Trauma and Orthopaedics
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Advancing spinal fellowship training: an international multi-centre educational perspective.
(2019-08)PURPOSE: The purpose of this article is to review the importance of contemporary spine surgery fellowships and educational strategies to assist with fellowship design and delivery. METHODS: Spine surgery fellowship includes ... -
Daycase trauma list: a safe and cost-effective service delivery.
(2019-09)INTRODUCTION: Daycase trauma surgery is an evolving and a novel approach. The aim of our study was to report our experience of daycase trauma surgery with a focus on safety, patient experience, complications and limitations. ... -
Fatal Pulmonary Embolism Following Elective Hand Surgery.
(2019-07)We present a rare case of fatal Pulmonary Embolism (PE) following elective wrist surgery in which such a risk is statistically negligible. The patient in this case was assessed pre-operatively for the risk of Venous ... -
Severe Neurovascular Compromise Associated with Plastic Deformation of Ulna Elastic Nail Following Forearm Re-fracture.
(2019-03)We present a case of periprosthetic re-fracture of the forearm in a child with previous intramedullary elastic nailing of the ulna and plate fixation of the radius for a both-bone forearm fracture. In-situ plastic deformation ... -
Management of tennis elbow: a survey of UK clinical practice
(2019-06)Background: Tennis elbow is a common condition in the UK but there are no guidelines on how best to manage the condition. The purpose of the present study was to establish the current UK practice in managing patients with ... -
Orthopaedic registries - the UK view (National Joint Registry): impact on practice.
(2019-06)The National Joint Registry (NJR) was established in 2002 as the result of an unexpectedly high failure rate of a cemented total hip replacement.Initial compliance with the Registry was low until data entry was mandated. ... -
Continuing acromioclavicular joint pain after excision arthroplasty: is further surgery effective?
(2019-05)BACKGROUND: Little published evidence exists on the incidence of continuing acromioclavicular joint pain with no published outcomes for revision surgery. This study aimed to establish the incidence and outcomes of revision ... -
Nightstick Fractures, Outcomes of Operative and Non-Operative Treatment.
(2019)INTRODUCTION: A nightstick fracture is an isolated fracture of the ulnar shaft. Although operative and non-operative treatments have been commonly decided by the degree of displacement of the fracture, still there is a ... -
The current evidence-based management of distal radial fractures: UK perspectives.
(2019-04)Distal radial fractures are extremely common injuries, yet many basic questions remain unanswered about their optimum management. Recently in the United Kingdom several guideline development groups have produced national ... -
Prospective Clinical Trial Comparing Trapezial Denervation With Trapeziectomy for the Surgical Treatment of Arthritis at the Base of the Thumb.
(2019-02)BACKGROUND: Trapeziectomy is considered to be the "gold standard" procedure for first carpometacarpal joint (first CMCJ) osteoarthritis. First CMCJ denervation offers the potential benefit of a shorter procedure with bone ... -
A rare case of Paget's disease affecting the cervical spine.
(2019-02)We present the case of a 75-year-old man with a rapidly progressive cervical myelopathy on a background of a 3-year history of neck pain and a severely degenerative cervical spine. The patient developed progressive myelopathy ... -
Open Versus Arthroscopic Repair of 1B Ulnar-Sided Triangular Fibrocartilage Complex Tears: A Systematic Review.
(2019-01)BACKGROUND: Peripheral 1B tears of the triangular fibrocartilage complex (TFCC) can result in distal radioulnar joint (DRUJ) instability. In the context of associated DRUJ instability, combined evidence supports successful ... -
Use of stem cells and growth factors in rotator cuff tendon repair.
(2019-01)The management of rotator cuff tears continues to prove challenging for orthopaedic surgeons. Such tears affect most age groups and can lead to significant morbidity in patients. The aetiology of these tears is likely to ... -
The natural course of traumatic triangular fibrocartilage complex tears in distal radial fractures: a 13-15 year follow-up of arthroscopically diagnosed but untreated injuries
(2012-08)PURPOSE: To evaluate the long-term results of a prospective, longitudinal case series of untreated, traumatic triangular fibrocartilage complex (TFCC) tears found in displaced distal radial fractures. METHODS: Between 1995 ... -
A new definition of wrist sprain necessary after findings in a prospective MRI study.
(2012-10)INTRODUCTION: Wrist injuries with negative X-rays are diagnosed as acute wrist sprains. The prognosis is usually good, but some patients suffer from long-lasting pain and reduced wrist function, probably due to missed ... -
Efficacy and safety of collagenase clostridium histolyticum injection for Dupuytren contracture: short-term results from 2 open-label studies.
(2013-01)PURPOSE: The JOINT I (United States) and JOINT II (Australia and Europe) studies evaluated the efficacy and safety of collagenase clostridium histolyticum (CCH) injection for the treatment of Dupuytren contracture. METHODS: ... -
Assessment of scapholunate instability and review of evidence for management in the absence of arthritis.
(2013-09)Scapholunate ligament tear is a common wrist injury and may lead to degenerative arthritis of the wrist in the long term. We review the assessment and classification of scapholunate instability and discuss the findings ...
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