A5050253130- Total Knee Arthroplasty Outcomes
- Orthopaedic implants and arthroplasty
- Orthopedic Infections and Treatments
- Hip and Femur Fractures
- Sarcoma Diagnosis and Treatment
- Sports injuries and prevention
- Shoulder Injury and Treatment
- Knee injuries and reconstruction techniques
- Bone fractures and treatments
- Trauma and Emergency Care Studies
- Pelvic and Acetabular Injuries
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Bone Tumor Diagnosis and Treatments
- Hip disorders and treatments
- Management of metastatic bone disease
- Musculoskeletal synovial abnormalities and treatments
- Spine and Intervertebral Disc Pathology
- Disaster Response and Management
- Trauma Management and Diagnosis
- Venous Thromboembolism Diagnosis and Management
- Cardiac, Anesthesia and Surgical Outcomes
- Shoulder and Clavicle Injuries
- Blood transfusion and management
- Hydrogels: synthesis, properties, applications
- Antiplatelet Therapy and Cardiovascular Diseases
Robert Jones and Agnes Hunt Orthopaedic Hospital
2024-2025
Royal Orthopaedic Hospital
2013-2024
Princess Elizabeth Orthopaedic Centre
2024
University Hospitals Birmingham NHS Foundation Trust
2011-2023
Royal Devon and Exeter Hospital
2023
Worcestershire Acute Hospitals NHS Trust
2021
Queen Elizabeth Hospital Birmingham
2011-2020
Queen Elizabeth Hospital
2020
Health Education England
2020
West Midlands Deanery
2017-2019
We hypothesised that the use of computer navigation-assisted surgery for pelvic and sacral tumours would reduce risk an intralesional margin. reviewed 31 patients (18 men 13 women) with a mean age 52.9 years (13.5 to 77.2) in whom had been carried out bone tumour pelvis or sacrum. There were 23 primary malignant tumours, four metastatic locally advanced rectum. The registration error when using navigation was < 1 mm each case. no complications related navigation, which allowed preservation...
Fracture non-union remains a clinical problem despite advances in the understanding of basic science and technology. Each fracture has unique personality as does patient suffering injury. Thus, each case must be treated on an individual basis. This article defines reports recent epidemiological studies. We discuss relevant risk factors methods for assessing patients who have tendency toward non-union. There are many treatment options with non-union, where number these modalities still under...
Aims The Birmingham Hip Resurfacing (BHR) was introduced in 1997 to address the needs of young active patients using a historically proven large-diameter metal-on-metal (MoM) bearing. A single designer surgeon’s consecutive series 130 (144 hips) previously reported at five and ten years, reporting three failures, respectively. aim this study extend follow-up original cohort 25 years. Methods extends on first 144 resurfacing procedures for all indications. All operations were undertaken...
Despite the implementation of latex-free gloves, issue natural rubber latex hypersensitivity persists within medical practice, posing challenges for both patients and health care professionals. A comprehensive understanding demographic groups susceptible to this condition is essential, along with establishment robust perioperative assessment management protocols aimed at minimising complications enhancing safety. This article endeavours delve into intricacies concerning among patients, while...
Aims Following the introduction of national standards in 2009, most major paediatric trauma is now triaged to specialist units offering combined orthopaedic and plastic surgical expertise. We investigated management open tibia fractures at a centre, primarily reporting risk infection rate union. Patients Methods A retrospective review was performed on 61 children who between 2007 2015 presented with an fracture. Their mean age nine years (2 16) median follow-up ten months (interquartile...
Aims Periprosthetic fractures (PPFs) around the knee are challenging injuries. This study aims to describe characteristics of PPFs and impact patient demographics, fracture types, management modalities on in-hospital mortality. Methods Using a multicentre design, independent registry data, we included adult patients sustaining PPF arthroplasty between 1 January 2010 31 December 2019. Univariate, then multivariable, logistic regression analyses were performed patient, fracture, treatment...
For many cancers, one-year mortality following diagnosis is a reflection of either advanced stage at diagnosis, multiple co-morbidities and/or complications treatment. One-year has not been reported for soft tissue or bone sarcomas. This study reports 1-year sarcoma data over 25-year period, investigates prognostic factors and considers whether delay in presentation affects mortality.A total 4,945 newly diagnosed patients were identified from prospectively maintained, single institution...
Aims Periprosthetic joint infection (PJI) is a challenging complication of any arthroplasty procedure. We reviewed our use static antibiotic-loaded cement spacers (ABLCSs) for staged management PJI where segmental bone loss, ligamentous instability, or soft-tissue defects necessitate construct. factors contributing to their failure and techniques avoid these complications when using ABLCSs in this context. Methods A retrospective analysis was conducted 94 patients undergoing first-stage...
Aims To determine ten-year failure rates following 36 mm metal-on-metal (MoM) Pinnacle total hip arthroplasty (THA), and identify predictors of failure. Patients Methods We retrospectively assessed a single-centre cohort 569 primary MoM THAs (all Corail stems) followed up since 2012 according to Medicines Healthcare Products Regulation Agency recommendations. All-cause (all-cause revision, non-revised cross-sectional imaging failures) were calculated, with for identified using multivariable...
Aims The aim of this study was to investigate the local recurrence rate at an extended follow-up in patients following navigated resection primary pelvic and sacral tumours. Patients Methods This prospective cohort comprised 23 consecutive (nine female, 14 male) who underwent a or tumour, using computer navigation, between 2010 2012. mean age time presentation 51 years (10 77). rates mortality were calculated Kaplan–Meier method. Results Bone margins all clear there no bony recurrences. At...
Extremity sarcoma has a preponderance to present late with advanced stage at diagnosis. It is important know why these patients die early from and predict those high risk. Currently we have mid- long-term outcome data on which counsel support treatment decisions, but in contrast other cancer groups, very little short-term mortality. Bayesian belief network modeling been used develop decision-support tools various oncologic diagnoses, our knowledge, this approach not applied extremity...
Proximal femoral fractures are a major public health concern with estimated annual direct and social costs amounting to £2 billion average 30-day mortality risk of 7.5%. In response the recent debate over out-of-hours hospital provision we investigated 'weekend effect' at trauma centre, caring for acute injuries. A single multi-surgeon review 2060 patients performed. The distribution patient treatment variables compared in admitted on weekday or weekend. Fewer met performance indicators...
Aims In metal-on-metal (MoM) hip arthroplasties and resurfacings, mechanically induced corrosion can lead to elevated serum metal ions, a local inflammatory response, formation of pseudotumours, ultimately requiring revision. The size diametral clearance anatomical (ADM) modular (MDM) dual-mobility polyethylene bearings match those Birmingham MoM components. If the acetabular component is satisfactorily positioned, well integrated into bone, has no surface damage, this presents opportunity...
Achilles tendon rupture is a common sports-related injury, with the incidence of acute ruptures continuing to increase. can be missed, or presentation may delayed. Clinical tests assist diagnosis, Thompson and Matles being most sensitive specific. Ultrasound provides valuable adjunct for diagnosing ruptures. Traditionally, operative management has led lower re-rupture rates than conservative treatment, but surgery increases risk complications such as adhesions wound infection. More recently,...
Abstract Introduction The incidence of femoral periprosthetic fractures (PPFs) in the UK is on rise. This rising presents a clinical and an economic burden national health care services. There also uncertainty about most effective treatment modality for PPFs, as well lack evidence standardized management approach. We aimed to identify true any variation PPFs nationally. Methods analysis multicentre collaborative study has been designed by trainee led research network collaboration with...