A5002007785- Shoulder Injury and Treatment
- Shoulder and Clavicle Injuries
- Total Knee Arthroplasty Outcomes
- Bone fractures and treatments
- Orthopedic Surgery and Rehabilitation
- Knee injuries and reconstruction techniques
- Elbow and Forearm Trauma Treatment
- Orthopaedic implants and arthroplasty
- Cardiovascular Syncope and Autonomic Disorders
- Hip and Femur Fractures
- Nerve Injury and Rehabilitation
- Musculoskeletal Disorders and Rehabilitation
- Streptococcal Infections and Treatments
- Cardiac Valve Diseases and Treatments
- Orthopedic Infections and Treatments
- Pelvic and Acetabular Injuries
- Body Contouring and Surgery
- Musculoskeletal synovial abnormalities and treatments
- Cardiac, Anesthesia and Surgical Outcomes
- Child and Adolescent Health
- Genital Health and Disease
- Tendon Structure and Treatment
- Metal and Thin Film Mechanics
- Hormonal and reproductive studies
North Tees and Hartlepool NHS Foundation Trust
2022
James Cook University Hospital
2007-2017
University Hospital of North Tees
2017
Orthopaedic Trauma Association
2016
Friarage Hospital
2014
Middlesbrough College
2002-2003
University Hospital of Hartlepool
2003
Durham University
2000
West Cumberland Hospital
1999
Nuffield Orthopaedic Centre
1997
BackgroundNew surgical procedures can expose patients to harm and should be carefully evaluated before widespread use. The InSpace balloon (Stryker, USA) is an innovative device used treat people with rotator cuff tears that cannot repaired. We aimed determine the effectiveness of for irreparable tears.MethodsWe conducted a double-blind, group-sequential, adaptive randomised controlled trial in 24 hospitals UK, comparing arthroscopic debridement subacromial space biceps tenotomy (debridement...
We treated 21 patients with 22 dislocations of the knee by repair or reconstruction all injured ligaments. Eight knees were in acute phase (less than two weeks after injury); remainder more six months injury (6 to 72). Reconstructions carried out a combination autograft and allograft tendons direct ligament where possible. At mean follow-up 32 (11 77) Lysholm score was 87 (81 91) group 75 (53 100) delayed group. The Tegner activity rating 5 4.4 International Knee Documentation Committee...
We have investigated the reliability of American Knee Society Score (AKS), a widely used functional outcome score for knee arthroplasty. 29 subjects were assessed in random order by 6 observers, each patient seen twice observer.The interobserver reference intervals 16 points (0-100 points) and 21 Function points). The intraobserver smaller, 11 13 Score, respectively. presence arthritis other joints general debility did not affect scores. more experienced observers had greater...
Resisted knee extension may rupture the extensor mechanism, precise site varying with age.In elderly, injury is often suprapatellar; in middle life, patella fractures; young adults, ligament ruptures.In adolescents, lesion lies upper tibial apophysis.Simultaneous bilateral quadriceps rare and only 31 cases have been reported previously.Predisposing factors are present'.We report a case where anabolic steroid abuse identified as predisposing cause. Case reportA 29-year-old competitive body...
This study evaluated the reliability of three rating systems for total knee arthroplasty. Twenty-nine patients were assessed by six observers with American Knee Society Score, British Orthopaedic Association and Oxford 12-item questionnaire. The inter- intraobserver variations calculated Score as was reproducibility Components scores agreement using Kappa statistics. had smaller interobserver variation compared to greatest systems. attributed equal weighting its component variables....
Spiral computed tomography (CT) with three-dimensional and multiplanar reconstructions was used in the evaluation of tibial fractures nine patients. Computed added important information to that obtained by plain radiographs. Five (55%) were reclassified. The degree articular depression often underappreciated on Furthermore, fracture complexity spatial relation fragments could be readily demonstrated 3-D reconstruction. This technique is useful planning operative
Nonunion in long bone fractures is rare the skeletally immature patient. The authors report outcome of a series patients treated for tibial loss and nonunion at average follow-up 66 months. Nine children aged 18 months to 17 years were treated. Three had established ranging from 7 6 years, three (1-6 cm), which was anticipated (one Gustilo IIIb two Tscherne III). Treatment involved wound excision open fractures, debridement devascularized bone, stabilization with monolateral fixators (two...
Tourniquet of hair and thread fibres may become tightly wrapped around a child9s digit. The resultant ischaemia lead to tissue necrosis autoamputation. Experience with two patients is reported. need for prompt recognition complete removal all stressed. possibility non-accidental injury should be born in mind.
Restoring good shoulder function in an active patient with a chronic anterior locked dislocation of the glenohumeral joint can be challenging. This case report describes 58-year-old who presented very late missed joint. He had coexisting large bony defects glenoid and humeral head resultant loss motion pain secondary to arthrosis. underwent hemiarthroplasty, structural bone grafting, biological resurfacing reinforcement capsule graft jacket achieve pain-free, stable, mobile range movements...
Background Shoulder resurfacings represent approximately one-third of shoulder arthroplasties and have the highest revision rates any arthroplasty. We present a survival analysis Global CAP hemi-resurfacing implanted by multiple surgeons with up to 10 years follow-up. Methods A life-table was undertaken in single site surgeons. Two analyses were performed; first, where failure defined as component exchange and, second, re-operation for reason. Postoperative functional outcome quantified...
A proportion of patients with anterior glenohumeral instability present bipolar bone loss comprising large Hill-Sachs lesions and substantial glenoid defect. These are surgically difficult cases to treat. We describe a novel surgical procedure bulk size-matched osteochondral allograft reconstruction for massive combined the Latarjet these challenging cases.
This study aims to determine the epidemiology of shoulder dislocations in Teeside area help organise upper limb service provision. A and E records were searched within two large university hospitals covering population identify all presentations coded as dislocation between October 2005 March 2015. Radiological imaging for was reviewed radiological confirmation dislocation. Census data has been used calculate estimated catchment these at mid-point study. 3616 review confirmed 2686 1997...