Minerva

Minerva

BMJ 1998; 316 doi: https://doi.org/10.1136/bmj.316.7127.320 (Published 24 January 1998) Cite this as: BMJ 1998;316:320

Orthopaedic surgeons who are reluctant to perform total hip replacement operations on young patients say that high rates of mechanical failure and wear would inevitably lead to a need for revision operations while the patients were still young. A study of 226 Charnley arthroplasties in 161 patients with an average age of 31 provides evidence to the contrary (Journal of Bone and Joint Surgery [Br] 1997;79:1599-617). The functional results were excellent, and at 25 years the survival of the femoral components was 81% and of the acetabular components 68%.

Whether or not a patient with the carpal tunnel syndrome is sent for electromyography depends largely on whether facilities for the investigation exist in the hospital in which he or she is being seen (British Journal of Rheumatology 1997;36:1328-30). A survey of 81 rheumatologists working in hospitals in Britain found that only half had facilities on site. When electromyography was not readily available patients were more likely to be treated with non-surgical methods, such as injection of steroids or splinting.

For many years oncologists have looked for ways of stimulating the vigour of the immune response that some patients mount against their tumours. According to Cancer Investigation (1997;15:577-87), several trials are currently under way of acute specific immunotherapy using the patient's …

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