Orthopaedics
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An infective cause for the limping child.
(2019-09)A 7-year-old girl presented with left hip pain and a limp, in the absence of any other systemic features, having recently been treated for a urinary tract infection. Examination revealed limited active hip movements on the ... -
The clinical and cost-effectiveness of total versus partial knee replacement in patients with medial compartment osteoarthritis (TOPKAT): 5-year outcomes of a randomised controlled trial.
(2019-07-17)BACKGROUND: Late-stage isolated medial knee osteoarthritis can be treated with total knee replacement (TKR) or partial knee replacement (PKR). There is high variation in treatment choice and little robust evidence to guide ... -
Limited capsular release and controlled manipulation under anaesthesia for the treatment of frozen shoulder.
(2016-01)Background In light of recent interest in the cost-effectiveness of the treatment options available for frozen shoulder, we aimed to determine the results of limited anterior capsular release and controlled manipulation ... -
Clinical Outcomes of the Modified Broström Technique in the Management of Chronic Ankle Instability After Early, Intermediate, and Delayed Presentation.
(2018-07)The modified Broström technique (MBT) is considered the reference standard for surgical management of ankle instability, with good short-term outcomes. However, limited evidence is available regarding outcomes for delayed ... -
Midterm results with Birmingham Hip Resurfacing/Synergy stem modular metal-on-metal total hip arthroplasty.
(2013-08)Large head modular metal-on-metal total hip replacement (MoMTHR) has been shown to have increased revision rates in the National joint registry and in literature. We reviewed 41 consecutive patients with 44 hips who had ... -
Combined Hip Arthroscopy and Limited Open Osteochondroplasty for Anterior Femoroacetabular Impingement: Early Patient Reported Outcomes.
(2013-03)Many surgical techniques have been described for femoroacetabular impingement (FAI) surgery to help with improvement of pain and function in symptomatic patients. The aim of this study was to evaluate early patient reported ... -
Tritanium Acetabular Cup in Revision Hip Replacement: A Six to Ten Years of Follow-Up Study.
(2018-08)Background: The use of highly porous acetabular components has shown to produce good results in revision acetabular surgery. Their surface characteristics enhance initial fixation and bone ingrowth which are prerequisites ... -
The incidence and causative organisms of infection in elective shoulder surgery.
(2018-07)Background Deep infection remains a serious complication of orthopaedic surgery. Knowledge of infection rates and causative organisms is important to guide infection control measures. The aim of the present study was to ... -
Anxiety and depression predict poor outcomes in arthroscopic subacromial decompression.
(2016-06)Background: Subacromial impingement is common and frequently treated with arthroscopic subacromial decompression (ASD); however, its efficacy has recently been questioned. Poor surgical outcomes have been associated with ... -
Adolescent idiopathic scoliosis (AIS): a multifactorial cascade concept for pathogenesis and embryonic origin
(2016-01)This paper formulates a novel multifactorial Cascade Concept for the pathogenesis of adolescent idiopathic scoliosis (AIS). This Concept stems from the longitudinal findings of Clark et al. (J Bone Miner Res 29(8): 1729-36, ... -
Antibiotic prophylaxis in orthopaedic surgery: difficult decisions in an era of evolving antibiotic resistance
(2016-08)Prophylactic antibiotics can decrease the risk of wound infection and have been routinely employed in orthopaedic surgery for decades. Despite their widespread use, questions still surround the selection of antibiotics for ... -
The hip fracture best practice tariff: early surgery and the implications for MRSA screening and antibiotic prophylaxis.
(2015-01)Background: In April 2010, the Department of Health introduced the hip fracture best practice. Among the clinical criteria required to earn remuneration is surgery within 36 h of admission. However, early surgery may mean ... -
Modified prone position to dissect the popliteal fossa.
(2013-03)Introduction: Traditionally, the prone position is used for dissecting the popliteal fossa, which requires endotracheal intubation. Access to the airway in this position is limited, hence the complications. It is not ... -
Transformation of solitary osteochondroma to dedifferentiated chondrosarcoma arising in the distal radius: a case report.
(2013-04)We present the case of a 35-year-old patient suffering from an untreated solitary osteochondroma and subsequent rare transformation to a dedifferentiated chondrosarcoma. This case highlights the potential risk of malignant ... -
Simultaneous, bilateral, complete atypical femoral fractures after long-term alendronate use.
(2016-08)Over the past decade there have been increasing reports of atypical femoral fractures (AFFs) associated with bisphosphonate use. Reported cases of bilateral involvement usually refer to sequential injuries, or a complete ...
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