Trauma and Orthopaedics
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Aspirin monotherapy is a suitable standard thromboprophylactic agent following total hip arthroplasty
(2021-02)Introduction: Aspirin is increasingly recognised as an efficacious thromboprophylactic agent with a superior safety profile compared to alternatives. Following our institution's previously published experience we implemented ... -
When infection mimics cauda equina syndrome: a cautionary tale
(2020-07)A 63-year-old man presented to the emergency department with low back pain, perineal and genital numbness, together with bilateral lower limb paraesthesia and urinary retention. He was admitted under the orthopaedic service ... -
Microfracture Technique for Chronic Unstable Osteochondral Defect of Knee: Case Report
(2021-02)Osteochondral fractures of the medial femoral condyle of the knee can be diagnostically and therapeutically challenging. Various techniques of osteochondral defect treatment include fixation, abrasion chondroplasty, drilling, ... -
Musculoskeletal Attendances to a Minor Injury Department During a Pandemic
(2021-02)Introduction: As coronavirus disease 2019 (COVID-19) became a public health emergency of international concern, countries across the globe began to instate strict social distancing restrictions or “lockdowns”. During these ... -
Mid-long term survivorship of the cemented, semi-constrained "Discovery" total elbow arthroplasty
(2021-01)Background: The incidence of total elbow arthroplasty (TEA) is increasing and improved understanding of elbow kinematics and biomaterials have driven advances in implant design. In modern practice, cemented semi-constrained ... -
Predicting the Behaviour of Humeral Shaft Fractures: An Independent Validation Study of the Radiographic Union Score for HUmeral Fractures (RUSHU) and Value of Assessing Fracture Mobility
(2021-01)Objectives: To externally validate the Radiographic Union Score for Humeral fractures (RUSHU) and to quantify the predictive relationship of fracture motion on physical examination to non-union. Design: Retrospective cohort ... -
Prospective Study Showing Results of Large-Diameter Femoral Heads After Cementless Total Hip Replacement
(2021-01)Introduction: Large-diameter femoral heads (≥36 mm) were introduced to decrease instability and improve the range of motion of the hip. We hypothesized regarding the clinical outcome and complications (dislocation, implant ... -
Sub-Axial Cervical Facet Dislocation: A Review of Current Concepts
(2021-01)Cervical facet dislocation is a serious injury that carries risks of short- and long-term morbidity. The optimal management of these injuries remains controversial with the ongoing debate regarding indications and requirements ... -
The acute management of ankle fractures (Augment) study: A prospective trainee led national collaborative audit of the Boast 12 guidelines
(2021-01)Background: Ankle fractures are one of the most common fractures in adults aged 20-65 years. The British Orthopaedic Association (BOA) and British Orthopaedic Foot and Ankle Society (BOFAS) jointly produced Standards for ... -
Communication With Patients Before an Operation: Their Preferences on Method of Communication
(2020-11)Background: With the constantly evolving communication technologies, it is essential for all healthcare professionals to try utilising various methods in communicating with patients. This will lead to better healthcare ... -
The clinical and cost effectiveness of splints for thumb base osteoarthritis: a randomized controlled clinical trial
(2020-11)Objectives: To investigate the clinical effectiveness, efficacy and cost effectiveness of splints (orthoses) in people with symptomatic basal thumb joint OA (BTOA). Methods: A pragmatic, multicentre parallel group randomized ... -
Should Femoral Shaft fractures in Patients Age Over 60 Years be Managed Using a Hip Fracture Pathway?
(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
(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.
(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.
(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
(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.
(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.
(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?
(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. ...
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