A5081506146- Sarcoma Diagnosis and Treatment
- Bone Tumor Diagnosis and Treatments
- Management of metastatic bone disease
- Anatomy and Medical Technology
- COVID-19 and healthcare impacts
- Surgical site infection prevention
- Surgical Simulation and Training
- Shoulder and Clavicle Injuries
- Musculoskeletal synovial abnormalities and treatments
- Cancer Diagnosis and Treatment
- Reconstructive Surgery and Microvascular Techniques
- Shoulder Injury and Treatment
- Trauma and Emergency Care Studies
- Cardiac tumors and thrombi
- Vascular Tumors and Angiosarcomas
- Gastrointestinal Tumor Research and Treatment
- Hip and Femur Fractures
- Vascular Procedures and Complications
- Genetic factors in colorectal cancer
- Disaster Response and Management
- Orthopaedic implants and arthroplasty
- Colorectal and Anal Carcinomas
- Body Contouring and Surgery
- Cardiac, Anesthesia and Surgical Outcomes
- Diabetic Foot Ulcer Assessment and Management
Nuffield Orthopaedic Centre
2019-2025
University of Oxford
2016-2024
Oxford Health NHS Foundation Trust
2023
Oxford University Hospitals NHS Trust
2021-2022
Clinical Orthopaedics and Related Research
2020
Amsterdam UMC Location University of Amsterdam
2015
Royal Devon and Exeter Hospital
2012-2013
Princess Elizabeth Orthopaedic Centre
2012
Abstract Background Like with all cancers, multidisciplinary team (MDT) meetings are the norm in bone and soft tissue tumour (BST) management too. Problem attendance of specialists due to geographical location is one key barriers effective functioning MDTs. To overcome this problem, virtual MDTs involving videoconferencing or telemedicine have been proposed, but however has seldom used tested. The COVID-19 pandemic forced implementation Oxford sarcoma service order maintain normal provision....
Vascularised fibular grafts (VFGs ) are a valuable surgical technique in limb salvage after resection of tumour. The primary objective this multicentre study was to assess the risk factors for failure and complications using VFG involved 74 consecutive patients (45 men 29 women with mean age 23 years (1 64) from four tertiary centres orthopaedic oncology who underwent reconstruction tumour between 1996 2011. There were 52 22 secondary reconstructions. follow-up 77 months (10 195). In all, 69...
Giant cell tumour of bone (GCTB) is viewed as a benign, locally aggressive primary with metastatic potential. Current management surgery curettage or resection and systemic therapy denosumab. Diagnosis confirmed histologically prior to surgery, staging for pulmonary disease, metastases (PM) reportedly occur in <8%. This study aimed assess incidence, surveillance PM patients GCTB, histopathological review. A retrospective audit the Oxford registry was performed from January 2014 - October...
The way in which we learn anatomy has changed exponentially over the decades and students now have access to lecture notes, textbooks, computer-assisted programmes, a wide variety of internet based information. This study explored resources were most (and least) useful for group first year, undergraduate, medical students, with minimal prior content exposure (aged 18 19 years old, n = 76), an month period. Anatomy websites found be (30%), followed by tutorials (20%) lectures (19%). A total...
Background: Osteofibrous dysplasia-like adamantinoma (OFD-AD) and classic (AD) are rare, neoplastic diseases with only limited data supporting current treatment protocols. We believe that our retrospective multicenter cohort study is the largest analysis of patients to date. The primary purpose this was describe disease characteristics evaluate oncological outcomes. secondary identify risk factors for local recurrence after surgical propose guidelines. Methods: Three hundred eighteen...
Decision-making in the management of patients with retroperitoneal sarcoma is complex and requires input from a number different specialists. The aim this study was to evaluate levels agreement terms resectability, treatment allocation, organs proposed be resected across multidisciplinary team meetings.The CT scans clinical information 21 anonymized were sent all meetings Great Britain, which asked give an opinion about resected. main outcome inter-centre reliability, quantified using...
To assess the prevalence of injury talonavicular ligament (TNL) in ankle sprains, its anatomy and stability joint (TNJ) before after dividing TNL a cadaver.During prospective study 100 patients to outcome injuries, we noted high incidence injuries; will discuss here findings. Each patient had undergone ultrasound cone beam CT examination ankle. Six TNLs were dissected off fresh-frozen cadaveric feet for histological analysis. In further six feet, TNJ was assessed by mechanical stress...
Abstract Purpose Deferring cancer surgery can have profound adverse effects including patient mortality. During the COVID-19 pandemic, departmental reorganisation and adherence to evolving guidelines enabled provision of uninterrupted surgical care patients with bone soft tissue tumours (BST) in need surgery. We reviewed outcomes surgeries on BST during first two months pandemic at one tertiary centres UK. Materials methods Between 12 March 2020 May 2020, 56 a median age 57 years (18–87)...
The role of three dimensional (3D) printing in neurosurgical education is becoming increasingly common. Notably, 3D can simulate complex anatomical pathways that may be difficult to regularly and accurately reproduce cadavers. One such example the course facial nerve within temporal bone its relation labyrinth. This aid pre-surgical planning minimise surgical complications. Here we aim develop a novel anatomically accurate model skull base which demonstrates key neuro vascular components by...
The COVID-19 (Coronavirus disease 2019) pandemic has caused an unprecedented strain on healthcare systems across the globe. Apart from being a major hurdle to delivery of basic services, this may be associated with potential harm for cancer patients. Usually immunocompromised, patients are at higher risk contracting and hospitals source infection, urgent need reorganise structure care is essential. Cancer departments must balance patient whilst also minimising transmission among...
Abstract Background: Like with all cancers, multidisciplinary team (MDT) meetings are the norm in bone tumour and soft tissue sarcoma (BST) management too. Problem attendance of specialists due to geographical location is one key barriers effective functioning MDTs. To overcome this problem, virtual MDTs involving videoconferencing or telemedicine have been proposed, but however has seldom used tested. The COVID-19 pandemic forced implementation Oxford service order maintain normal...
The efficacy and safety of cell salvage for musculoskeletal sarcoma surgery have not been reported, concerns over re-infusion tumour cells remain. This study aims to i) describe the intra-operative blood loss reinfusion volumes lower limb pelvic procedures ii) explore whether there is evidence in reinfused blood.Retrospective analysis 109 consecutive surgical biopsy-proven or bone metastasis performed between 1 July 2015 30 October 2019. Salvaged was processed when intraoperative exceeded...
Abstract Carbon-fiber (CF) plates are a promising alternative to metal plates. However, reported experience in orthopaedic oncology remains limited. The aim of this study was identify complications patients with bone tumors treated CF Between February 2015 and May 2021, 13 centers retrospectively registered that were reconstructed using Complications identified, timing etiology noted. Similar tabulated classified based on mechanical, non-mechanical paediatric complications. Mechanical...
Abstract Background Delivering uninterrupted cancer treatment to patients with musculoskeletal tumors has been essential during the rapidly evolving coronavirus 2019 (COVID-19) pandemic, as delays in management can be detrimental. Currently, risk of contracting COVID-19 hospitals when admitted for surgery and susceptibility due adjuvant therapies associated mortality is unknown, but knowledge these potential risks would help treating clinicians provide appropriate care. Questions/purposes...
Objectives A major incident is any emergency that requires special arrangements by the services and generally involves a large number of people. Recent such events in England have included Manchester Arena bombing Grenfell Tower disaster. Hospitals are required law to keep plan (MIP) outlining response an event. In survey conducted 2006 we found substantial knowledge gap among key individuals would be expected respond enactment MIP. We set out repeat this study assess improvement since our...
Despite the expansion of arthroscopic surgery shoulder, open deltopectoral approach to shoulder is still frequently used, for example in fracture fixation and replacement. However, it sometimes accompanied by unexpected bleeding. The cephalic vein landmark interval, yet its intimate relationship with deltoid artery, anatomical variations that structure, have not previously been documented. In this study vascular anatomy encountered during 100 consecutive elective approaches was recorded...
Macroscopic anatomy has traditionally been taught using cadaveric material, lectures and a variable amount of additional resources such as online modules. Anatomical models have also used to assist in teaching. Of these, traditional plastic shown be effective educational tools, yet significant drawbacks lack anatomical detail texturisation. Three-dimensional (3D) printed stand solve these problems widen access high-quality This paper outlines the use 3D multi-planar imaging (CT MRI)...
The aticularis genu (AG) is the least substantial and deepest muscle of anterior compartment thigh uncertain significance. aim study was to describe anatomy AG in cadaveric specimens, characterize relevance pathological distal femur correlate pathology with preoperative magnetic resonance imaging (MRI) AG.In 24 identified, photographed, measured, dissected including neurovascular supply. In all, 35 resected specimens were examined. photographed measured its utility as a surgical margin...
Macroscopic anatomy has traditionally been taught using cadaveric material, lectures and a variety of additional resources including online modules anatomical models. Traditional plastic models are effective educational tools yet they have significant drawbacks such as lack detail, texturisation cost. Three-dimensional printed stand to solve these problems widen access high-quality teaching. This paper outlines the use three-dimensional multiplanar imaging (computed tomography) in...
Abstract Background: Like with all cancers, multidisciplinary team (MDT) meetings are the norm in bone and soft tissue tumour (BST) management too. Problem attendance of specialists due to geographical location is one key barriers effective functioning MDTs. To overcome this problem, virtual MDTs involving videoconferencing or telemedicine have been proposed, but however has seldom used tested. The COVID-19 pandemic forced implementation Oxford sarcoma service order maintain normal...