A5032727158- Total Knee Arthroplasty Outcomes
- Orthopedic Surgery and Rehabilitation
- Foot and Ankle Surgery
- Orthopaedic implants and arthroplasty
- Bone fractures and treatments
- Orthopedic Infections and Treatments
- Hip and Femur Fractures
- Knee injuries and reconstruction techniques
- Shoulder Injury and Treatment
- Interpreting and Communication in Healthcare
- Hip disorders and treatments
- Meta-analysis and systematic reviews
- Cardiac, Anesthesia and Surgical Outcomes
- Musculoskeletal pain and rehabilitation
- Musculoskeletal Disorders and Rehabilitation
- Anesthesia and Pain Management
- Elbow and Forearm Trauma Treatment
- Osteoarthritis Treatment and Mechanisms
- Health Systems, Economic Evaluations, Quality of Life
- Wound Healing and Treatments
- Patient Satisfaction in Healthcare
- Medical Malpractice and Liability Issues
- Emergency and Acute Care Studies
- Clinical practice guidelines implementation
- Trauma and Emergency Care Studies
The University of Notre Dame Australia
2024-2025
UNSW Sydney
2012-2024
Liverpool Hospital
2011-2024
Royal North Shore Hospital
2023-2024
University of Southampton
2024
South Western Sydney Local Health District
2012-2023
Sydney Orthopaedic Research Institute
2016-2023
North Sydney Orthopaedic and Sports Medicine Centre
2023
Mater Misericordiae Hospital
2023
Ingham Institute
2014-2020
<h3>Importance</h3> The burden of injury and costs wrist fractures are substantial. Surgical treatment became popular without strong supporting evidence. <h3>Objective</h3> To assess whether current surgical for displaced distal radius provided better patient-reported pain function than nonsurgical in patients 60 years older. <h3>Design, Setting, Participants</h3> In this multicenter randomized clinical trial parallel observational study, 300 eligible were screened from 19 centers Australia...
Thoughtful use of assessment tools to monitor disease requires an understanding clinimetric properties. These properties are often under-reported and, thus, potentially overlooked in the clinic. This study aimed determine minimal detectable change (MDC) and coefficient variation per cent (CV%) for commonly used assess symptomatic functional severity knee hip osteoarthritis. We performed a test-retest on 136 people awaiting or arthroplasty at one two hospitals. The MDC95 (the range over which...
Background: The aim of this study was to determine whether center-based, one-to-one physical therapy provides superior outcomes compared with group-based or a simple monitored home-based program in terms functional and recovery health-related quality life after total knee arthroplasty. Methods: Patients awaiting primary arthroplasty at two Sydney metropolitan hospitals were enrolled into prospective, randomized, superiority trial preoperatively. At weeks postoperatively, participants...
Early mobilisation is recommended following total hip arthroplasty (THA) or knee (TKA) to prevent venous thromboembolism (VTE). We sought determine the proportions of patients that first mobilised on post-operative day 0 (POD 0) and factors associated with earlier time mobilisation.A prospective cohort study was conducted involving osteoarthritis who had undergone primary unilateral THA (n = 818) TKA 989) at 19 Australian hospitals. Patient-related (e.g. age, gender, body mass index),...
The clinimetric properties of knee goniometry are essential to appreciate in light its extensive use the orthopaedic and rehabilitative communities. Intra-observer reliability is thought be satisfactory, but validity inter-rater often demonstrate unacceptable levels variation. This study tests measuring range motion using photographic records. Design: Methodology assessing one method ('Marker Method') which uses a skin marker over greater trochanter another ('Line Femur requires estimation...
Background Isolated type B ankle fractures with no injury to the medial side are most common of fracture. Objective This study aimed determine if surgery is superior non-surgical management for treatment these fractures. Methods A pragmatic, multicentre, single-blinded, combined randomised controlled trial and observational study. Setting Participants between 18 65 years a fracture minimal talar shift were recruited from 22 hospitals in Australia New Zealand. willing be randomly allocated...
Objective: To compare the effectiveness of rehabilitation after total knee arthroplasty (TKA) in models with or without an inpatient component. Design, setting and participants: A propensity score-matched cohort privately insured patients osteoarthritis who underwent primary, unilateral TKA one 12 Australian hospitals between August 2013 January 2015 were included. Those discharged to facility because poor progress experienced significant complications within 90 days surgery excluded....
Background: Diabetic foot ulcers (DFUs) represent a significant cause of morbidity in diabetic patients, with surgical management frequently required advanced cases. This study examines the association between preoperative vitamin C levels and wound-healing outcomes patients disease (DFD) requiring debridement. Methods: A retrospective cohort was conducted at tertiary referral centre, including who had undergone debridement for forefoot midfoot infections January 2020 July 2024. Patients...
Abstract Background Knee arthroscopy is a common procedure in orthopaedic surgery. In recent times the efficacy of this has been questioned with number randomized controlled trials demonstrating lack effect treatment osteoarthritis. Consequently, trend studies have conducted, exploring rates knee and subsequent conversion to Total Arthroplasty (TKA) varying results. Progression TKA seen as an indicator primary arthroscopy. The aim paper measure overall proportion these patients that undergo...
<h3>Importance</h3> Distal radius fractures are common and managed with or without surgery. Current evidence indicates surgical treatment is not superior to nonsurgical at 12 months. <h3>Objective</h3> Does for displaced distal in patients 60 years older provide better patient-reported wrist pain function outcomes than 24 months? <h3>Design, Setting, Participants</h3> In this secondary analysis of a combined multicenter randomized clinical trial (RCT) parallel observational study, 300 were...
Background The objective of this study was to evaluate the evidence for different interventions in preoperative, perioperative and post-operative care people undergoing elective total hip (THR) knee (TKR) replacement surgery. Method A multidisciplinary working group comprising consumers, managers clinicians from areas orthopaedics, rheumatology, aged rehabilitation evaluated randomized controlled trials (RCTs) systematic reviews/meta-analyses concerning aspects clinical periods THR/TKR...
Abstract Background: The functional benefits of tourniquet application for short periods compared with standard duration applications during total knee arthroplasty surgery have not been well explored. We aimed to compare outcomes between (during cement fixation only) and longer (from skin incision just after fixation). Methods: planned randomize 230 patients long groups. primary outcome was Oxford Knee Score at 10 weeks post‐surgery. In‐hospital blood transfusion rate also a safety measure....
aWhitlam Orthopaedic Research Centre, South Western Sydney Clinical School, Ingham Institute for Applied Medical Research, UNSW Sydney, New Wales, Australia bInstitute Musculoskeletal Health, School of Public University cSt George and Sutherland *Corresponding author. Address: Whitlam Level 2, Institute, 1 Campbell St, Liverpool, NSW 2170, Australia. Tel.: +612 87389254. E-mail address: [email protected] (I.A. Harris). Sponsorships or competing interests that may be relevant to content are...
Abstract Objective Knee range of motion (ROM) at discharge from acute care is used as a clinical indicator following total knee replacement (TKR) surgery. This study aimed to assess the relevance this by determining whether ROM predicts longer‐term and patient‐reported pain function. Methods A 176 TKR recipients were prospectively followed after care. Outcomes assessed included Oxford score post rehabilitation 1 year Discharge other patient factors identified priori potential predictors in...
Diabetic foot ulcers (DFUs) are a challenging complication of diabetes mellitus, often leading to poor clinical outcomes and significant socioeconomic burdens. We evaluated the effectiveness definitive single-stage protocolized surgical management pathway, including use local antibiotic bone graft substitute, for treatment infected DFUs with associated osteomyelitis.
Abstract Introduction: In Australia, the majority of total knee and hip replacement surgeries occur in private sector. Outcome‐based research needs to be inclusive this sector if findings are intended reflect broader picture. This study compares outcomes up 1 year post between patients treated public sectors. Methods: A prospective, observational was performed four high‐volume joint centres: two public, private. Experienced orthopaedic surgeons contributed via their practices. Knee were...
Inpatient rehabilitation is an expensive option following total hip arthroplasty (THA). We aimed to determine if THA patients who receive inpatient report better and quality of life scores post-surgery compared those discharged directly home. Prospective, propensity score matched cohort involving 12 private hospitals across five Australian States. Patients undergoing secondary osteoarthritis were included. Those receiving for reasons other than choice or experienced significant health events...
To determine correlation between metal hypersensitivity and long-term foot ankle function pain after internal fixation using stainless steel implants.60 men 46 women (mean age, 47 years) who underwent for fractures completed a questionnaire 13 to 38 (mean, 26) months surgery assess their existing medical condition, history of hypersensitivity, problems outcome the implant (revision or removal), American Academy Orthopaedic Surgeons (AAOS) score. A subset 12 15 then patch testing molybdenum,...