for disability and distress were used to generate quality-of-life (QOL) scores using the Rosser Index Matrix immediately before and at 1 year after surgery. All patients increased their QOL scores (P < .00006). Both groups had similar QOL scores before surgery (P = .596). At 1 year, patients with the hybrid prosthesis had slightly higher scores (P = .015). Changes in QOL scores were, however, very similar (P = .697). The use of a hybrid prosthesis does not impair early outcome.

Adult↗

Quality-of-life improvement compared after hip and knee replacement.

Total hip and total knee arthroplasty both provide a considerable improvement in quality of life, but there is no evidence to suggest that one is more successful than the other. We studied 72 patients in a prospective trial before and after total hip or total knee replacement. We recorded scores for disability and distress derived from the Harris hip score and the British Orthopaedic Association knee assessment score, and used them to generate quality of life (QoL) scores using the Rosser Index Matrix immediately before and at one year after surgery. The patients awaiting knee replacement had significantly lower QoL scores than those awaiting hip replacement (p = 0.011). The QoL scores at one year were high and almost identical for both groups (p = 0.46). Further analysis showed that gender and weight were not significant predictors of improvement of QoL scores, but age (p = 0.03) and whether the hip or knee was replaced (p = 0.006) were significant factors.

Activities of Daily Living↗

Arthroscopic surgery of the hip: current status.

Arthroscopy of the hip is now recognised as a valuable diagnostic and therapeutic procedure [23]. It is still relatively new and remains largely in the hands of a few specialist centres, but orthopaedic surgeons are increasingly willing to provide it as part of their own service. This article outlines its background and details its clinical and technical application.

Arthroscopes↗

Distal fibulectomy for Ewing's sarcoma.

We treated five children with non-metastatic Ewing's sarcoma of the distal fibula by distal fibulectomy. At a mean of eight years after surgery they all had nearly normal levels of painfree function. Distal fibulectomy is a good alternative to the more radical amputations recommended in the past.

Adolescent↗