A5083076539- Orthopaedic implants and arthroplasty
- Total Knee Arthroplasty Outcomes
- Orthopedic Infections and Treatments
- Knee injuries and reconstruction techniques
- Hip disorders and treatments
- Bone fractures and treatments
- Hip and Femur Fractures
- Musculoskeletal synovial abnormalities and treatments
- Orthopedic Surgery and Rehabilitation
- Health Systems, Economic Evaluations, Quality of Life
- Venous Thromboembolism Diagnosis and Management
- Shoulder Injury and Treatment
- Cardiac, Anesthesia and Surgical Outcomes
- Patient Satisfaction in Healthcare
- Medical Imaging and Analysis
- Diabetes Treatment and Management
- Musculoskeletal Disorders and Rehabilitation
- Diabetes and associated disorders
- Intensive Care Unit Cognitive Disorders
- Antimicrobial Resistance in Staphylococcus
- Atrial Fibrillation Management and Outcomes
- Spine and Intervertebral Disc Pathology
- Musculoskeletal pain and rehabilitation
- Music Therapy and Health
- Muscle and Compartmental Disorders
Edinburgh Royal Infirmary
2015-2025
University of Edinburgh
2016-2025
NHS Lothian
2013-2024
Royal Prince Alfred Hospital
2021
Case Western Reserve University
2008-2021
Edinburgh Napier University
2021
Stanford University
2021
George Washington University
2017-2018
Orthopaedic Trauma Association
2017
Royal Victoria Hospital
2013
To investigate the factors which influence patient satisfaction with surgical services and to explore relationship between overall satisfaction, specific facets of outcome measured clinical outcomes (patient reported measures (PROMs)).Prospective cohort study.Single National Health Service (NHS) teaching hospital.4709 individuals undergoing primary lower limb joint replacement over a 4-year period (January 2006-December 2010).Overall as by PROMs (Oxford Hip or Knee Score, SF-12), five...
<h3>Objective</h3> To examine the persistence of original treatment effects 10 years after Diabetes Control and Complications Trial (DCCT) in follow-up Epidemiology Interventions (EDIC) study. In DCCT, intensive therapy aimed at near-normal glycemia reduced risk microvascular complications type 1 diabetes mellitus compared with conventional therapy. <h3>Methods</h3> Retinopathy was evaluated by fundus photography 1211 subjects EDIC year 10. Further 3-step progression on Early Treatment...
The aim of this study was to perform a cost–utility analysis total hip (THR) and knee replacement (TKR). Arthritis is disabling condition that leads long-term deterioration in quality life. Total joint replacement, despite being one the greatest advances medicine modern era, has recently come under scrutiny. National Health Service (NHS) competing demands, resource allocation challenging times economic restraint. Patients who underwent THR (n = 348) or TKR 323) between January July 2010...
We have analysed associated factors in 164 patients with acute compartment syndrome whom we treated over an eight-year period. In 69% there was fracture, about half of which were the tibial shaft. Most men, usually under 35 years age. Acute forearm, fracture distal end radius, again seen most commonly young men. Injury to soft tissues, without second common cause and one-tenth had a bleeding disorder or taking anticoagulant drugs. found that patients, especially at risk after injury. When...
Satisfaction with care is important to both patients and those who pay for it. The Net Promoter Score (NPS), widely used in the service industries, has been introduced into NHS as ‘friends family test’; an overarching measure of patient satisfaction. It assesses likelihood recommending healthcare received another, seen a discriminator performance. We prospectively assessed 6186 individuals undergoing primary lower limb joint replacement at single university hospital determine replacements...
Modifications in the design of knee replacements have been proposed order to maximise flexion. We performed a prospective double-blind randomised controlled trial compare functional outcome, including maximum flexion, patients receiving either standard or high flexion version NexGen legacy posterior stabilised total replacement. A 56 patients, half whom received each design, were assessed pre-operatively and at one year after operation using scores analysis range movement electrogoniometry....
Abstract Purpose The comparative outcome of primary hip and knee arthroplasty is not well understood. This study aimed to investigate the satisfaction these procedures determine predictive models for 1 year patient with a view informing surgical management expectations. Study design Prospective cohort all performed at Royal Infirmary Edinburgh between January 2006 November 2008. General health (SF-12) joint specific function (Oxford Score) was assessed pre-operatively 6 12 months...
Total knee arthroplasty (TKA) is an established and successful procedure. However, the design of prostheses continues to be modified in attempt optimise functional outcome patient. The aim this study was determine if patient after TKA influenced by prosthesis used. A total 212 patients (mean age 69; 43 92; 131 female (62%), 81 male (32%)) were enrolled a single centre double-blind trial randomised receive either Kinemax (group 1) or Triathlon 2) TKA. Patients assessed pre-operatively, at six...
The primary aim of this study was to compare the hip-specific functional outcome robotic assisted total hip arthroplasty (rTHA) with manual (mTHA) in patients osteoarthritis (OA). Secondary aims were general health improvement, patient satisfaction, and radiological component position restoration leg length between rTHA mTHA.
We assessed the functional outcome following fracture of tibial plateau in 63 consecutive patients. Fifty-one patients were treated by internal fixation, five combined and external fixation seven non-operatively. Measurements joint movement muscle function made using a dynamometer at three, six 12 months injury. Thirteen (21%) had residual flexion contracture one year. Only nine (14%) achieved normal quadriceps strength months, while 19 (30%) hamstring strength. Recovery was significantly...
We have carried out a prospective study to determine whether the basic descriptive criteria and classifications of diaphyseal fractures tibia prognosis, as is widely believed. A number systems which are readily available were used, with outcome being determined by standard measurements including fracture union, need for secondary surgery incidence infection. Many validated functional outcomes also used. The Tscherne classification closed proved be slightly more predictive than others, but...
The International Hip Outcome Tool 12 (iHOT-12) is a shorter version of the iHOT-33 which measures health related quality life following treatment hip disorders in young, active patients. purpose this study was identify PASS threshold for UK population undergoing arthroscopy intra-articular pathology.Data identified retrospectively from prospective database patients under care single surgeon within date range January 2013 to March 2017. All with diagnosis femoroacetabular impingment (FAI)...
Studies on recurrent disc herniation quote rates of recurrence without regard to the times and influence longer follow-up. Our objective was assess use survival analysis measure rate revision after lumbar microdiscectomy. We undertook a retrospective hospital records 993 patients who underwent microdiscectomy over period ten years. After calculating overall for mean length follow-up, we carried out using life-table method. During study 49 had This gave an 4.9% at follow-up 5.25 Using...
The aim of this study was to determine the association between Oxford knee score (OKS) and direct assessment outcome, examine how relationship varied at different time-points following total replacement (TKR). Prospective data consisting OKS, numerical rating scales for 'worst pain' 'perceived mean daily pain', timed functional assessments (chair rising, stairs walking ability), goniometry lower limb power were recorded 183 patients pre-operatively six, 26 52 weeks post-operatively. OKS...
Abstract Purpose The forgotten joint score-12 (FJS-12) is an outcome questionnaire designed to evaluate awareness. responsiveness and validity of the English language version FJS-12 in patients undergoing hip arthroscopy for femoroacetabular impingement (FAI) not known. Methods Consecutive a diagnosis FAI were prospectively followed up over 1 year period. Patients completed preoperative postoperative FJS-12, EuroQol 5 Dimension (EQ-5D-5L), 12-item international tool (iHOT-12). We evaluated...