A5056614359- Hip disorders and treatments
- Orthopaedic implants and arthroplasty
- Total Knee Arthroplasty Outcomes
- Shoulder Injury and Treatment
- Hip and Femur Fractures
- Musculoskeletal synovial abnormalities and treatments
- Bone fractures and treatments
- Orthopedic Infections and Treatments
- Lower Extremity Biomechanics and Pathologies
- Infectious Diseases and Tuberculosis
- Pelvic and Acetabular Injuries
- Infective Endocarditis Diagnosis and Management
- Knee injuries and reconstruction techniques
- Musculoskeletal Disorders and Rehabilitation
- Cardiac, Anesthesia and Surgical Outcomes
- Cardiac Valve Diseases and Treatments
- Streptococcal Infections and Treatments
- Hemostasis and retained surgical items
- Radiology practices and education
- Veterinary medicine and infectious diseases
- Blood transfusion and management
- Bone Metabolism and Diseases
- Behavioral Health and Interventions
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Bone health and treatments
Royal Berkshire NHS Foundation Trust
2015-2025
University College London Hospitals NHS Foundation Trust
2025
University College London
2025
Reading Museum
2019-2025
Universidade Lusófona
2024
Unidade Hospitalar de Bragança
2023
Royal Berkshire Hospital
2013-2023
Universidade de Pernambuco
2023
St Vincent’s Private Hospital Sydney
2022
Addenbrooke's Hospital
2022
Abstract Objective To compare arthroscopic hip surgery with physiotherapy and activity modification for improving patient reported outcome measures in patients symptomatic femoroacetabular impingement (FAI). Design Two group parallel, assessor blinded, pragmatic randomised controlled trial. Setting Secondary tertiary care centres across seven NHS England sites. Participants 222 participants aged 18 to 60 years FAI confirmed clinically imaging (radiography or magnetic resonance imaging) were...
Introduction Hip arthroscopy is increasingly adopted for the treatment of intra-articular and extra-articular pathologies. Studies from USA demonstrate a 365% increase in number procedures performed between 2004 2009 250% 2007 2011. There limited evidence long-term efficacy this procedure hip not universally funded across England. The aim study to describe temporal trends adoption England 2002 2013 forecast next 10 years. Methods A search Hospital Episodes Database was all codes describing...
The Gamma nail is frequently used in unstable peri-trochanteric hip fractures. We hypothesised that mechanical failure of the was associated with inadequate proximal three-point fixation. identified a consecutive series 299 nails implanted patients over five-year period, 223 whom fulfilled our inclusion criteria for investigation. included 61 men and 162 women mean age 81 years (20 to 101). Their fractures were classified according Modified Evans' classification quality fracture reduction...
Results from recent randomised controlled trials demonstrate the superiority of surgery over physiotherapy in patients with femoroacetabular impingement (FAI) hip early follow-up. However, there is paucity evidence regarding which factors influence outcomes FAI surgery, particularly notable lack information on effect subtype (cam or pincer mixed) patient reported measures (PROMs). This study aims to evaluate arthroscopy for FAI, and their determinants.This a retrospective analysis...
Abstract The aim of this study was to compare outcomes between anteverting proximal femoral osteotomy (APFO) and periacetabular (APAO) for femoroacetabular impingement syndrome (FAIS) due combined acetabular retroversion (ARV) retrotorsion (FRT). We also compared these with hip arthroscopy (HA) FAIS without ARV or FRT. Twelve patients FRT underwent either APAO (six) APFO at two centres. A control group 24 HA version abnormality. Outcome measures included various scores, time radiological...
Aims Hip hemiarthroplasty is a common procedure in the treatment of intracapsular displaced femoral neck fractures. Modular hemiarthroplasties have separate stem, neck, and head component which gives surgeon more combinations to try accurately recreate patient’s original hip geometry. Despite regular use, little known regarding susceptibility metal-on-metal debris wear this specific situation. Methods This single-centre, two-year prospective cohort study aimed characterize vivo associated...
Femoroacetabular Junction Impingement (FAI) describes abnormalities in the shape of femoral head-neck junction, or orientation acetabulum. In short term, FAI can give rise to pain and disability, long-term it significantly increases risk developing osteoarthritis. The Trial (FAIT) aims determine whether operative non-operative intervention is more effective at improving symptoms preventing development progression osteoarthritis.FAIT a multicentre superiority parallel two-arm randomised...
National Institute of Clinical Excellence guidelines state that cemented stems with an Orthopaedic Data Evaluation Panel (ODEP) rating > 3B should be used for hemiarthroplasty when treating intracapsular fracture the femoral neck. These recommendations are based on studies in which most, if not all stems, did hold such a rating. This case-control study compared outcome using (Exeter) or uncemented (Corail) stem. two prostheses most commonly hip arthroplasty UK. were obtained from centres;...
Background: Periacetabular osteotomy (PAO) is a well-recognized procedure for the treatment of hip dysplasia in young adults and can be used surgical management femoroacetabular impingement (FAI) with acetabular retroversion. The aim this study was to use national database assess outcomes PAO developmental (DDH) FAI. Methods: All patients whom an isolated had been performed between January 2012 February 2019 were identified Non-Arthroplasty Hip Registry (NAHR). Their assessed using EuroQol-5...
Objectives The number of surgical procedures performed each year to treat femoroacetabular impingement (FAI) continues rise. Although there is evidence that surgery can improve symptoms in the short-term, no it slows development osteoarthritis (OA). We a feasibility study determine whether patient and surgeon opinion was permissive for Randomised Controlled Trial (RCT) comparing operative with non-operative treatment FAI. Methods Surgeon obtained using validated questionnaires at Specialist...
Background: The role of hip arthroscopic surgery in dysplasia is controversial. Purpose: To determine the 7-year joint preservation rate after and identify anatomic intraoperative features that predict success with surgery, allowing formulation an evidence-based classification system. Study Design: Case-control study; Level evidence, 3. Methods: Between 2008 2013, 111 hips dysplastic (acetabular index [AI] >10° and/or lateral center-edge angle [LCEA] <25°) underwent were identified....
The integration of 'Registry-based Randomised Control Trials' (RRCT) into national registries has the potential to catalyse prospective research, enhancing evidence base for practice. aim this study was assess feasibility embedding a trial within UK Non-Arthroplasty Hip Registry. This observational, multi-centre study. Six pilot sites were provided with additional support data collection. We compared ability these collect centres where no provided. collected information on patient...
Femoroacetabular impingement (FAI) is a pathological hip condition characterised by abnormal contact between the acetabulum and femoral head–neck junction.1 This can occur within normal physiological range of motion as result osseous abnormalities described either cam or pincer deformities. Cam deformities describe an anterosuperior junction, whereas in shape orientation (Figure 1). Some patients have both deformities, designated mixed pathology.2 Impingement also morphologically extreme...
This matched cohort study aims to determine whether the presence of a spinal arthrodesis (SA) compromises outcome total hip arthroplasty (THA) and is better if THA performed before- (THA-1st) or after- SA (THA-2nd).This single centre, multi-surgeon, review prospective data. Thirty-seven patients (47 hips) that had 1° THA(s), formed cases (26 THA-1st; 21 THA-2nd). Most 1-level (n = 24). Controls were without THA, over same period for age, gender prosthesis type. Outcome measures included...
Abstract Several theoretical frameworks have been used to understand exercise adherence. Basic psychological needs (BPN), grounded on self‐determination theory, received large attention for this purpose. More recently, the hedonic theory and assumptions related characteristics (e.g., intensity) that can bolster positive affective responses revitalized. This study aimed explore associations between agreement of current intensity one individually preferred, BPN satisfaction/frustration,...
The National Institute for Health and Clinical Excellence (NICE) guidelines from 2011 recommend the use of cemented hemi-arthroplasty appropriate patients with an intracapsular hip fracture. In our institution all who were admitted fracture suitable a between April 2010 July 2012 received uncemented prosthesis according to established departmental routine practice. A retrospective analysis outcome was performed establish whether continued stem justified. Patient, surgical data collected on...
We aimed to identify factors such as pre-arthroscopy and intra-operative variables that were associated with failure of hip arthroscopy a joint preserving operation. performed retrospective analysis database containing 344 consecutive arthroscopies at our institution. Forty-four hips identified underwent subsequent arthroplasty procedure following their (cases). Sixty-six control (hip no arthroplasty) randomly selected from the same database. Cases controls matched for age, sex follow-up (P...