Trauma and Orthopaedics

Should Femoral Shaft fractures in Patients Age Over 60 Years be Managed Using a Hip Fracture Pathway?

Bommireddy, L; Gogna, Rajiv; Clark, DI (2020-09)

Introduction: The British Orthopaedic Association published 2019 guidelines 'The Older or Frail Orthopaedic Trauma Patient'. This implements principles of the hip fracture pathway to all fragility fractures. Like hip ...

Getting it Right First Time. How a Pandemic Improved service provision for orthopaedic patients

Hind, Jamie (Medtext Publications LLC, 2020-08)

In this paper we discuss how the recent outbreak corona virus provided an opportunity to review the referral system and introduce a method of reducing total number of referrals and number of inappropriate referrals. By ...

Long Term Performance of an Uncemented, Proximally Hydroxyapatite Coated, Double Tapered, Titanium-Alloy Femoral Stem: Results From 1465 Hips at 10 years Minimum Follow-Up.

Borton, Zakk (2020-08)

BACKGROUND: We assessed the survivorship of a proximally hydroxyapatite coated, double tapered, titanium-alloy femoral stem in a single center, at an average follow up of 12.5 years (10.1-15.8). The majority of stems were ...

Cauda equina syndrome after use of dural sealant in revision lumbar decompression surgery.

Askar, M (2020-09)

OBJECTIVE: We report a case of cauda equina syndrome related to the use of fibrin glue dural sealant "TISSEEL". BACKGROUND: Incidental durotomy (ID) is not uncommon in revision spinal surgery. Augmentation of the dural ...

Fixation failure of a volar wrist plate following a fall from a standing height

Hind, Jamie; Kitsis, Christos; Ashwood, Neil (2020-08)

Background: Distal radial fractures are common and contribute significantly to orthopaedic workload. This is a rare care where a volar locking plate, used to manage a previous wrist fracture, bent following a fall from ...

Mortality following distal femur fractures versus proximal femur fractures in elderly population: The impact of best practice tariff.

Mubark, Islam; Abouelala, Amr; Al Ghunimat, Abdallah; Sarhan, Islam; Ashwood, Neil (2020-09)

Background and objectives: The mortality after hip, proximal femur, fractures in elderly patients has steadily declined in the last decade in the United Kingdom as a result of implementing of multiple protocols focusing ...

Atypical presentation of sacrococcygeal pilonidal disease: presentation and surgical management.

Alwadiya, Ahmed; Abouelela, Amr; Al Ghunimat, Abdallah; Ashwood, Neil; Kotecha, Amit (2020-09)

Sacrococcygeal pilonidal disease presentation varies greatly between being asymptomatic, acute abscess and chronic sinus. Acute abscess constitutes almost half of the initial presentation of such disease. To our best ...

Achilles Tendon Rupture: Can the Tendon Gap on Ultrasound Scan Predict the Outcome of Functional Rehabilitation Program?

Mubark, Islam; Abouelela, Amr; Arya, Swati; Buchanan, Donald; Elgalli, Mosab; Parker, Jennifer; Ashwood, Neil; Karagkevrekis, Charalampos (2020-09)

Background and objectives: There is a growing use of functional rehabilitation programs for the treatment of Achilles tendon rupture. Factors such as patient age and level of activity have been used to guide the decision. ...

Post traumatic septic arthritis of the elbow and osteomyelitis of the distal radius in a 12-year-old child

Hind, Jamie; Ashwood, Neil; Mubark, Islam; Karagkevrekis, Babis (2020)

Septic arthritis and Osteomyelitis are important conditions that must be excluded in a child presenting with musculoskeletal pain. A delay in diagnosing such conditions may result in significant morbidity and mortality. ...

A predictive model for creep deformation following vertebral compression fractures

Annesley-Williams, DJ (2020-08)

Many vertebral compression fractures continue to collapse over time, resulting in spinal deformity and chronic back pain. Currently, there is no adequate screening strategy to identify patients at risk of progressive ...

Volar locking plate: Age related outcomes and complications

Ashwood, Neil (2020-07)

Background: There is no unanimity for the treatment of distal radius fractures in older people. The purpose of our study is to assess the efficacy of volar locking plate for the treatment of unstable distal radius fractures ...

Seasonal variation in trauma admissions to a level III trauma unit over 10 years

Ashwood, Neil; Hind, Jamie; Athar, Sajjad (2020-07)

Introduction: Major trauma centres have improved morbidity and mortality for moderate and severely injured patients. Less injured patients may be treated in facilities less resourced for trauma care. In these units, ...

Experiences of using vedolizumab in the treatment of inflammatory bowel disease in the East Midlands UK - a retrospective observational study.

White, Jonathan; Din, Said (2020-07)

PURPOSE: Clinical trials have demonstrated efficacy of vedolizumab in ulcerative colitis (UC) and Crohn's disease (CD). Further real-world data is needed to inform clinical practice. The primary outcome was to assess ...

Longitudinal validity of using digital hand photographs for assessing hand osteoarthritis progression over 7 years in community-dwelling older adults with hand pain.

Jansen, Victoria (2019-10)

BACKGROUND: To determine the longitudinal construct validity of assessing hand OA progression on digital photographs over 7 years compared with progression determined from radiographs, clinical features and change in ...

6-Year clinical results and survival of Copeland Resurfacing hemiarthroplasty of the shoulder in a consecutive series of 279 cases.

Dekker, Andrew; Joshi, N; Morgan, Marie; Espag, Marius; Tambe, Amol; Clark, DI (2020-03)

Background: Medium-term clinical results and survival of the Copeland resurfacing hemiarthroplasty of the shoulder (CRHA) in a large consecutive group are presented with a comparison of outcomes for underlying pathologies. ...