A5071489949- Shoulder Injury and Treatment
- Elbow and Forearm Trauma Treatment
- Orthopedic Surgery and Rehabilitation
- Hip disorders and treatments
- Bone fractures and treatments
- Orthopedic Infections and Treatments
- Sports injuries and prevention
- Trauma and Emergency Care Studies
- Nutrition and Health in Aging
- Frailty in Older Adults
- Shoulder and Clavicle Injuries
- Esophageal Cancer Research and Treatment
- Tendon Structure and Treatment
- COVID-19 and healthcare impacts
Wrightington Hospital
2019-2025
Versus Arthritis
2023-2025
University of Manchester
2023-2025
Manchester Academic Health Science Centre
2023-2025
Wrightington, Wigan and Leigh NHS Foundation Trust
2022-2024
University of Bristol
2024
South Tees Hospitals NHS Foundation Trust
2024
Wirral University Teaching Hospital NHS Foundation Trust
2022
Countess of Chester Hospital
2022
University of Liverpool
2022
Previous reports suggest that body composition parameters can be used to predict outcomes for patients with gastrointestinal (GI) cancers. However, evidence an association long-term survival is conflicting, much of the data derived from advanced disease. This study examined effect on in primary operable GI cancer. Patients resectable adenocarcinoma tract (esophagus, stomach, colon, rectum) between 2006 and 2014 were identified a prospective database. Computed tomography (CT) scans analyzed...
Elbow fracture dislocations are complex injuries that can provide a challenge for experienced surgeons. Current classifications fail to comprehensive system encompasses all of the elements and patterns seen in elbow dislocations.The commonly used dislocation reviewed three-column concept is described. This applied currently recognised injury literature on management algorithms.Current classification systems only describe one element injury, or include pattern dislocation. A new based...
Unreconstructible distal humerus fractures have been managed with total elbow replacement (TER), but there is increasing use of hemi-replacement (DHH). Pain has identified as the most important outcome by patients. This study aims to systematically review literature on reported pain outcomes in adult treated TER or DHH. Medline, Embase and Central were searched using OVID, from January 2000 September 2023, for studies adults undergoing DHH acute closed fractures. The primary was...
Aims The aim of this study was to review the provision total elbow arthroplasties (TEAs) in England, including incidence, characteristics patients and service providers, types implant, outcomes. Methods We analyzed primary TEAs recorded National Joint Registry (NJR) between April 2012 December 2022, with mortality data from Civil Registration Deaths dataset. Linkage Hospital Episode Statistics-Admitted Patient Care (HES-APC) provided further information not collected by NJR. incidences were...
Aims The Wrightington classification system of fracture-dislocations the elbow divides these injuries into six subtypes depending on involvement coronoid and radial head. aim this study was to assess reliability reproducibility system. Methods This a blinded using radiographs CT scans 48 consecutive patients managed according between 2010 2018. Four trauma orthopaedic consultants, two post CCT fellows, one speciality registrar based in UK classified injuries. seven observers reviewed...
Abstract: Obtaining a successful outcome following significant elbow injury can be challenging for even the most experienced specialist. What is clear that suboptimal management has high chance of disappointing with pain, stiffness, instability, and loss function all commonly seen. This review will discuss pathoanatomy principles both simple fracture dislocations as well resulting chronic instability. Emphasis placed on concept prompt assessment, early restoration stability by appropriate...
Arthroplasties of the elbow, including total elbow arthroplasty, radial head distal humeral hemiarthroplasty, and radiocapitellar are rarely undertaken. This scoping review aims to outline current research in this area inform development future research.A was undertaken adhering Joanna Briggs Institute guidelines using Medline, Embase, CENTRAL, trial registries, limited studies published between 1 January 1990 7 February 2021. Endnote software used for screening selection, included...
This article provides a guidance summary for the management of lateral elbow tendinopathy (LET) using Grading Recommendations Assessment, Development, and Evaluation (GRADE) system rating quality literature grading strength available evidence. The process began by assembling guideline development group volunteers including orthopaedic surgeons, trainees, physiotherapists, rheumatologists, radiologists patients. Virtual meetings were organised to set out explicit PICO questions, specification...
Olecranon fractures account for 10% of all elbow and are more likely to result from a low-energy injury. A displaced fracture with stable ulnohumeral joint (Mayo type 2) is the most common injury.The management an isolated olecranon based on patient factors (age, functional demand, if medically fit undergo surgery) characteristics including displacement, fragmentation, stability.Nonoperative can be successfully used in undisplaced 1) frail patients lower demands.Patients without significant...
Primary total elbow replacement (TER) services in England are being restructured with the goal of centralising care to specialised centres. It is important monitor impact this service redesign. This protocol outlines an intended analysis provide detailed descriptions patients who receiving primary TER, where and by whom TER performed, what current surgical practices for before reconfiguration.
Background This study aims to review the functional outcomes of patients managed by application Wrightington elbow fracture-dislocation classification system and its corresponding management algorithms. Methods is a retrospective consecutive case series over age 16 with an according classification. The primary outcome was Mayo Elbow Performance Score (MEPS) at last follow-up. Range movement (ROM) complications were collected as secondary outcome. Results Sixty qualified for inclusion (32...
<title>Abstract</title> <bold>Introduction</bold> Primary total elbow replacement (TER) services in England are being restructured with the goal of centralising care to specialised centres. It is important monitor impact this service redesign. Therefore, study aims provide detailed descriptions patients who receiving primary TER surgery, where and by whom surgery performed, what current surgical practices for before reconfiguration. <bold>Methods</bold> This analysis will use National Joint...
Aims The aim of this audit was to assess and improve the completeness accuracy National Joint Registry (NJR) dataset for arthroplasty elbow. Methods It performed in two phases. In Phase 1, assessed by comparing NJR elbow with NHS England Hospital Episode Statistics (HES) data between April 2012 2020. order data, components each recorded were compared type which recorded. 2, a national collaborative undertaken evaluate reasons unmatched add missing arthroplasties, recording inaccurate...
The aim of this study is to review the functional outcomes patients managed by application Wrightington Elbow Fracture Dislocation classification system and its corresponding management algorithm. fracture dislocations are complex injuries that can provide a challenge for experienced surgeons. Current classifications fail comprehensive encompasses all elements patterns seen in elbow dislocations. This retrospective case series (operatively managed) adult with presenting period from 1st May...