A5039609745- Knee injuries and reconstruction techniques
- Sports injuries and prevention
- Tendon Structure and Treatment
- Foot and Ankle Surgery
- Osteoarthritis Treatment and Mechanisms
- Total Knee Arthroplasty Outcomes
- Shoulder Injury and Treatment
- Orthopedic Surgery and Rehabilitation
- Musculoskeletal synovial abnormalities and treatments
- Hip disorders and treatments
- Lower Extremity Biomechanics and Pathologies
- Orthopaedic implants and arthroplasty
- Shoulder and Clavicle Injuries
- Musculoskeletal pain and rehabilitation
- Rheumatoid Arthritis Research and Therapies
- Musculoskeletal Disorders and Rehabilitation
- Nerve Injury and Rehabilitation
- Hydrogen's biological and therapeutic effects
- Peripheral Nerve Disorders
- Venous Thromboembolism Diagnosis and Management
- Pelvic and Acetabular Injuries
- Periodontal Regeneration and Treatments
- Elbow and Forearm Trauma Treatment
- Radiology practices and education
- Child Nutrition and Water Access
Institute for Musculoskeletal Health
2016-2024
The University of Sydney
2017-2022
Imaging Center
2020
UNSW Sydney
1990-2019
Sydney Orthopaedic Research Institute
2018
The University of Notre Dame Australia
2017
Westmead Institute
2014-2017
Royal North Shore Hospital
2017
North Sydney Orthopaedic and Sports Medicine Centre
2007-2016
Australian Football League
2016
There are no controlled, prospective studies comparing the 10-year outcomes of anterior cruciate ligament (ACL) reconstruction using patellar tendon (PT) and 4-strand hamstring (HT) autografts.Comparable results possible with HT PT autografts.Cohort study; Level evidence, 2.One hundred eighty ACL-deficient knees that met inclusion criteria underwent ACL (90 autograft, 90 autograft) by one surgeon were treated an accelerated rehabilitation program. All observed in a fashion subjective,...
The purpose of this study was to demonstrate that specialized magnetic resonance imaging provides an accurate assessment lesions the articular cartilage knee. Arthroscopy used as comparative standard. Eighty-eight patients who had average age thirty-eight years were evaluated with and subsequent arthroscopy because a suspected meniscal or ligamentous injury. performed sequence in sagittal, coronal, axial planes. Seven surfaces (the patellar facets, trochlea, femoral condyles, tibial...
There is a lack of prospective studies comparing the long-term outcome endoscopic anterior cruciate ligament (ACL) reconstruction with either patellar tendon or hamstring autograft.This longitudinal study compared results isolated ACL utilizing 4-strand (HT) (PT) autograft over 15-year period respect to reinjury, clinical outcomes, and development osteoarthritis.Cohort study; Level evidence, 2.Ninety consecutive patients rupture were reconstructed PT autograft, 90 received an HT identical...
<h3>Importance</h3> Most clinical guidelines do not recommend platelet-rich plasma (PRP) for knee osteoarthritis (OA) because of lack high-quality evidence on efficacy symptoms and joint structure, but the emphasize need rigorous studies. Despite this, use PRP in OA is increasing. <h3>Objective</h3> To evaluate effects intra-articular injections structure patients with symptomatic mild to moderate radiographic medial OA. <h3>Design, Setting, Participants</h3> This randomized, 2-group,...
Background: No well-controlled studies have compared the long-term outcome of anterior cruciate ligament (ACL) reconstruction with hamstring tendon autograft between adolescents and adults. Increased posterior tibial slopes (PTSs) been reported in ACL-injured versus controls, but effect PTS on after is relatively unexplored. Purpose: To compare prospective longitudinal “isolated” ACL ruptures treated anatomic endoscopic using over 20 years adolescent adult cohorts to examine factors for...
Short-term results of anterior cruciate ligament reconstruction are well reported; however, there no studies evaluating endoscopic the with a minimum 10-year follow-up.Anterior patellar tendon graft affords good subjective and clinical laxity assessments but may be associated development osteoarthritis over long term.Case series; Level evidence, 4.Endoscopic was performed in 67 consecutive patients without significant articular surface damage. Patients were assessed at 5, 7, 13 years after...
Background/hypothesis Shoulder pain in elite swimmers is common, and its pathogenesis uncertain. Hypothesis/study design The authors used a crosssectional study to test Jobe’s hypothesis that repetitive forceful swimming leads shoulder laxity, which turn impingement pain. Methods Eighty young (13–25 years of age) completed questionnaires on their training, function. They were given standardised clinical examination, tested for glenohumeral joint laxity using non-invasive electronic...
Following repairs of large-to-massive tears the rotator cuff, rates tendon retears are high and often involve tissue deficiency. Animal studies Restore Orthobiologic Implant, a collagen-based material derived from small intestine mucosa pigs, have indicated that it might be used to help overcome such problems. We carried out study determine whether patients who received this xenograft augment cuff repair exhibited greater shoulder strength, function, and/or resistance retearing.We compared...
Background: Few studies report the long-term results of anterior cruciate ligament rupture and single-incision endoscopic reconstructive surgery. Outcomes are often clouded by concomitant meniscal, chondral, or injuries. Purpose: To determine 15-year outcomes ruptures treated with reconstruction using middle-third patellar tendon autograft. Study Design: Case series; Level evidence, 4. Methods: Between January 1993 April 1994, 333 consecutive patients underwent reconstruction. Patients...
Background: Long-term prospective follow-up studies of single-incision endoscopic anterior cruciate ligament (ACL) reconstruction are limited and may include confounding factors. Purpose: This longitudinal study reports the outcomes isolated ACL using middle-third patellar tendon autografts in 90 patients over 20 years. Study Design: Case series; Level evidence, 4. Methods: Between January 1993 April 1994, a total met inclusion criteria: evaluation at 1, 2, 3, 4, 5, 7, 10, 15, years after...
Objective Our aim was to investigate the diagnostic accuracy of clinical presentation ankle syndesmosis injury and four common tests. Design Cross-sectional study. Setting 9 clinics in two Australian cities. Participants 87 participants (78% male) with an sprain presenting participating within 2 weeks were enrolled. Methods Clinical presentation, dorsiflexion-external rotation stress test, dorsiflexion lunge compression squeeze test ligament palpation compared MRI results (read by a blinded...
Background: Long-term prospective studies of isolated endoscopic anterior cruciate ligament (ACL) reconstruction are limited and may include confounding factors. Purpose: This study aimed to compare the outcomes ACL using patellar tendon (PT) autograft hamstring (HT) in 180 patients over 20 years. Study Design: Cohort study; Level evidence, 2. Methods: A total participants undergoing between 1993 1994 were prospectively recruited. Evaluation was performed at 1, 2, 5, 7, 10, 15, years after...
The purpose of this study was to report the outcome 'isolated' anterior cruciate ligament (ACL) ruptures treated with anatomical endoscopic reconstruction using hamstring tendon autograft at a mean 15 years (14.25 16.9). A total 100 consecutive men and women ACL rupture underwent four-strand anteromedial portal femoral tunnel drilling interference screw fixation by single surgeon. Details were recorded pre-operatively one, two, seven post-operatively. Outcomes included clinical examination,...
Abstract Background Arthroscopic surgery for femoroacetabular impingement syndrome (FAI) is known to lead self-reported symptom improvement. In the context of surgical interventions with contextual effects and no true sham comparator trials, it important ascertain outcomes that are less susceptible placebo effects. The primary aim this trial was determine if study participants FAI who have hip arthroscopy demonstrate greater improvements in delayed gadolinium-enhanced magnetic resonance...
Few clinical trials have investigated the safety and efficacy of mesenchymal stem cells for management post-traumatic osteoarthritis. The objectives this pilot study were to determine tolerability explore a single intra-articular injection allogeneic human precursor (MPCs) improve symptoms retard joint structural deterioration over 24 months in patients following anterior cruciate ligament (ACL) reconstruction. In phase Ib/IIa, double-blind, active comparator study, 17 aged 18–40 years with...
Preoperative intramuscular fat (IMF) is a strong predictor of tendon failure after rotator cuff repair. Due to the contemporary labor intensive and time-dependent manual segmentation required for quantitative assessment IMF, clinical implementation remains challenge. The emergence accurate three-dimensional evaluation may permit with greater inter-rater reliability than common subjective scales (e.g., Goutallier classification (GC)). Here, we developed validated convolutional neural network...
Background It is now well documented that women are more likely to suffer anterior cruciate ligament injuries than men. A few studies have examined gender differences in the outcome of reconstruction with patellar tendon graft and hamstring Endo Button fixation, but no well-controlled specifically compared men after interference screw fixation. Hypothesis There difference between autograft Study Design Cohort study; Level evidence, 3. Methods were 100 who underwent isolated by a single...
To determine the interobserver and intraobserver reliability of interpretation MRIs for supraspinatus tendinosis.In trial, 52 athletes' shoulders were observed by 3 observers on one occasion within a 2-month period. All images read most experienced musculoskeletal radiologist different occasions separate days without access to previous readings trial. Supraspinatus tendinosis was graded using modified 4-point scale from grades 0 grade 3.The grading MRI-determined reliable, having an...