A5064582685- Orthopedic Surgery and Rehabilitation
- Reconstructive Surgery and Microvascular Techniques
- Advanced Operator Algebra Research
- Bone fractures and treatments
- Advanced Topics in Algebra
- Nerve Injury and Rehabilitation
- Peripheral Nerve Disorders
- Dupuytren's Contracture and Treatments
- Medical Malpractice and Liability Issues
- Surgical site infection prevention
- Algebraic structures and combinatorial models
- COVID-19 and healthcare impacts
- Shoulder Injury and Treatment
- Vascular Malformations and Hemangiomas
- Noncommutative and Quantum Gravity Theories
- Reconstructive Facial Surgery Techniques
- Quantum Mechanics and Applications
- Disaster Response and Management
- Nail Diseases and Treatments
- Elbow and Forearm Trauma Treatment
- Congenital limb and hand anomalies
- Dental materials and restorations
- Pain Mechanisms and Treatments
- Sarcoma Diagnosis and Treatment
- Organic and Molecular Conductors Research
Broomfield Hospital
2009-2021
Mid Essex Hospital Services NHS Trust
2015-2020
St Andrew's Healthcare
2015-2019
Ganga Hospital
2014-2017
Morriston Hospital
2010
Lister Hospital
2008
Croydon University Hospital
2004
Surgery for nail bed injuries in children is common. One of the key surgical decisions whether to replace plate following repair. The aim this RCT was assess clinical effectiveness and cost-effectiveness repair with fingernail replacement/substitution compared without replacement.A two-arm 1 : parallel-group open multicentre superiority performed across 20 secondary-care hospitals UK. co-primary outcomes were surgical-site infection at around 7 days after surgery cosmetic appearance summary...
Abstract Background Nail-bed injuries are the most common hand injury in children. Surgical dogma is to replace nail plate after repairing bed. Recent evidence suggests this might increase infection rates and returns clinic. The aim of feasibility trial was inform design conduct a definitive comparing replacing or discarding nail-bed repair. Methods This study recruited participants from four units UK between April July 2015. Participants were children under age 16 years with requiring...
Background Intramedullary screw fixation is a relatively new technique for of metacarpal and phalangeal fractures. The objective this study was to compare health care–associated costs outcomes intramedullary versus Kirschner wire (K-wire) hand Methods A retrospective review patients undergoing fractures at single center during 2016-2019 inclusive conducted. Health were compared with age-matched fracture pattern–matched controls who underwent K-wire fixation. Results Fifty met the inclusion...
We report on a case of metastatic Merkel cell carcinoma in 74-year-old patient with positive staining for thyroid transcription factor-1. This represents new immunohistochemical pattern and has implications regarding the accurate diagnosis this tumor type.
This study reports the results of Swanson replacement 131 DIP joints for painful osteoarthritis and two ongoing pain after injury. Thirty-seven arthroplasties (28 patients) were carried out with extensor tendon division repair, postoperative immobilization 8 weeks. Ninety-four (60 then without division, allowing immediate mobilization. At assessment a mean period 57 months, range movement was 39°, lag 11°, significant improvement both in operative groups. The severity improved significantly...
This paper presents outcomes after 13, 4, and 3½ years in three digital amputees treated with osseointegrated prostheses. One had prosthetic replacement of the index middle fingers at PIP level. The second four replaced level, but only prostheses were retained. third a thumb MCP All patients scored their reconstructed hand highly terms appearance frequency use. first rated function as similar to normal hand, this was confirmed by Jebsen Test, patient poor function. could detect pressure...
We present the functional outcomes of microvascular toe transfer to reconstruct post-traumatic metacarpal hand deformity. Twelve transfers were successfully carried out in 11 patients.In each patient, level injury was classified according Wei classification system. Functional outcome measured seven patients using Tamai score. Additional objective tests function three patients, including Jebsen test, grip strength, pinch web opening, static and moving two-point discrimination Semmes-Weinstein...
Adaptation is vital to ensure successful healthcare recovery during the COVID-19 pandemic. Hand trauma represents most common acute emergency department presentation internationally. This study prospectively evaluates related patient risk, when undergoing management within one of largest specialist tertiary referral centres in Europe, which rapidly implemented national safety guidelines.A prospective cohort was undertaken all patients referred integrated hand service, UK pandemic peak...
Introduction Trauma to the nail bed is most common surgically treated paediatric hand injury. The majority of surgeons replace plate after repairing despite a lack evidence do so. Replacing may be associated with increased postoperative infection. We will investigate impact replacing or discarding on infection, cosmetic appearance, pain and subsequent healthcare use. Nail INJury Analysis trial (NINJA) aims answer question whether should replaced discarded surgical repair in children. Methods...
IntroductionThis study evaluates COVID-19 related patient risk, when undergoing management within one of the largest specialist centres in Europe, which rapidly implemented national safety guidelines.MethodA prospective cohort was undertaken all patients who underwent surgical (n = 1429) or non-operative 191) during UK pandemic peak (April–May 2020); were evaluated for 30-day death. A representative sample elective/trauma/burns (surgery group, n 729) selected and also sub-analysed a...
Nail bed injuries account for the majority of paediatric hand trauma cases. Despite their frequency, controversy remains regarding treatment. The accepted teaching is to remove fingernail, repair underlying nail with fine sutures and replace under fold. A recent study by Miranda et al. (Plast Reconst Surg. 129(2):394e-396e, 2012) suggests that replacing associated increased complications, in particular post-operative infection. INJury Assessment Pilot (NINJA-P) an external pilot a large...
A small number of patients develop intractable peripheral nerve pain following injury or surgery to the upper limb that is refractory pharmacological treatment. This study reports our results using transcutaneous stimulation (TPNS), a non-invasive form neuromodulation, treat this difficult problem.Seventy-two were treated for in technique. Electrical current was delivered transcutaneously through handheld probe, placed on skin overlying affected proximal site pain. Pain severity determined...
We introduce filling families with matrix diagonalization as a refinement of the work by R{\o}rdam and first named author. As an application we improve result on local pure infiniteness show that minimal tensor product strongly purely infinite $C^*$-algebra exact is again infinite. Our results also yield sufficient criterion for strong crossed products $A\rtimes_\varphi \mathbb{N}$ endomorphism $\varphi$ $A$ (cf. Theorem 7.6). confirms special class nuclear Cuntz-Pimsner algebras constructed...
The association between congenital vascular malformations and altered bone growth, the so-called syndrome, is well documented. Various eponymous syndromes each with their individual traits, such as Klippel–Trenaunay, Parkes–Weber Servelle–Martorell syndrome have been described, along variations. We report on a previously undescribed case of malformation associated multiple skeletal abnormalities affecting skull, vertebrae right upper limb, discuss literature.