Following surgery to treat major trauma-related fractures, deep wound infection rates are high. It is not known if negative pressure wound therapy can reduce infection rates in this setting. OBJECTIVE To assess outcomes in patients who have incisions resulting from surgery for lower limb fractures related to major trauma and were treated with either incisional negative pressure wound therapy or standard wound dressing. DESIGN, SETTING, AND PARTICIPANTS A randomized clinical trial conducted at 24 trauma hospitals representing the UK Major Trauma Network that included 1548 patients aged 16 years or older who underwent surgery for a lower limb fracture caused by major trauma from

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A woman in her early 50s presented with a 2-week history of gradually worsening colicky abdominal pain with associated vomiting, loose stools and reduced appetite. There was no malaena or perrectal bleeding. On examination, there was tenderness in the epigastric region with an associated palpable fullness. Subsequent imaging revealed a substantial colo-colic intussusception with the lead point being a lipoma of the ascending colon. Subsequent colonic resection was undertaken with histology confirming a lipomatous polyp.

Over the past decade, hip arthroscopy has become increasingly popular in managing hip conditions in a minimally invasive approach. The development of specialist equipment and training in this field has allowed indications for hip arthroscopy to be extended to a range of conditions. However, the need for special equipment and training has also limited the use of hip arthroscopy to specialized centers. This article will outline the evolution of hip arthroscopy, the pathology of hip conditions, what it has been used for and how this technique has now been extended to help manage these conditions in a minimally invasive approach, limiting the complications of open surgery.

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