- Orthopedic Surgery and Rehabilitation
- Hip disorders and treatments
- Shoulder Injury and Treatment
- Hip and Femur Fractures
- Periodontal Regeneration and Treatments
- Elbow and Forearm Trauma Treatment
- Orthopaedic implants and arthroplasty
- Bone fractures and treatments
- Cardiac, Anesthesia and Surgical Outcomes
- Musculoskeletal synovial abnormalities and treatments
- Medical Malpractice and Liability Issues
- Botulinum Toxin and Related Neurological Disorders
- Infectious Diseases and Tuberculosis
- Diagnosis and treatment of tuberculosis
- Total Knee Arthroplasty Outcomes
- Orthopedic Infections and Treatments
- Tuberculosis Research and Epidemiology
- Cardiac Valve Diseases and Treatments
- Pelvic and Acetabular Injuries
- COVID-19 and healthcare impacts
- Facial Rejuvenation and Surgery Techniques
- Gynecological conditions and treatments
- Veterinary Medicine and Surgery
- Fluoride Effects and Removal
- Neurogenetic and Muscular Disorders Research
Health Education North West
2021-2025
National Health Service
2023
South Tyneside and Sunderland NHS Foundation Trust
2020-2023
James Cook University Hospital
2022
North Cumbria Integrated Care NHS Foundation Trust
2022
Gateshead Health NHS Foundation Trust
2022
Raigmore Hospital
2020
Northumbria Healthcare NHS Foundation Trust
2017-2019
Royal Derby Hospital
2015-2019
Ajloun National University
2019
Greater trochanteric pain syndrome (GTPS) is a painful condition that can impair patient's quality of life. If nonoperative measures fail, progressively more invasive treatment options may be required. This clinical trial aimed to evaluate the effectiveness ultrasound-guided leukocyte-rich platelet-rich plasma (LR-PRP) injections in refractory GTPS caused by bursitis and/or gluteal tendinopathy. An ethically approved, adequately powered, double-blinded randomized controlled (RCT) was...
Abstract Objective —To determine radiographic reference limits for cardiac width (CW) in peregrine falcons. Design —Retrospective cross-sectional study. Animals —100 Procedures —CW, thoracic (TW), and sternal (SW) were measured at the level of maximum CW on ventrodorsal radiographs 64 Ratios CW:TW CW:SW compared between positive pressure insufflation (PPI) standard 6 A hypothesis most accurate predictor was formulated validated a new set 36 Results —PPI had significantly lower ratio than did...
Acquired digital fibrokeratoma is an uncommon, benign fibrous tumour that usually occurs in adults as a solitary lesion with typical size of less than 1cm.
Background: Incidence of infection following total elbow replacement (TER) is recognised to be higher compared hip or knee arthroplasty. Extensive swelling TER can complicate the wound healing which might lead infection. Tranexamic Acid (TXA) proven reduce blood loss peri-operatively contribute better outcomes. Our aim assess effect TXA in TER. Methods: A retrospective review a single surgeon case series. 10 patients had mainly for complicated fractures, four them were relatively...
Background: Ultrasonography is widely utilized by emergency physicians and radiologists to diagnose various orthopaedic diseases, including fractures.We aim derive a definitive estimate of the diagnostic accuracy ultrasonography in clinically suspected scaphoid fractures.Methods: We undertook systematic review meta-analysis included cohort studies that discussed use diagnosis occult searched National Institute for Health Care Excellence database using Healthcare Databases Advanced Search...
Greater trochanteric pain syndrome (GTPS) is a painful condition characterised by around the greater trochanter usually affecting middle-aged women. The majority of patients will improve with conservative management such as physiotherapy and non-steroidal anti-inflammatory drugs (NSAIDs); however, if this fails then more invasive treatments including corticosteroid injections surgery may be required. Platelet-rich plasma (PRP) an autologous blood product, which has higher concentration...
A nightstick fracture is an isolated of the ulnar shaft. Although operative and non-operative treatments have been commonly decided by degree displacement fracture, still there a controversy specially in those moderately displaced. Herein we report our experience with fractures.To evaluate treatment fracture.We retrospectively reviewed clinical notes, physiotherapy letters radiographs 52 patients shaft fractures. Outcome Measurements included radiographic healing, post-operative range motion...
Abstract Background Despite multiple published reviews, the optimum method of correction and stabilisation Blount’s disease remains controversial. The purpose this study is to evaluate clinical radiological outcomes acute late-onset tibial vara by percutaneous proximal osteotomy with circular external fixation using two simple rings. Weighing up pros cons establish if would be choice in similar severe cases especially a context limited resources. Methods This was conducted between November...
Background: Infection rates after total ankle replacement (TAR) are known to be greater than those hip or knee arthroplasty. Swelling TAR can make wound healing more difficult, which lead infection. Tranexamic acid (TXA) has been shown minimize blood loss surgery, improving outcomes. We aim assess the effect of TXA on and complications in TAR. Methods: The research looked retrospectively at patients who had procedures between September 2014 December 2019. were done using anterior approach a...
to report and evaluate the functional outcome of plate fixation in comminuted olecranon fractures (Mayo types IIB IIIB).23 consecutive patients with presenting our unit Between Feb 2011 Jan 2015, at a mean follow-up thirty-six months. Main measurements include radiographic healing, post-operative range motion, complications, score patient satisfaction.Our study included thirteen females ten males age 55(18-97). Fourteen were Mayo type nine IIIB. Eighteen had no complications post-operatively...
Objectives and Study Design: The aim of this study was to retrospectively evaluate 45 patients operated upon either by posterior extensive circumferential decompression (PECD) or the lateral extracavitary (LEC) technique compare clinical, radiologic, laboratory, functional outcomes. Summary Background: debate continues on best decompression-fusion for treating complicated spinal tuberculosis. In recent times, advantages combined surgery have been successfully achieved using 1-stage salvage...
Achieving the hip fracture best practice tariff is associated with decreased mortality rates. The aim of this study to evaluate impact Covid-19 pandemic on achieving Best Practice Tariff.
Abstract Objective This study aimed to assess the mortality and influence of age, Abbreviated Mental Test (AMT) scores, American Society Anesthesiologists (ASA) grades on patients with dementia femoral neck fracture (FNF) at 30 days, 4 months, 1 year, 2 years after undergoing surgery. Methods Of 1296 admitted FNF, 180 had prefracture dementia. A retrospective these was carried out. The patient demographics, including sex, presence diabetes mellitus (DM), lipid profile, AMT score,...
Background:To evaluate the outcome of tension band wire fixation (TBW) olecranon fractures in terms bone union, surgical complications and return to theatre.Methods: We retrospectively studied clinical patient notes radiographs fifty-two patients who underwent TBW for between January 2011 2015, at an average follow-up 36 months.Results:This study included (thirty-six females sixteen males), with a mean age 54. All were treated by fixation. Thirty had no post-operatively good outcome. Sixteen...
Surgical approaches for the management of rheumatoid arthritis (RA) are directed towards alleviating pain, restoring function and preventing further joint deterioration. Surgery is proposed only when conservative measures have failed. Multiple been designated in early late disease. In this article, we reviewed literature one most common surgical procedure used treatment RA which synovectomy. A review was performed using automated computerized PubMed search, with keywords “rheumatoid...
To compare the short-term benefits and results of autologous conditioned plasma (ACP) hyaluronic acid (HA) injection in osteochondral defects knee young adults. The effectiveness intra-articular platelet-rich (PRP) injections has been evaluated osteoarthritis. However, few studies investigated its efficacy defects. This is a retrospective analysis prospectively collected data. A matched cohort 30 patients each group was studied. Group 1 received three HA at weekly intervals, 2 ACP two...
Introduction. Scaphotrapezial synostosis has been rarely reported in the literature and only one case underwent surgical treatment for scaphoid fracture. Presentation of Case. A 15-year-old male presented with a painful left wrist following fall. The initial radiographs showed displaced proximal pole fracture synostosis. was then fixed percutaneously satisfactory outcome. Discussion. synostoses are very rare most found patients multiple congenital anomalies or as part hereditary syndrome....
Background: Developmental dysplasia of the hip (DDH) is an abnormal alignment which may present at birth or develop later as child grows. Closed reduction with application a Spica cast one preferred methods treatment. The aim our study to assess success rate closed reduction, avascular necrosis, reasons for failure and suggest ways improve current practice.Methods: We retrospectively studied medical records all patients who underwent DDH Royal Derby Hospital, UK from October 2008 June 2014....