Louis Deliss | University of Liverpool (original) (raw)

Papers by Louis Deliss

PubMed, 1998

A consultant timetable which fulfils the requirements of the Calman Report on medical education a... more A consultant timetable which fulfils the requirements of the Calman Report on medical education and the New Deal on junior doctors' hours is presented.

The journal of hand surgery, Oct 1, 1993

Post-traumatic radio-ulnar synostosis is an unusual but serious complication of adult forearm fra... more Post-traumatic radio-ulnar synostosis is an unusual but serious complication of adult forearm fractures. This is the first report of radio-ulnar synostosis following external fixation to be described in the English literature. A 52-year-old man sustained a fracture of the distal radius and ulna which was managed by external fixation. Following this, he developed a radio-ulnar synostosis at the pin-track site. The synostosis was successfully removed and he regained significant rotatory movement of his forearm.

Proceedings of the Royal Society of Medicine, Apr 1, 1977

BMJ, Nov 21, 2012

Jose Antonio Socrates (“Doc Soc”) was born in 1948 in Ubay, Bohol, and grew up on the campus of t... more Jose Antonio Socrates (“Doc Soc”) was born in 1948 in Ubay, Bohol, and grew up on the campus of the University of the Philippines in Diliman, where his parents were faculty members. He and his eight siblings spent their happy childhood years inside the prestigious campus in a humble, Spartan home made of “sawali” (woven split bamboo). Despite their poor and simple life, their hardworking parents instilled in them the value of sound work ethic and the importance of diligence and discipline in their studies. All nine children successfully completed their college education, with careers ranging from education to medical and paramedical professions. Soc originally graduated from the University of the Philippines as a geologist. It was in the field of a geologist when he met an impoverished and ailing old man from a local village tribe in Isabela province in northern Luzon, who had insisted he was a doctor because he wore spectacles, that he started to wonder if he too (for his brother was already on the way to becoming one) could be a doctor. He returned to Manila and graduated in 1974. While at medical school he met and married Cecile, who was studying psychology. An early post was as prison medical officer in Iwahig, a huge open prison in Palawan. Then he left the country to join the United Nations as a volunteer in 1977 …

The journal of hand surgery, Oct 1, 1993

Post-traumatic rupture of flexor tendons is a very rare event. We report such an event following ... more Post-traumatic rupture of flexor tendons is a very rare event. We report such an event following an epiphyseal fracture of the distal radius. This has not previously been reported in the English litermature.

BMJ, Aug 29, 1998

Breast cancer screening: false positive rate is lower in older women Editor-Werneke and McPherson... more Breast cancer screening: false positive rate is lower in older women Editor-Werneke and McPherson 1 question the detection rates of cancer observed in the breast screening programme in East Sussex, Brighton, and Hove that we reported in our recent paper. 2 They suggest that these are the result of a high proportion of false positive screens. It is unfortunate that they did not consult us beforehand. The paper gives results of an ongoing study, but the cancers reported are those confirmed by histological examination after surgery, not preliminary suspected cancers at "positive" screens. The statistical programme was not run until some months after the end of the screening period, when all the screening episodes had been completed and the women concerned had been assessed, diagnosed, and operated on as appropriate. The East Sussex area has always tended to have a high detection rate for cancer, possibly because of the local sociodemographic composition of the population, and the rate over this period was higher than in the following year, without being exceptional. The 1995-6 result for the whole South West Thames region was 7.6 women with cancer for every 1000 women screened overall. 3 The small study of older women in north London found 14.2 women with cancer per 1000 women screened aged 65-9. 4 During the period reported in our study the recall for assessment rate in women aged 65-7 was 4.6% (95% confidence interval 3.9% to 5.2%) and 6.2% (5.2% to 7.2%) in those aged 68-9, compared with 6.1% (5.8% to 6.4%) in those aged 50-64. Given the higher number of cancers detected this indicates a lower false positive rate in older women. This is to be expected because of the relative ease of interpreting mammograms and decreasing incidence of benign breast lesions in older women. 5 We now have the first year's results from the other two pilot sites, which will be published in due course. They confirm higher detection rates of cancer in older women but similar recall rates. Attendance is also encouragingly high.

The journal of bone and joint surgery, Aug 1, 1978

The Stanmore hinged total knee replacement was introduced in 1969 for severe destructive arthropa... more The Stanmore hinged total knee replacement was introduced in 1969 for severe destructive arthropathy of the knee, and the results of one hundred consecutive operations are presented after an average interval of two and a halfyears. Insertion of the prosthesis relieved pain in 94 per cent, improved the range of movement in 67 per cent, invariably restored stability and corrected valgus or varus deformity. Gross flexion contractures were improved but not always fully corrected. Serious complications were few, though ofthree cases ofdeep infection two came to amputation and one to fibrous ankylosis. There were no mechanical failures of components of the prosthesis.

Hip International, Jul 1, 2002

Radio-opacifiers in bone cements are an accepted part of everyday practice. They have, however, b... more Radio-opacifiers in bone cements are an accepted part of everyday practice. They have, however, been shown to be a potential cause of an increase in third body wear and to excite bone resorption in in vitro and in vivo studies. We reviewed the results of 228 consecutive Stanmore total hip replacements performed between 1981 and 1985 in 211 patients. All were inserted with radiolucent bone cement. Information regarding whether the prosthesis had been revised was available for all patients. Seventy-three patients (83 hips) were still alive and 41 patients (44 hips) were sufficiently healthy to attend clinic. Information regarding pain level was obtained from the remaining 32 patients. When revision of the implant was taken as the end-point, there was 95% ten-year survival, 91% fifteen-year survival and 75% eighteen-year survival. These long-term results of Stanmore THRs, performed in a district general hospital, with radiolucent bone cement, compare favourably with the other published series for this implant. We did not find the inability to see the bone cement a particular disadvantage when reviewing radiographs for signs of loosening.

Injury-international Journal of The Care of The Injured, Jun 1, 2001

Non-operative treatment of closed ruptures of the Achilles tendon within 48 h of injury has been ... more Non-operative treatment of closed ruptures of the Achilles tendon within 48 h of injury has been shown to produce results comparable with surgical treatment [1,2]. We report 49 patients treated using a dynamised cast, with a mean follow-up of 42 months, in which there has been only one case of re-rupture. A total of 33 patients were reviewed clinically and measurements revealed a mean calf circumference deficit of 1 cm and a mean functional range of ankle motion deficit of 3 degrees and plantar-flexion strength of 81-90%, when compared with the contra-lateral uninjured limb. Early mobilisation of the injured Achilles tendon using a dynamised cast has produced a re-rupture rate and functional recovery that compare favourably with previously published results for patients treated operatively. Non-operative management, in this way, is well tolerated by patients and is of low cost.

Plastic and Reconstructive Surgery, 1983

The Journal of Bone and Joint Surgery, 2001

I n a prospective, randomised, multicentre study, 112 patients (99 men and 13 women, aged between... more I n a prospective, randomised, multicentre study, 112 patients (99 men and 13 women, aged between 21 and 63 years) with acute, complete rupture of tendo Achillis were allocated either to surgical treatment followed by early functional rehabilitation, using a brace, or to non-surgical treatment, with plaster splintage for eight weeks. The period of follow-up was for two years. Evaluation was undertaken by independent observers and comprised interviews, clinical measurements, isokinetic muscle performance tests, heel-raise tests and an overall outcome score. The rate of rerupture was 20.8% after non-surgical and 1.7% after surgical treatment (p < 0.001). Surgical and non-surgical treatment produced equally good functional results if complications were avoided. However, the rate of rerupture after non-surgical treatment was unacceptably high.

Radio-pacifiers in bone cements are an accepted part of every-day practice. They have, however, b... more Radio-pacifiers in bone cements are an accepted part of every-day practice. They have, however, been shown to be a potential cause of an increase in third body wear and to excite bone resorption in vitro and in vivo studies. We reviewed the results of 228 consecutive Stanmore Total Hip Replacements performed between 1981 and 1985 in 211 patients. All were inserted with radiolucent bone cement. Information regarding whether the prosthesis had been revised was available for all patients. 73 patients (83 hips) were still alive and 41 patients (44 hips) were sufficiently healthy to attend clinic. Information regarding pain level was obtained from the remaining 32 patients. When revision of the implant was taken as the end-point, there was 95% ten-year survival, 91% fifteen-year survival and 75% eighteen-year survival. These long-term results of Stanmore THRs, performed in a district general hospital, with radiolucent bone cement, compare favourably with the other published series for th...

The Journal of Bone and Joint Surgery. British volume, 1978

A prospective trial has been carried out to determine the value of suction drainage in the operat... more A prospective trial has been carried out to determine the value of suction drainage in the operation of meniscectomy. One hundred operations were analysed, in half of which drains had been used. The use of the drain could not be shown to result in any sustained advantages. The demand for analgesics after the operation was reduced but not to a statistically significant level. The size of the early effusion was significantly reduced, but this benefit was lost when the knee was mobilised. The return of power to the quadriceps and of movement to the knee were not hastened. The average volume of fluid drained was 134 millilitres and it has been shown that forty-eight hours is a suitable time for removal of the drain. The use of suction drainage is not advocated for the uncomplicated operation of meniscectomy.

Annals of the Royal College of Surgeons of England, 1999

Annals of the Royal College of Surgeons of England, 1998

A consultant timetable which fulfils the requirements of the Calman Report on medical education a... more A consultant timetable which fulfils the requirements of the Calman Report on medical education and the New Deal on junior doctors' hours is presented.

The Journal of Hand Surgery: Journal of the British Society for Surgery of the Hand, 1993

Post-traumatic rupture of flexor tendons is a very rare event. We report such an event following ... more Post-traumatic rupture of flexor tendons is a very rare event. We report such an event following an epiphyseal fracture of the distal radius. This has not previously been reported in the English litermature.

Journal of Hand Surgery, 1993

Post-traumatic radio-ulnar synostosis is an unusual but serious complication of adult forearm fra... more Post-traumatic radio-ulnar synostosis is an unusual but serious complication of adult forearm fractures. This is the first report of radio-ulnar synostosis following external fixation to be described in the English literature. A 52-year-old man sustained a fracture of the distal radius and ulna which was managed by external fixation. Following this, he developed a radio-ulnar synostosis at the pin-track site. The synostosis was successfully removed and he regained significant rotatory movement of his forearm.

Injury, 2001

Non-operative treatment of closed ruptures of the Achilles tendon within 48 h of injury has been ... more Non-operative treatment of closed ruptures of the Achilles tendon within 48 h of injury has been shown to produce results comparable with surgical treatment [1,2]. We report 49 patients treated using a dynamised cast, with a mean follow-up of 42 months, in which there has been only one case of re-rupture. A total of 33 patients were reviewed clinically and measurements revealed a mean calf circumference deficit of 1 cm and a mean functional range of ankle motion deficit of 3 degrees and plantar-flexion strength of 81-90%, when compared with the contra-lateral uninjured limb. Early mobilisation of the injured Achilles tendon using a dynamised cast has produced a re-rupture rate and functional recovery that compare favourably with previously published results for patients treated operatively. Non-operative management, in this way, is well tolerated by patients and is of low cost.

The Journal of Bone and Joint Surgery. British volume, 1978

The Stanmore hinged total knee replacement was introduced in 1969 for severe destructive arthropa... more The Stanmore hinged total knee replacement was introduced in 1969 for severe destructive arthropathy of the knee, and the results of one hundred consecutive operations are presented after an average interval of two and a half years. Insertion of the prosthesis relieved pain in 94 per cent, improved the range of movement in 67 per cent, invariably restored stability and corrected valgus or varus deformity. Gross flexion contractures were improved but not always fully corrected. Serious complications were few, though of three cases of deep infection two came to amputation and one to fibrous ankylosis. There were no mechanical failures of components of the prosthesis.

PubMed, 1998

A consultant timetable which fulfils the requirements of the Calman Report on medical education a... more A consultant timetable which fulfils the requirements of the Calman Report on medical education and the New Deal on junior doctors' hours is presented.

The journal of hand surgery, Oct 1, 1993

Post-traumatic radio-ulnar synostosis is an unusual but serious complication of adult forearm fra... more Post-traumatic radio-ulnar synostosis is an unusual but serious complication of adult forearm fractures. This is the first report of radio-ulnar synostosis following external fixation to be described in the English literature. A 52-year-old man sustained a fracture of the distal radius and ulna which was managed by external fixation. Following this, he developed a radio-ulnar synostosis at the pin-track site. The synostosis was successfully removed and he regained significant rotatory movement of his forearm.

Proceedings of the Royal Society of Medicine, Apr 1, 1977

BMJ, Nov 21, 2012

Jose Antonio Socrates (“Doc Soc”) was born in 1948 in Ubay, Bohol, and grew up on the campus of t... more Jose Antonio Socrates (“Doc Soc”) was born in 1948 in Ubay, Bohol, and grew up on the campus of the University of the Philippines in Diliman, where his parents were faculty members. He and his eight siblings spent their happy childhood years inside the prestigious campus in a humble, Spartan home made of “sawali” (woven split bamboo). Despite their poor and simple life, their hardworking parents instilled in them the value of sound work ethic and the importance of diligence and discipline in their studies. All nine children successfully completed their college education, with careers ranging from education to medical and paramedical professions. Soc originally graduated from the University of the Philippines as a geologist. It was in the field of a geologist when he met an impoverished and ailing old man from a local village tribe in Isabela province in northern Luzon, who had insisted he was a doctor because he wore spectacles, that he started to wonder if he too (for his brother was already on the way to becoming one) could be a doctor. He returned to Manila and graduated in 1974. While at medical school he met and married Cecile, who was studying psychology. An early post was as prison medical officer in Iwahig, a huge open prison in Palawan. Then he left the country to join the United Nations as a volunteer in 1977 …

The journal of hand surgery, Oct 1, 1993

Post-traumatic rupture of flexor tendons is a very rare event. We report such an event following ... more Post-traumatic rupture of flexor tendons is a very rare event. We report such an event following an epiphyseal fracture of the distal radius. This has not previously been reported in the English litermature.

BMJ, Aug 29, 1998

Breast cancer screening: false positive rate is lower in older women Editor-Werneke and McPherson... more Breast cancer screening: false positive rate is lower in older women Editor-Werneke and McPherson 1 question the detection rates of cancer observed in the breast screening programme in East Sussex, Brighton, and Hove that we reported in our recent paper. 2 They suggest that these are the result of a high proportion of false positive screens. It is unfortunate that they did not consult us beforehand. The paper gives results of an ongoing study, but the cancers reported are those confirmed by histological examination after surgery, not preliminary suspected cancers at "positive" screens. The statistical programme was not run until some months after the end of the screening period, when all the screening episodes had been completed and the women concerned had been assessed, diagnosed, and operated on as appropriate. The East Sussex area has always tended to have a high detection rate for cancer, possibly because of the local sociodemographic composition of the population, and the rate over this period was higher than in the following year, without being exceptional. The 1995-6 result for the whole South West Thames region was 7.6 women with cancer for every 1000 women screened overall. 3 The small study of older women in north London found 14.2 women with cancer per 1000 women screened aged 65-9. 4 During the period reported in our study the recall for assessment rate in women aged 65-7 was 4.6% (95% confidence interval 3.9% to 5.2%) and 6.2% (5.2% to 7.2%) in those aged 68-9, compared with 6.1% (5.8% to 6.4%) in those aged 50-64. Given the higher number of cancers detected this indicates a lower false positive rate in older women. This is to be expected because of the relative ease of interpreting mammograms and decreasing incidence of benign breast lesions in older women. 5 We now have the first year's results from the other two pilot sites, which will be published in due course. They confirm higher detection rates of cancer in older women but similar recall rates. Attendance is also encouragingly high.

The journal of bone and joint surgery, Aug 1, 1978

The Stanmore hinged total knee replacement was introduced in 1969 for severe destructive arthropa... more The Stanmore hinged total knee replacement was introduced in 1969 for severe destructive arthropathy of the knee, and the results of one hundred consecutive operations are presented after an average interval of two and a halfyears. Insertion of the prosthesis relieved pain in 94 per cent, improved the range of movement in 67 per cent, invariably restored stability and corrected valgus or varus deformity. Gross flexion contractures were improved but not always fully corrected. Serious complications were few, though ofthree cases ofdeep infection two came to amputation and one to fibrous ankylosis. There were no mechanical failures of components of the prosthesis.

Hip International, Jul 1, 2002

Radio-opacifiers in bone cements are an accepted part of everyday practice. They have, however, b... more Radio-opacifiers in bone cements are an accepted part of everyday practice. They have, however, been shown to be a potential cause of an increase in third body wear and to excite bone resorption in in vitro and in vivo studies. We reviewed the results of 228 consecutive Stanmore total hip replacements performed between 1981 and 1985 in 211 patients. All were inserted with radiolucent bone cement. Information regarding whether the prosthesis had been revised was available for all patients. Seventy-three patients (83 hips) were still alive and 41 patients (44 hips) were sufficiently healthy to attend clinic. Information regarding pain level was obtained from the remaining 32 patients. When revision of the implant was taken as the end-point, there was 95% ten-year survival, 91% fifteen-year survival and 75% eighteen-year survival. These long-term results of Stanmore THRs, performed in a district general hospital, with radiolucent bone cement, compare favourably with the other published series for this implant. We did not find the inability to see the bone cement a particular disadvantage when reviewing radiographs for signs of loosening.

Injury-international Journal of The Care of The Injured, Jun 1, 2001

Non-operative treatment of closed ruptures of the Achilles tendon within 48 h of injury has been ... more Non-operative treatment of closed ruptures of the Achilles tendon within 48 h of injury has been shown to produce results comparable with surgical treatment [1,2]. We report 49 patients treated using a dynamised cast, with a mean follow-up of 42 months, in which there has been only one case of re-rupture. A total of 33 patients were reviewed clinically and measurements revealed a mean calf circumference deficit of 1 cm and a mean functional range of ankle motion deficit of 3 degrees and plantar-flexion strength of 81-90%, when compared with the contra-lateral uninjured limb. Early mobilisation of the injured Achilles tendon using a dynamised cast has produced a re-rupture rate and functional recovery that compare favourably with previously published results for patients treated operatively. Non-operative management, in this way, is well tolerated by patients and is of low cost.

Plastic and Reconstructive Surgery, 1983

The Journal of Bone and Joint Surgery, 2001

I n a prospective, randomised, multicentre study, 112 patients (99 men and 13 women, aged between... more I n a prospective, randomised, multicentre study, 112 patients (99 men and 13 women, aged between 21 and 63 years) with acute, complete rupture of tendo Achillis were allocated either to surgical treatment followed by early functional rehabilitation, using a brace, or to non-surgical treatment, with plaster splintage for eight weeks. The period of follow-up was for two years. Evaluation was undertaken by independent observers and comprised interviews, clinical measurements, isokinetic muscle performance tests, heel-raise tests and an overall outcome score. The rate of rerupture was 20.8% after non-surgical and 1.7% after surgical treatment (p < 0.001). Surgical and non-surgical treatment produced equally good functional results if complications were avoided. However, the rate of rerupture after non-surgical treatment was unacceptably high.

Radio-pacifiers in bone cements are an accepted part of every-day practice. They have, however, b... more Radio-pacifiers in bone cements are an accepted part of every-day practice. They have, however, been shown to be a potential cause of an increase in third body wear and to excite bone resorption in vitro and in vivo studies. We reviewed the results of 228 consecutive Stanmore Total Hip Replacements performed between 1981 and 1985 in 211 patients. All were inserted with radiolucent bone cement. Information regarding whether the prosthesis had been revised was available for all patients. 73 patients (83 hips) were still alive and 41 patients (44 hips) were sufficiently healthy to attend clinic. Information regarding pain level was obtained from the remaining 32 patients. When revision of the implant was taken as the end-point, there was 95% ten-year survival, 91% fifteen-year survival and 75% eighteen-year survival. These long-term results of Stanmore THRs, performed in a district general hospital, with radiolucent bone cement, compare favourably with the other published series for th...

The Journal of Bone and Joint Surgery. British volume, 1978

A prospective trial has been carried out to determine the value of suction drainage in the operat... more A prospective trial has been carried out to determine the value of suction drainage in the operation of meniscectomy. One hundred operations were analysed, in half of which drains had been used. The use of the drain could not be shown to result in any sustained advantages. The demand for analgesics after the operation was reduced but not to a statistically significant level. The size of the early effusion was significantly reduced, but this benefit was lost when the knee was mobilised. The return of power to the quadriceps and of movement to the knee were not hastened. The average volume of fluid drained was 134 millilitres and it has been shown that forty-eight hours is a suitable time for removal of the drain. The use of suction drainage is not advocated for the uncomplicated operation of meniscectomy.

Annals of the Royal College of Surgeons of England, 1999

Annals of the Royal College of Surgeons of England, 1998

A consultant timetable which fulfils the requirements of the Calman Report on medical education a... more A consultant timetable which fulfils the requirements of the Calman Report on medical education and the New Deal on junior doctors' hours is presented.

The Journal of Hand Surgery: Journal of the British Society for Surgery of the Hand, 1993

Post-traumatic rupture of flexor tendons is a very rare event. We report such an event following ... more Post-traumatic rupture of flexor tendons is a very rare event. We report such an event following an epiphyseal fracture of the distal radius. This has not previously been reported in the English litermature.

Journal of Hand Surgery, 1993

Post-traumatic radio-ulnar synostosis is an unusual but serious complication of adult forearm fra... more Post-traumatic radio-ulnar synostosis is an unusual but serious complication of adult forearm fractures. This is the first report of radio-ulnar synostosis following external fixation to be described in the English literature. A 52-year-old man sustained a fracture of the distal radius and ulna which was managed by external fixation. Following this, he developed a radio-ulnar synostosis at the pin-track site. The synostosis was successfully removed and he regained significant rotatory movement of his forearm.

Injury, 2001

Non-operative treatment of closed ruptures of the Achilles tendon within 48 h of injury has been ... more Non-operative treatment of closed ruptures of the Achilles tendon within 48 h of injury has been shown to produce results comparable with surgical treatment [1,2]. We report 49 patients treated using a dynamised cast, with a mean follow-up of 42 months, in which there has been only one case of re-rupture. A total of 33 patients were reviewed clinically and measurements revealed a mean calf circumference deficit of 1 cm and a mean functional range of ankle motion deficit of 3 degrees and plantar-flexion strength of 81-90%, when compared with the contra-lateral uninjured limb. Early mobilisation of the injured Achilles tendon using a dynamised cast has produced a re-rupture rate and functional recovery that compare favourably with previously published results for patients treated operatively. Non-operative management, in this way, is well tolerated by patients and is of low cost.

The Journal of Bone and Joint Surgery. British volume, 1978

The Stanmore hinged total knee replacement was introduced in 1969 for severe destructive arthropa... more The Stanmore hinged total knee replacement was introduced in 1969 for severe destructive arthropathy of the knee, and the results of one hundred consecutive operations are presented after an average interval of two and a half years. Insertion of the prosthesis relieved pain in 94 per cent, improved the range of movement in 67 per cent, invariably restored stability and corrected valgus or varus deformity. Gross flexion contractures were improved but not always fully corrected. Serious complications were few, though of three cases of deep infection two came to amputation and one to fibrous ankylosis. There were no mechanical failures of components of the prosthesis.