- Orthopaedic implants and arthroplasty
- Total Knee Arthroplasty Outcomes
- Orthopedic Infections and Treatments
- Foot and Ankle Surgery
- Orthopedic Surgery and Rehabilitation
- Tendon Structure and Treatment
- Hip disorders and treatments
- Diabetic Foot Ulcer Assessment and Management
- Bone health and osteoporosis research
- Bone fractures and treatments
- Surgical Sutures and Adhesives
- Bone health and treatments
- Bone and Joint Diseases
- Sports injuries and prevention
- Dental Implant Techniques and Outcomes
- Shoulder Injury and Treatment
- Knee injuries and reconstruction techniques
- Lower Extremity Biomechanics and Pathologies
- Sarcoma Diagnosis and Treatment
- Body Contouring and Surgery
- Soft tissue tumor case studies
- Trauma Management and Diagnosis
- HIV/AIDS oral health manifestations
- Shoulder and Clavicle Injuries
- Hip and Femur Fractures
Forth Valley Royal Hospital
2021-2024
NHS Forth Valley
2024
Sakarya University
2020
Manchester Royal Infirmary
2014-2019
Wythenshawe Hospital
2017-2019
University of Manchester
2019
Wrightington Hospital
2014-2018
Wrightington, Wigan and Leigh NHS Foundation Trust
2016-2018
Royal Victoria Hospital
2017
University of Ulster
2017
We present a case of bilateral low-energy femoral shaft fractures over 1-year period in woman after discontinuation long-term alendronate therapy and initiation treatment with denosumab. A 73-year-old diabetes mellitus an 8-year history post-menopausal osteoporosis presented to the emergency department June 2011 spontaneous left femur fracture. It was 3 weeks vitamin D supplement 70 mg weekly, 1 week first subcutaneous injection denosumab. Radiographs revealed transverse fracture lateral...
Abstract Different types of plates are available to allow insertion screws for internal fixation long bone fractures. The aim the study was determine effect at different angles on a pull-out strength. Using 3D printed models, we tested strength in bones between 0 and 40° with both finite element analysis models experimentally compared results. Test samples cortical used were modeled SolidWorks software analyzed Ansys software. As screw angle increases, forces test specimens increase from...
Imaging of the spine is paramount importance for recognition osteoporotic vertebral fractures (VFs), and standard radiography (SR) suggested diagnostic method but not routinely used because cost radiation exposure considerations. VF assessment (VFA) an efficient, low identifying VFs at time bone mineral density (BMD) measurement. Prediction models to indicate need VFA may have little predictive power in subspecialty referral populations such as rheumatologic patients or who underwent...
To review the outcome of arthrodesis hallux metatarsophalangeal (MTP) joint in 23 patients.Records 9 men and 14 women aged 27 to 88 (mean, 57) years who underwent MTP using an intramedullary device intra-osseous were reviewed. Indications for surgery severe valgus (n=15), rigidus (n=6) rheumatoid arthritis (n=2). Outcome measures included visual analogue score (VAS) pain, American Orthopaedic Foot Ankle Society (AOFAS) score, bone union, angle (HVA), dorsiflexion (DA), complications,...
Purpose: We aimed to study clinical and radiological outcomes of conversion from hemiarthroplasty Charnley hip replacement (CHR) with a particular concern over reported increased dislocation rate literature review. Conversion total (THR) is procedure have high rates complications. In the literature, there no specific on small head conversion. The purpose this was evaluate failed CHR use modern implants. Methods: included 42 patients, who underwent above procedure. operations were carried out...
Metatarsal coalition is an extremely rare condition. We report the second documented case of 4th and 5th distal metatarsal in literature. An eight-year-old girl was referred to orthopaedic clinic with a four-month history forefoot pain swelling on plantar aspect right little toe. Radiograph clinical examination confirmed between metatarsals. Following period conservative treatment, excision eventually performed due worsening symptoms. Patient re-attended two years later recurrence by...
INTRODUCTION Acetabular impaction bone grafting with a cemented polyethylene socket aims to reconstitute the stock in hip revision. This is an effective but resource intensive and time consuming technique. Usually, articular cartilage removed from femoral head allograft. Our objective was assess late results of using whole head, retaining cartilage. METHODS Forty-two acetabular revisions impacted morselised graft (retaining cartilage) were studied retrospectively. The mean follow-up duration...
Arthrodesis is the surgical fusion of a diseased joint for purposes obtaining pain relief and stability. There have been numerous fixation devices described in literature foot ankle arthrodesis, each with their own benefits drawbacks.To review use intraosseous surgery.There were 9 papers included (6 clinical 3 experimental studies) all evaluating arthrodesis using IOFIX device (Extremity Medical™, Parsippany, NJ, United States). Outcome scores, union rates, as well complications...
Data was collected for patients referred to the orthopaedic department at Forth Valley Royal Hospital with metatarsalgia who subsequently received an ultrasound. Patients found have a Morton's neuroma were divided into groups based on its size. A total of 90 ultrasound scan and confirmed in 58 alternative diagnosis 32 42 included final analysis. All 14 < 6mm reported resolution symptoms. 4 (28.5%) underwent surgical excision as first line, 1 (7%) single corticosteroid injection 9 (64%)...
Arthrodesis of the first metatarsophalangeal joint (MTPJ) is most reliable surgical option, for hallux rigidus from end-stage osteoarthritis. The aim study was to compare functional outcomes memory nickel-titanium staples versus a compression plate with cross screw construct MTPJ arthrodesis using Manchester–Oxford Foot Questionnaire (MOXFQ). Patients who underwent either or were identified lists two orthopaedic consultants. Pre and post-operative MOXFQ questionnaire, validated...
This prospective study explores the outcomes of Forth Valley Protocol (FVP) for management acute Achilles tendon ruptures. The protocol uses ultrasound as primary mechanism to guide treatment. All patients presenting with tendoachilles rupture over a three-year period were included. Patients under 18 years age, chronic ruptures, or prior surgery excluded. gap ≤2cm had conservative following an Early Rehabilitation (ERP) and >2cm underwent (if appropriate surgical candidate). Tendon...
Ipsilateral injury of more than one component the knee extensor apparatus is rare. It mostly associated with previous trauma, surgery, immunosuppression therapy and systemic disease. We present first documented case a spontaneous bifocal disruption (i.e. floating patella) lymphoedema. This highlights importance considering lymphoedema as another risk factor for rupture apparatus. also assessing all components in patients presenting acute injuries.
We present a case of symptomatic trochanteric non-union following total hip replacement treated initially with Dall-Miles grip plate. After failure this treatment, the patient had two-stage revision. Trochanteric is one well-described complications after replacement. It frequently difficult to treat, while potentially causing weakness, altered gait and instability artificial joint. believe that reattachment trochanter combined staged revision femoral stem using posterior approach for second...
To review the outcome of acetabular revision with bone grafting and cementation for aseptic loosening after primary Charnley low-friction hip arthroplasty structural bulk autografts in 15 patients.Records were reviewed 3 men 12 women aged 31 to 72 (mean, 53) years who underwent at a mean 12.4 (range, 6.6-20.3) superolateral from femoral head dysplastic (n=14) or loss secondary fracture (n=1).After follow-up 6.7 1.1-14.5) years, Merle d'Aubigné Postel score improved 8.55 16.5. Bridging...