A5065774814- Orthopaedic implants and arthroplasty
- Total Knee Arthroplasty Outcomes
- Orthopedic Infections and Treatments
- Spinal Fractures and Fixation Techniques
- Hip disorders and treatments
- Pelvic and Acetabular Injuries
- Spine and Intervertebral Disc Pathology
- Hip and Femur Fractures
- Knee injuries and reconstruction techniques
- Bone fractures and treatments
- Cervical and Thoracic Myelopathy
- Foot and Ankle Surgery
- Muscle activation and electromyography studies
- Surgical site infection prevention
- Bone and Joint Diseases
- Orthopedic Surgery and Rehabilitation
- Cerebral Palsy and Movement Disorders
- COVID-19 and healthcare impacts
- Blood transfusion and management
- Infection Control and Ventilation
- Diversity and Career in Medicine
- Trauma and Emergency Care Studies
- Bone health and treatments
- Trauma Management and Diagnosis
- Osteoarthritis Treatment and Mechanisms
Royal College of Surgeons in Ireland
2008-2024
Cappagh National Orthopaedic Hospital
2012-2024
Orthopaedic Center
2021
Mater Misericordiae University Hospital
1993-2010
Dublin City University
2007
Merlin Park University Hospital
2007
Mater Misericordiae Hospital
1991-2005
Spinal Injuries Center
2002
California Institute of Technology
2002
Harborview Medical Center
1998
Supervised preoperative muscle strengthening programmes (prehabilitation) can improve recovery after total joint arthroplasty but are considered resource intensive. Neuromuscular electrical stimulation (NMES) has been shown to quadriceps femoris (QFM) strength and clinical function in subjects with knee osteoarthritis (OA) however it not previously investigated as a prehabilitation modality.This pilot study assessed the compliance of home-based, NMES programme patients undergoing (TKA). We...
Quadriceps femoris muscle (QFM) weakness is a feature of knee osteoarthritis (OA) and exercise programs that strengthen this group can improve function, disability pain. Traditional supervised resistance however resource intensive dependent on good adherence which be challenging to achieve in patients with significant OA. Because the limitations traditional programs, interest has been shown use neuromuscular electrical stimulation (NMES) QFM. We conducted single-blind, prospective randomized...
We studied prospectively 81 consecutive patients undergoing hip surgery using the Hardinge (1982) approach. The abductor muscles of in these were assessed electrophysiologically and clinically by modified Trendelenburg test. Power was measured a force plate. performed assessment at two weeks, three nine months after operation. At weeks we found that 19 (23%) showed evidence damage to superior gluteal nerve. By months, five had recovered. with complete denervation no signs recovery when...
Gait disorders in cerebral palsy can be accurately analyzed using the CODA-3 system presenting quantitative data representing movement of hip, knee, and ankle sagittal plane. We describe a technique that classifies abnormal gait automatically on basis kinematic data. Fifty-five hemiplegic 91 diplegic patients were an opto-electronic scanner (CODA-3). The kinematics affected limb hemiplegics correlated with those both limbs diplegics. introduce concept "plegic limb." Sagittal 237 studied...
Abstract Chemokines are major regulators of the inflammatory response and have been shown to play an important role in periprosthetic osteolysis. Titanium particles previously induce IL‐8 MCP‐1 secretion osteoblasts. These chemokines result chemotaxis activation neutrophils macrophages, respectively. Despite a resurgence use cobalt‐chromium‐molybdenum alloys metal‐on‐metal arthroplasty, cobalt chromium ion toxicity area has insufficiently studied. In this study we investigate vitro effect...
6554 primary total hip arthroplasties were reviewed. Risk factors for dislocation analysed to assess which important in terms of predicting recurrent instability. The patients risk having a second was independently associated with the surgical approach adopted (p = 0.03) and time first from replacement 0.002). Early dislocators whose surgery performed through an anterolateral had less recurrence than late posterior or transtrochanteric approach. None other including head size 0.59),...
Cervical spondylosis is a common and disabling condition. It generally felt that the initial management should be nonoperative, these modalities include physiotherapy, analgesia selective nerve root injections. Surgery reserved for moderate to severe myelopathy patients who have failed period of conservative treatment whose symptoms are not adequately controlled by nonoperative means. A review literature supporting various presented, it concluded although effective, labour intensive,...
This study assessed the frequency of acute injury to spinal cord in Irish Rugby over a period ten years, between 1995 and 2004. There were 12 such injuries; 11 cervical one was thoracic. Ten occurred adults two schoolboys. All males playing Union mean age at 21.6 years (16 36). The most common mechanism hyperflexion spine players injured frequently full back, hooker or on wing. Most injuries sustained during tackle phase play. Six felt their preventable. Eight are permanently disabled as...