A5060527830- Hip and Femur Fractures
- Frailty in Older Adults
- Bone fractures and treatments
- Innovations in Medical Education
- Musculoskeletal Disorders and Rehabilitation
- Cardiac, Anesthesia and Surgical Outcomes
- Pelvic and Acetabular Injuries
- Orthopedic Surgery and Rehabilitation
- Bone health and osteoporosis research
- Chronic Disease Management Strategies
- Health Systems, Economic Evaluations, Quality of Life
- Hip disorders and treatments
- Diversity and Career in Medicine
- Orthopaedic implants and arthroplasty
- Bone health and treatments
- Emergency and Acute Care Studies
- Telemedicine and Telehealth Implementation
- Tendon Structure and Treatment
- Nutrition and Health in Aging
- Total Knee Arthroplasty Outcomes
- Eosinophilic Esophagitis
- Foot and Ankle Surgery
- Cerebral Palsy and Movement Disorders
- Blood transfusion and management
- Perfectionism, Procrastination, Anxiety Studies
Icahn School of Medicine at Mount Sinai
2024-2025
The University of Adelaide
2011-2024
Royal Adelaide Hospital
2012-2024
National Health and Medical Research Council
2016-2021
Accident Compensation Corporation
2021
Central Adelaide Local Health Network
2019-2020
SA Health
2020
Health Sciences Centre
2015
Universitätsklinik Balgrist
2012
Aristotle University of Thessaloniki
2012
Accompanying the unprecedented growth in older adult population worldwide is an increase prevalence of frailty, age-related clinical state increased vulnerability to stressor events. This results lower social engagement and quality life, dependency, higher rates morbidity, health service utilization mortality. Early identification frailty necessary guide implementation interventions prevent associated functional decline. Consensus lacking on how clinically recognize manage frailty. It...
We investigated the stability of seven Schatzker type II fractures lateral tibial plateau treated by subchondral screws and a buttress plate followed immediate partial weight-bearing. In order to assess fracture, weight-bearing inducible displacements fracture fragments their migration over one-year period were measured differentially loaded radiostereometric analysis standard analysis, respectively. The mean craniocaudal fragment -0.30 mm (-0.73 0.02) at two weeks 0.00 (-0.12 0.15) 52...
Objectives: To determine the influence of fracture stability on early patient mortality and complications requiring reoperation after trochanteric hip fracture. Design: Prospective consecutive cohort study. Setting: The orthopaedic unit a public teaching hospital. Participants: Seven hundred twenty-eight patients with 743 stable (n = 446) pertrochanteric unstable 297) or intertrochanteric fractures (median age: 84 years, 71% females) resulting from low-impact injury surgically managed. Mean...
to determine whether a 4-week postoperative rehabilitation program delivered in Nursing Care Facilities (NCFs) would improve quality of life and mobility compared with receiving usual care. parallel randomised controlled trial integrated health economic study. NCFs, Adelaide South Australia. people aged 70 years older who were recovering from hip fracture surgery walking prior fracture. primary outcomes: (Nursing Home Life-Space Diameter (NHLSD)) (DEMQOL) at 4 weeks 12 months. participants...
Abstract Background Over the past decade, there has been significant growth in awareness and understanding of fragility among orthopaedic surgeons context osteoporotic fractures with it, improvements recognition management fractures. Emerging as a major clinical research focus aged care is concept frailty its associations fragility, sarcopenia, falls rehabilitation. Currently, lacking on how perceive role screening. A baseline these perceptions needed to inform integration identification for...
Objective: Well-designed evidence-based resources that reflect participant experiences and priorities are imperative for informed consumer health decision-making to combat the pervasive misinformation existing today. Qualitative research data can inform development of such resources, but process reconciling qualitative with other sources evidence through co-design processes is not well described in literature. In response need materials corresponding methodological guidance, we co-designed a...
To determine the relationship between three postoperative physiotherapy activities (time to first walk, activity on day after surgery, and frequency), outcomes of hospital length stay (LOS) discharge destination hip fracture.
Abstract Background During the phase 3 eosinophilic esophagitis (EoE) KIDS study (NCT04394351), dupilumab improved histologic and endoscopic endpoints quality of life vs placebo in children aged 1 to 11 years with active EoE. Aims This analysis assessed effect higher-exposure on weight EoE enrolled study. Methods Part A was a 16-week, double-blind treatment period; patients were randomized receive weight-tiered or placebo. Patients who completed eligible enter 36-week, extended period (Part...
In the assessment of fracture healing by monitoring stiffness with vibrational analysis or instrumented external fixators, it has been assumed that there is a workable correlation between and strength. We used four-point bending tests to study time-related changes in strength tibial fractures sheep. aimed test validity measurement assess
The relationship of circulating levels receptor activator nuclear factor-κB ligand (RANKL) and osteoprotegerin (OPG) with the expression these molecules in bone has not been established. objective this study was to measure, humans, serum RANKL OPG, corresponding mRNA encoding proteins. Fasting blood samples were obtained on day surgery from patients presenting for hip replacement primary osteoarthritis (OA). Intraoperatively, intertrochanteric trabecular collected analysis OPG mRNA, using...
Musculoskeletal conditions are a major contributor to the burden of disease globally and their impact is predicted increase. Consistent with findings in other countries, current standard musculoskeletal education Australian medical schools inadequate meet today's care requirements. A national multidisciplinary approach unifying key clinical basic science disciplines has been adopted provide clear, evidence-based guidelines that specifically aimed at priority conditions; direct link therefore...
Background and purpose The application of radiostereometric analysis (RSA) to monitor stability tibial plateau fractures during healing is both limited yet be validated. We therefore evaluated the accuracy precision RSA in a fracture model.Methods Combinations 3, 6, 9 markers lateral condyle were with reference 6 proximal arrangements. Translation rotation was assessed displacement-controlled stages, while dynamic double examinations. A comparison error according marker number arrangement...
Abstract Pelvic external fixators have a high rate of reported complications, most which relate to pin placement. In this descriptive study, we analyzed the morphology ilium in cadaveric specimens and compared these with measures obtained from normal human pelvic computer tomograph scans, how related each three basic configurations positioning for fixation pelvis: anterosuperior (Slätis type), anteroinferior (supra‐acetabular), subcristal. The irregular shape size iliac wing abdominal wall...
Syndesmotic injuries occur in up to 11% of all ankle injuries. Whereas the optimal fixation syndesmotic remains controversial, pitfalls their management can lead poor outcomes.This is a retrospective study fractures operated on at level 1 trauma center over 7-year period. All cases with were classified and patients' notes x-rays reviewed. The timing definitive fixation, type (screw size number, number cortices), unplanned, syndesmotic-related reoperations recorded. Seventy ruptures during...
The World Health Organization (WHO) Global strategy on human resources for health: workforce 2030 report clearly outlines the challenge to providing universal health coverage with a projected deficit of 18 million health-care workers. 7A contribution addressing could be through training defined scope practice, supported by technology-assisted service delivery better engage and empower patients their communities.The help facilitate collection use immense amount data (so-called big data) that...
Inability to accurately and objectively assess the mechanical properties of healing fractures in vivo hampers clinical fracture management research. We describe a method monitor stiffness during research setting by detecting changes displacement using radiostereometric analysis simultaneously measuring applied axial loads. A was developed for load application, positioning patient, radiographic setup establish technique differentially loaded (DLRSA). DLRSA examination consists radiographs...