A5071594230- Orthopedic Surgery and Rehabilitation
- Total Knee Arthroplasty Outcomes
- COVID-19 and healthcare impacts
- Cardiac, Anesthesia and Surgical Outcomes
- Knee injuries and reconstruction techniques
- Orthopedic Infections and Treatments
- Orthopaedic implants and arthroplasty
- Trauma and Emergency Care Studies
- Bone fractures and treatments
- Medical Malpractice and Liability Issues
- Tendon Structure and Treatment
- Shoulder and Clavicle Injuries
- Shoulder Injury and Treatment
- Musculoskeletal Disorders and Rehabilitation
- Nursing Roles and Practices
- Health Systems, Economic Evaluations, Quality of Life
- Foot and Ankle Surgery
- Trauma Management and Diagnosis
- Diverticular Disease and Complications
- Muscle and Compartmental Disorders
- Appendicitis Diagnosis and Management
- Hip and Femur Fractures
- Sports injuries and prevention
- Pelvic and Acetabular Injuries
- Dupuytren's Contracture and Treatments
Anglia Ruskin University
2024
Nottingham University Hospitals NHS Trust
2023-2024
National Health Service
2024
University Hospitals of Leicester NHS Trust
2020-2022
Leicester General Hospital
2022
National Institute for Health Research
2022
University of Göttingen
2022
University of Birmingham
2022
Leicester Royal Infirmary
2020-2021
Kettering General Hospital
2017-2020
A 70-year-old woman presented with right knee pain and a ‘grinding’ sensation 6 months after total replacement for osteoarthritis. Clinical examination revealed valgus deformity, patellofemoral crepitus reduced flexion. Radiographs distinctive findings including the ‘bubble sign’, ‘cloud sign’ ‘metal line which are diagnostic of metallosis.Metallosis is an uncommon complication joint replacements, where bone periprosthetic soft tissues infiltrated by metallic debris from wearing prostheses....
Aims COVID-19 has compounded a growing waiting list problem, with over 4.5 million patients now for planned elective care in the UK. Views of on lists are rarely considered prioritization. Our primary aim was to understand how support by hearing their experiences, concerns, and expectations. The secondary capture objective change disability coping mechanisms. Methods A minimum representative sample 824 required quantitative analysis provide 3% margin error. Sampling stratified body region...
Deprivation underpins many societal and health inequalities. COVID-19 has exacerbated these disparities, with access to planned care falling greatest in the most deprived areas of UK during 2020. This study aimed identify impact deprivation on patients growing waiting lists for care.Questionnaires were sent orthopaedic list at start UK's first lockdown capture key quantitative qualitative aspects patients' health. A total 888 respondents divided into quintiles, sampling stratified based...
A 70-year-old man presented to accident and emergency with an isolated anteriorly dislocated shoulder, in the absence of a concomitant fracture. There was no neurovascular deficit at presentation, shoulder reduced under sedation, using Kocher's technique. Following this, patient developed signs hypovolaemic shock. Clinical examination revealed expanding fullness deltopectoral area, compromise limb status. CT imaging confirmed haematoma from axillary vessels, restricting left lung expansion....
The Montgomery case in 2015 resulted a pivotal change practice, leading to patient-centric approach for informed consent. Neck of femur (NOF) fractures are associated with high rates perioperative morbidity and mortality. Using guidelines highlighted by the British Orthopaedic Association we performed multi-loop audit within our department assess adequacy consent NOF fractures.Two prior cycles had been utilising similar framework. Prior interventions included ward posters, verbal...
Varus malalignment in total hip arthroplasty has been associated with poor long-term outcomes and complications including abnormal load distribution, endosteal osteolysis, frank loosening, periprosthetic fractures. Postoperative radiographic assessment was performed on 224 patients from our case series who underwent cemented Exeter using the direct lateral approach alone. No patient had a true varus-aligned stem (ie, ≤-5° coronal assessment). We describe surgical technique, 4 easily...
Coronavirus disease 2019 (COVID-19) has necessitated adaptations in local trauma services, with implementation of novel methods practice, strategic adaptations, and shifting resource management. Many these may serve the driver for landmark changes to future healthcare provision.To analyse impact COVID-19 on service provision by comparing throughput productivity metrics preceding years identify differences practice that were successful, cost-effective, sustainable.We quantified orthopaedic...
Abstract Aim Following diabetic foot attacks many patients are left with exposed bone, which can lead to osteomyelitis and failure heal. These currently treated simple dressings or vacuum therapy skin grafts. However, is expensive, requires intensive follow-up be inconvenient patients. An alternative apply a polyurethane-based, biodegradable temporising matrix – used in burns practice. The aim of this project was audit the safety preliminary efficacy healing open wounds tertiary vascular...
The current evidence suggests that rotational stability in not restored patients with anterior cruciate ligament (ACL) ruptures, despite reconstructive surgery. graded pivot-shift is a useful clinical test to delineate extent of ligamentous laxity within the knee. Given its lateralised position, we hypothesized reconstruction anterolateral (ALL) would provide restraint excessive internal rotation, restoring stability. 10 MRI confirmed diagnosis an isolated ACL rupture were included. Patients...
Increasing awareness of compartment syndrome among orthopedic nurses and trauma nurse practitioners at a district general hospital: complete audit loop Arun Khajuria, Rohi Shah, Herbert Gbejuade, Shabih Siddiqui Trauma Orthopaedic Department, Kettering General Hospital NHS Foundation Trust, Kettering, UK Background: Acute (ACS) is surgical emergency defined by critical increase in pressure within closed osteofascial requiring prompt diagnosis treatment via fasciotomy decompression...
Emergency action protocols are a critical part of ensuring athlete safety during training and competition. An emergency protocol enables any aid provider, given adequate practice preparation, to safely deal with most clinical scenarios. When circumstances arise that out the conventional norm, employing systematic approach is essential. One such assess treat athletes serious or life-threatening injuries airway, breathing, circulation, disability, exposure (A–E). These fundamental principle...
The diagnosis of thoracic spondylodiscitis is challenging, given that it a rare entity in itself and when unusual symptoms such as central chest pain predominate on presentation, may pose serious diagnostic challenge.A 54-year-old patient presented to accident emergency with elevated inflammatory markers (C- reactive protein [CRP]: 21 mg/L). Following exclusion life-threatening cardiac causes, he was discharged home analgesia no formal diagnosis. Over the course subsequent 6 weeks, his...
BACKGROUND & PURPOSE: The shoulder, specifically the glenohumeral joint, by virtue of its anatomical characteristics and biomechanics, confers a large range movement, which ultimately results in joint that is inherently prone to becoming unstable. incidence acute traumatic shoulder dislocation varies within sporting environment most commonly occurs following direct trauma; i.e. fall onto an outstretched hand or blow upper arm when oriented abducted externally rotated position. Anterior...