A5012979217- Shoulder Injury and Treatment
- Orthopedic Surgery and Rehabilitation
- Shoulder and Clavicle Injuries
- Bone fractures and treatments
- Elbow and Forearm Trauma Treatment
- Hip and Femur Fractures
- Hip disorders and treatments
- Nerve Injury and Rehabilitation
- Cardiac Valve Diseases and Treatments
- Orthopedic Infections and Treatments
- Artificial Intelligence in Healthcare and Education
- Trauma and Emergency Care Studies
- Orthopaedic implants and arthroplasty
- Pelvic and Acetabular Injuries
- Total Knee Arthroplasty Outcomes
- Peripheral Nerve Disorders
- Celiac Disease Research and Management
- Intracranial Aneurysms: Treatment and Complications
- Vascular Procedures and Complications
- Rabies epidemiology and control
- Blood transfusion and management
- Tendon Structure and Treatment
- Clinical practice guidelines implementation
- Pressure Ulcer Prevention and Management
- Periodontal Regeneration and Treatments
Swansea Bay University Health Board
2025
Wrightington Hospital
2019-2022
Lewisham and Greenwich NHS Trust
2020-2022
Queen Elizabeth Hospital
2020-2021
Vardhman Mahavir Medical College & Safdarjung Hospital
2020
Barnet Hospital
2017-2019
The Royal Free Hospital
2019
University College London
2019
Hull Royal Infirmary
2010-2018
Royal London Hospital
2014-2017
Elbow fracture dislocations are complex injuries that can provide a challenge for experienced surgeons. Current classifications fail to comprehensive system encompasses all of the elements and patterns seen in elbow dislocations.The commonly used dislocation reviewed three-column concept is described. This applied currently recognised injury literature on management algorithms.Current classification systems only describe one element injury, or include pattern dislocation. A new based...
Abstract Background The evolution of biologic and small molecule treatments has revolutionised the management patients with IBD. Yet, a proportion require switching therapy. Switching therapy places high demand on healthcare resource, limits future treatment options can induce anxiety for patients. purpose this study was to explore quantify reasons determine which drugs (and drug classes) were associated more frequent switches. Methods Observational data obtained from database prescriptions...
The purpose of this study was to determine the association between time initial debridement and infection rate in high-energy (grade III) open fractures tibia.All patients presenting with were included study. inclusion criteria Gustilo III A, B C tibia. Time injury, arrival hospital, subsequent soft tissue procedures recorded. primary outcome measure a diagnosis or osteomyelitis at 1 year. Secondary fracture union year.Sixty-seven (67) grade included; mean age 32.4 years (54 males 13...
Purpose. To assess the effects of tranexamic acid (TA) in patients undergoing total hip arthroplasty (THA) for osteoarthritis. Methods. 42 underwent primary THA osteoarthritis by a single surgeon. 10 men and 11 women who did not receive TA were controls, whereas 9 12 received constituted treatment group. Both groups matched age, gender, body mass index, American Society Anesthesiologists grading. The type prosthesis used (cemented or uncemented) was based on surgeon's preference patient...
Aims The Wrightington classification system of fracture-dislocations the elbow divides these injuries into six subtypes depending on involvement coronoid and radial head. aim this study was to assess reliability reproducibility system. Methods This a blinded using radiographs CT scans 48 consecutive patients managed according between 2010 2018. Four trauma orthopaedic consultants, two post CCT fellows, one speciality registrar based in UK classified injuries. seven observers reviewed...
There is still a debate as to whether radiological guidance needed for intra-articular hip injections. The aim of this study was evaluate correct needle positioning the joint performed with non-radiological method and confirmed on arthrogram under image intensifier. Patients listed diagnostic therapeutic injections were included in our study. Eighty seven patients (100 hips) underwent using anatomical landmarks. Fluoroscopy then used confirm position. primary outcome measure success rate by...
Introduction: Grade 3B/C open tibial fractures with grossly contaminated degloving injuries have poor outcomes, or without vascular injuries.Treatment decision oscillates between limb salvage and amputation.The standard protocol of repeated debridement delayed wound cover is a challenge in developing countries due to overcrowded emergencies limited operating room availability.We present results our modified involving primary stabilisation external fixation immediate as an aggressive modality...
Abstract: Obtaining a successful outcome following significant elbow injury can be challenging for even the most experienced specialist. What is clear that suboptimal management has high chance of disappointing with pain, stiffness, instability, and loss function all commonly seen. This review will discuss pathoanatomy principles both simple fracture dislocations as well resulting chronic instability. Emphasis placed on concept prompt assessment, early restoration stability by appropriate...
Surgical treatment is usually recommended for acute, high-grade acromioclavicular joint (ACJ) injuries. A wide variety of surgical techniques exist, and the literature does not strongly support one over other. In this review, we describe compare results different treatments management acute unstable ACJ dislocation aim to guide surgeons on optimal treatment.A review was performed by searching PubMed, Medline, Cochrane, Embase databases. Seventeen studies met inclusion criteria were analyzed....
An elderly gentleman presented with an open fracture of the calcaneum and ankle, following a boating accident. Despite treatment repeated surgical debridement, delayed closure, prolonged antibiotics strict adherence to national guidelines on management fractures, he developed wound infection rare organism, Shewanella putrefaciens , that appears be increasing in prevalence.
Background This study aims to review the functional outcomes of patients managed by application Wrightington elbow fracture-dislocation classification system and its corresponding management algorithms. Methods is a retrospective consecutive case series over age 16 with an according classification. The primary outcome was Mayo Elbow Performance Score (MEPS) at last follow-up. Range movement (ROM) complications were collected as secondary outcome. Results Sixty qualified for inclusion (32...
Methods of delayed distal biceps tendon repair range from direct to reconstruction using autografts or allografts. A 33-year-old man underwent, under our care, a right dominant arm, exploration and 10 months after injury. During the procedure, lacertus fibrosus was found intact, hypertrophied, attached proximally short head decided be used as local autograft for repair. The carefully dissected ulna distally preserving its vascularity, proximal stump sutured both long heads muscle. mass then...
Massive rotator cuff tears are common, and the incidence increases with age. They a challenging problem to deal as many irreparable. While there host of surgical options available, these can be prolonged procedures requiring general anesthesia thus not suitable for elderly patients or those significant medical comorbidities. In this study, we evaluate role biodegradable balloon inserted under local anesthetic series massive comorbidities.A prospective pilot study was performed on between...
We present a case of 76-year-old man who underwent corrective femoral osteotomy for varus deformity and stress fractures. The patient was on androgen deprivation therapy (ADT) prostate cancer the failed to heal. At 13 months, ADT stopped bony union achieved in 3 months. Orthopaedic surgeons treating fractures this population need aware problems associated with closely liaise oncologists urologists stop or start alternative treatment until has been achieved.