- Bone fractures and treatments
- Spinal Fractures and Fixation Techniques
- Spine and Intervertebral Disc Pathology
- COVID-19 and healthcare impacts
- Orthopedic Surgery and Rehabilitation
- Trauma and Emergency Care Studies
- Intraoperative Neuromonitoring and Anesthetic Effects
- Cardiac, Anesthesia and Surgical Outcomes
- Scoliosis diagnosis and treatment
- Orthopaedic implants and arthroplasty
- Orthopedic Infections and Treatments
- Reconstructive Surgery and Microvascular Techniques
- Total Knee Arthroplasty Outcomes
- Elbow and Forearm Trauma Treatment
- Surgical site infection prevention
- Facial Trauma and Fracture Management
- Retinal and Optic Conditions
- Facial Nerve Paralysis Treatment and Research
- Oral and gingival health research
- Simulation-Based Education in Healthcare
- Radiation Dose and Imaging
- Anesthesia and Pain Management
- Telemedicine and Telehealth Implementation
- Patient Safety and Medication Errors
- Foot and Ankle Surgery
Rothman Institute
2022
Thomas Jefferson University
2022
University Hospital of Wales
2021
University of Alberta
2021
Norfolk and Norwich University Hospitals NHS Foundation Trust
2014-2020
University of East Anglia
2020
Addenbrooke's Hospital
2020
Norfolk and Norwich University Hospital
2014-2019
Peterborough City Hospital
2015
Cauda equina syndrome (CES) results from nerve root compression in the lumbosacral spine, usually due to a prolapsed intervertebral disc. Evidence for management of CES is limited by its infrequent occurrence and lack standardised clinical definitions outcome measures. This prospective multi-centre observational cohort study adults with UK. We assessed presentation, investigation, management, all Core Outcome Set domains up one year post-operatively using clinician participant reporting....
Aims This pilot study tested the performance of a rapid assay for diagnosing prosthetic joint infection (PJI), which measures synovial fluid calprotectin from total hip and knee revision patients. Methods A convenience series 69 samples patients at Norfolk Norwich University Hospital were collected intraoperatively (52 hips, 17 knees) frozen. Synovial was measured retrospectively using new commercially available lateral flow PJI diagnosis (Lyfstone AS) compared to International Consensus...
The fibula free flap is ideal for complex jaw reconstructions, with low reported donor and morbidity. We discuss a distal tibial stress fracture two months following vascularised procedure. Despite being an unrecognised complication, literature review produced 13 previous cases; only were in the reconstructive surgery literature, most recent claiming to be first. majority of these studies treated this non-operatively; none their patient follow-up. Each case presented ipsilateral leg pain,...
With resumption of elective spine surgery services in the UK following first wave COVID-19 pandemic, we conducted a multicentre British Association Spine Surgeons (BASS) collaborative study to examine complications and deaths due at recovery phase pandemic. The aim was analyze safety spinal during pandemic.A prospective observational from eight centres for month operating restoration each individual unit. Primary outcome measure 30-day postoperative infection rate. Secondary outcomes...
With an increasingly aging population, adult spinal deformity is becoming more common. This can be associated with increased morbidity. Results from multicentre studies of surgery correction confirm complication rates as high 40 percent. Most often a bad result inadequate restoration the sagittal balance. Posterior vertebral body resection has been described method to correct significant deformity, but this complicated procedure. It possible do in thoracic spine where nerve roots sacrificed,...
Abstract Background Microbiological diagnosis of prosthetic joint infection (PJI) relies on culture techniques that are slow and insensitive. Rapid tests urgently required to improve patient management. Calprotectin is a neutrophil biomarker inflammation has been demonstrated be effective for the PJI. A calprotectin based lateral flow test developed rapid detection PJI using synovial fluid samples. Methods convenience series 69 samples from patients at Norfolk Norwich University Hospitals...
Abstract Background: DRE is an important skill across a variety of medical and surgical specialties. Previous research has shown that structured teaching practice on mannequins benefit when the to students. The current literature does not demonstrate any into post-graduate assessment doctors. Methods: New core trainees from within Health Education East England school attended regional induction day, which included clinical skills circuit. One station focussed DRE, where participants were...