- Foot and Ankle Surgery
- Musculoskeletal Disorders and Rehabilitation
- Digital Imaging in Medicine
- Bone fractures and treatments
- COVID-19 and healthcare impacts
- Orthopedic Surgery and Rehabilitation
- Diversity and Career in Medicine
- Innovations in Medical Education
- Diabetic Foot Ulcer Assessment and Management
- Medical Malpractice and Liability Issues
- Sports injuries and prevention
- Surgical Simulation and Training
- Telemedicine and Telehealth Implementation
- Peripheral Artery Disease Management
- Academic Writing and Publishing
- Trauma and Emergency Care Studies
- Cleft Lip and Palate Research
- Bone Metabolism and Diseases
- Facial Trauma and Fracture Management
- Healthcare cost, quality, practices
- Craniofacial Disorders and Treatments
- Tendon Structure and Treatment
- Health Systems, Economic Evaluations, Quality of Life
- Lower Extremity Biomechanics and Pathologies
St Thomas' Hospital
2020-2023
London Postgraduate Medical and Dental Education
2022
Great Western Hospital
2020-2022
Great Western Hospitals NHS Foundation Trust
2020
Guy's and St Thomas' NHS Foundation Trust
2020
Woodside (Australia)
2020
University Hospital Lewisham
2019
University of Bristol
2014-2016
Maidstone and Tunbridge Wells NHS Trust
2016
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COVID-19 has had profound management implications for orthopaedic due to balancing patient outcomes with clinical safety and limited resources. The BOAST guidelines on outpatient fracture took a pragmatic approach. At Great Western Hospital, Swindon, closed loop audit was performed looking at selection of these guidelines, assess if our initial changes were sufficient what could be improved.Method: An designed around immobilisation, type clinic assessment, default virtual follow up late...
Ankle fractures in the osteoporotic patient are challenging injuries to manage, due a combination of poor soft tissue, peripheral vascular disease and increased bone fragility, often resulting more complex fracture patterns. I aim audit current practice introduce change by producing recommendations help improve longer-term functional outcomes. A retrospective 3-week was conducted reviewing results ankle management 50 patients aged between 80 years. Patients admitted for either manipulation...
A first ray dorsiflexion osteotomy is commonly performed for cavovarus foot correction. There are multiple techniques to fix this osteotomy, ranging from wires, screws, and plates or a combination of these. We present our results using varisation staple (Biomet©) as an alternative fixation device. retrospective outcome analysis consecutive series 10 feet that underwent (dorsal closing wedge) the metatarsal fixed with two staples. The were measured at mean three monthly follow-ups included...
Little is known of the scale avoidable injuries presenting to medical services on a national level in UK. This study aimed assess type and incidence preventable wrist hand (as defined by core research team) at 28 UK hospitals undertook service evaluation all trauma cases their units over 2 week period early 2021 identifying demographical aetiological information about sustained. 1909 patients were included (184 children) with median age 40 (IQR 25-59) years. The commonest five types injury...
Acute avulsion fracture of the base first metatarsal is a rare occurrence, caused by an eccentric contraction peroneus longus tendon insertion. A number case reports have been published outlining various treatment strategies for treating this injury. Management plans range from conservative to operative options and include both acute delayed treatments. We present our management strategy metatarsal. It includes step-by-step approach including intraoperative clinical photographs image...
Abstract Aim End-stage ankle arthritis poses numerous healthcare challenges, not least given its high prevalence but also significant limitations in treatment modality. This study compares functional outcomes following total arthroplasty (TAR) versus arthroscopic arthrodesis (AAA). Secondary objectives were to compare complication rates and perform a health economic analysis estimate cost-effectiveness the NHS. Method A prospective, single centre cohort of TAR AAA patients diagnosed with...