A5054192573- Surgical Simulation and Training
- Pelvic and Acetabular Injuries
- Hip and Femur Fractures
- Shoulder Injury and Treatment
- COVID-19 and healthcare impacts
- Anatomy and Medical Technology
- Cardiac, Anesthesia and Surgical Outcomes
- Trauma and Emergency Care Studies
- Innovations in Medical Education
- Hospital Admissions and Outcomes
- Orthopedic Infections and Treatments
- Total Knee Arthroplasty Outcomes
- Spinal Fractures and Fixation Techniques
- Orthopaedic implants and arthroplasty
- Shoulder and Clavicle Injuries
- Bone fractures and treatments
- Simulation-Based Education in Healthcare
- Spine and Intervertebral Disc Pathology
- Health Systems, Economic Evaluations, Quality of Life
- Medical and Biological Sciences
- Orthopedic Surgery and Rehabilitation
- Foot and Ankle Surgery
- Lower Extremity Biomechanics and Pathologies
- Nerve Injury and Rehabilitation
- Healthcare cost, quality, practices
Imperial College London
2015-2025
University College London
2018-2025
Royal National Orthopaedic Hospital
2018-2025
Imperial College Healthcare NHS Trust
2020-2024
St Mary's Hospital
2020-2024
Colchester Hospital
2024
The Royal Free Hospital
2024
Royal Free London NHS Foundation Trust
2024
St. Mary's Hospital
2024
Health Data Research UK
2022-2023
Background and purpose — The COVID-19 pandemic has been recognized as an unprecedented global health crisis. This is the first observational study to evaluate its impact on orthopedic workload in a London level 1 trauma center (i.e., major [MTC]) before (2019) during (2020) "golden month" post-COVID-19 lockdown. Patients methods We performed longitudi- nal prevalence of both acute referrals, operative anesthetic casemix for "golden" month from March 17, 2020. compared data with same period...
Background and purpose — The COVID-19 pandemic has been recognised as an unprecedented global health crisis. This study assesses the impact on a large acute paediatric hospital service in London, evaluating trends orthopaedic trauma referral caseload operative casemix before (2019) during (2020) lockdown. Patients methods A longitudinal retrospec- tive observational prevalence of both referrals was per- formed for first 6 "golden weeks" These data were compared with same period 2019....
Virtual-reality (VR) simulation in orthopedic training is still its infancy, and much of the work has been focused on arthroscopy. We evaluated construct validity a new VR trauma simulator for performing dynamic hip screw (DHS) fixation trochanteric femoral fracture.30 volunteers were divided into 3 groups according to number postgraduate (PG) years amount clinical experience: novice (1-4 PG years; less than 10 DHS procedures); intermediate (5-12 10-100 expert (> 12 > 100 procedures). Each...
Background and purpose — Virtual reality (VR) simulation offers a safe, controlled, effective environment to complement training but requires extensive validation before it can be implemented within the curriculum. The main objective was assess whether VR dynamic hip screw (DHS) has effect improve performance metrics. Patients methods 52 surgical trainees who were naïve DHS procedures randomized 2 groups: group, which had 5 attempts, control only one attempt. After 1 week, both cohorts...
Objective This is the first British multicentre study observing impact of COVID-19 pandemic on orthopaedic trauma with respect to referrals, operative caseload and mortality during its peak. Design A longitudinal, multicentre, retrospective, observational, cohort was conducted peak 6 weeks wave from 17 March 2020 compared same period in 2019. Setting Hospitals six major urban cities were recruited around UK, including London. Participants total 4840 clinical encounters initially recorded....
Background: Virtual-reality and cadaveric simulations are expensive not readily accessible. Innovative accessible training adjuncts required to help meet needs. Cognitive task analysis has been used extensively train pilots in other surgical specialties. However, the use of cognitive analyses within orthopaedics is its infancy. The purpose this study was evaluate effectiveness a novel tool novice surgeons diagnostic knee arthroscopy high-fidelity, phantom-limb simulation. Methods: Three...
Simulation allows training without posing risk to patient safety. It has developed in response the demand for safety and reduced times surgeons. Whilst there is an increasing role of simulation orthopaedic training, perception patients general public this novel method yet unknown. Patients were given opportunity perform a diagnostic knee arthroscopy on virtual reality ARTHRO Mentor simulator. After their practice session, participants answered validated questionnaire based 5-point Likert...
The aim of this study was to describe the presentation patients with ruptured abdominal aortic aneurysm (rAAA) and identify factors contributing toward misdiagnosis.This an observational cases a final diagnosis rAAA assessed at nine Emergency Departments managed one two regional vascular centres in UK.Eighty-five consecutive were included. Seventeen [20.0%, 95% confidence interval (CI) 11.5-28.5%] reported important symptoms up 3 weeks before index presentation. In Department, most...
Background and purpose — Cognitive task analysis (CTA) has been used extensively to train pilots in other surgical specialties. However, the use of CTA within orthopedics is its infancy. We evaluated effectiveness a novel tool improve understanding procedural steps antegrade femoral intramedullary nailing.Material methods Design: A modified Delphi technique was generate from 3 expert orthopedic trauma surgeons for nailing. The written audiovisual information combined describe technical...
Background: FluoroSim, a novel fluoroscopic simulator, can be used to practice dynamic hip screw (DHS) guidewire insertion in high-fidelity clinical scenario. Our aim was demonstrate training effect undergraduate medical students who are not familiar with this operation and its simulation. Methods: Forty-five were recruited randomized either (n = 23) or control 22) cohorts. The cohort had more exposure FluoroSim (5 attempts each week) over 2-week period (with 1-week washout between) compared...
Background and purpose - Simulation is an adjunct to surgical education. However, nothing can accurately simulate fluoroscopic procedures in orthopedic trauma. Current options for training with fluoroscopy are either intraoperative, which risks radiation, or use of expensive unrealistic virtual reality simulators. We introduce FluoroSim, inexpensive digital simulator without the need radiation. Patients methods This was a multicenter study 26 surgeons everyone completed 1 attempt at...
Introduction Previous studies have suggested that there is a positive correlation between the extent of video gaming and efficiency surgical skill acquisition on laparoscopic endovascular simulators amongst trainees. However, link orthopaedic trauma simulation remains unexamined, in particular dynamic hip screw (DHS) stimulation. Objective To assess effect prior experience virtual-reality (VR) haptic-enabled DHS simulator performance. Methods 38 medical students, naïve to VR simulation, were...
Background: Biomedical teaching has been revolutionized through multimedia and global collaboration. In a joint effort between Argentina the UK, Virtual Laboratory created for morphological topics interactively pertaining to cell biology, histology embryology intended Health Science students at National University of Cordoba, Argentina. Aim: To observe whether online resource changed attitudes student-users offers suitable replacement traditional laboratory work. Methods: Through central...