- Total Knee Arthroplasty Outcomes
- Knee injuries and reconstruction techniques
- Sports injuries and prevention
- Nerve Injury and Rehabilitation
- Shoulder Injury and Treatment
- Orthopedic Surgery and Rehabilitation
- Spinal Fractures and Fixation Techniques
- Cervical and Thoracic Myelopathy
- Advanced Radiotherapy Techniques
- Osteoarthritis Treatment and Mechanisms
- Peripheral Nerve Disorders
- Shoulder and Clavicle Injuries
- Breast Cancer Treatment Studies
- Cutaneous Melanoma Detection and Management
- Foot and Ankle Surgery
- Optical Coherence Tomography Applications
- Global Health Workforce Issues
- Advanced Fluorescence Microscopy Techniques
- Medical Imaging Techniques and Applications
- Trauma Management and Diagnosis
- Elbow and Forearm Trauma Treatment
- Musculoskeletal pain and rehabilitation
- Disaster Response and Management
- Healthcare Quality and Management
- Medical Malpractice and Liability Issues
Royal Berkshire Hospital
2000-2024
Royal Berkshire NHS Foundation Trust
2012-2023
Wayne State University
2018
Ipswich Hospital
2016
Tufts University
2008-2009
Tufts Medical Center
2008-2009
Wexham Park Hospital
1996-2000
St Bartholomew's Hospital
1995
St. Finbarr's Hospital
1973
Anterior cruciate ligament (ACL) rupture is a common debilitating injury that can cause instability of the knee. We aimed to investigate best management strategy between reconstructive surgery and non-surgical treatment for patients with non-acute ACL persistent symptoms instability.We did pragmatic, multicentre, superiority, randomised controlled trial in 29 secondary care National Health Service orthopaedic units UK. Patients symptomatic knee problems (instability) consistent an were...
Abstract Background Anterior cruciate ligament (ACL) rupture is a common knee injury that can lead to poor quality of life, decreased activity and increased risk secondary osteoarthritis the knee. Management patients with non-acute ACL include non-surgical (rehabilitation) or surgical (reconstruction) approach. However, insufficient evidence guide treatment selection has led high variation in choice for presentation injury. The objective SNNAP trial determine anterior deficiency (ACLD)...
Abstract Background Skin cancer represents the most prevalent type of in United States. Excision these lesions can leave significant scarring, and a delay diagnosis malignant melanoma could result metastasis or death. Therefore, developing technology criteria to accurately diagnose cancers is particular importance medical community. While biopsy lead scarring infections, dermoscopy confocal microscopy offer noninvasive imaging methods but are also limited their ability determine tumor depth...
Rupture of the anterior cruciate ligament (ACL) is a common injury, primarily affecting young, active individuals. Despite surgical intervention being more treatment for patients suffering ACL ruptures, current management based on limited and generally low-quality evidence. We describe statistical analysis plan (SAP) SNNAP randomised controlled trial, which aims to investigate necessity in with injuries.ACL pragmatic, multi-centre, superiority, parallel-group trial participants symptomatic...
The aim of this study was to compare patient-reported outcomes (PROMs) following isolated anterior cruciate ligament reconstruction (ACLR), with those ACLR and concomitant meniscal resection or repair.
Background: Anterior cruciate ligament (ACL) rupture is a common debilitating injury giving rise to instability of the knee. The trial was designed confirm best management strategy between reconstructive surgery (Surgery) or non-surgical treatment (Rehabilitation) for patients with non-acute ACL injury.Methods: A pragmatic, multi-centre, superiority, randomised controlled two-arm parallel groups and 1:1 allocation in 29 UK secondary care NHS orthopaedic units. Patients were randomly assigned...
Introduction: 8 – 19% of patients report dissatisfaction post Total Knee Arthroplasty (TKA). The reasons for this are complex and multiple factors have been reported to influence these rates. A recent meta-analysis has confirmed evidence central sensitisation pain in with knee osteoarthritis (OA). It also called future research identify people OA whom is a dominant feature longitudinal predict TKA. clinical response TKA the presence not studied detail. purpose study was evaluate whether...
<h3></h3> Open access specialist knee clinics are a proven method to dramatically reduce the delay diagnosis of soft tissue injuries (STKI). This service was introduced at Royal Berkshire Hospital in 2011 taking referral from primary care and emergency department (ED). The purpose this audit (i) identify incidence diagnoses STKIs patients referred ED; (ii) evaluate management patients' ED acute injury clinic (AKIC) implement changes improve service. An initial retrospective analysis 150...
Anterior cruciate ligament injury of the knee is common and leads to decreased activity risk secondary osteoarthritis knee. Management patients with a non-acute anterior can be non-surgical (rehabilitation) or surgical (reconstruction). However, insufficient evidence exists guide treatment.