Biomedical subjects
Publications and source records attributed to S M O'Riordan.
Sixty unconstrained elbow replacements of a new design have been followed prospectively for three to nine years. Review showed that 50% had excellent relief of pain and return of function, 27% had had major complications requiring removal or revision of the prosthesis and 23% had minor complications which marred the result. Further research in this field seems worthwhile.
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A cohort of children presenting with clicking hips was studied in two districts. In one district any child with a clicking hip was treated as though the hip was dislocated, i.e. by splintage in abduction, but in the other district no treatment was offered. None of the 'treated' group later presented with a dislocated hip, whereas four children were found with dislocated hips among the 'untreated' group. A further four children who were not treated because their hips appeared to be normal on the second examination later presented with dislocated hips. It is suggested that the accuracy of diagnosis in all units might be improved if the examination of the newborn was carried out by a limited number of doctors to whom greater experience would accrue. Further improvements would be made if any hip which was found to click on examination was treated as an unstable hip and splinted in abduction.
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