- Total Knee Arthroplasty Outcomes
- Diabetic Foot Ulcer Assessment and Management
- Orthopaedic implants and arthroplasty
- Wound Healing and Treatments
- Orthopedic Infections and Treatments
- Orthopedic Surgery and Rehabilitation
- Knee injuries and reconstruction techniques
- Pressure Ulcer Prevention and Management
- Peripheral Artery Disease Management
- Venous Thromboembolism Diagnosis and Management
- Vascular Procedures and Complications
- Acute Myocardial Infarction Research
- Skin Diseases and Diabetes
- Patient-Provider Communication in Healthcare
- Reconstructive Surgery and Microvascular Techniques
- Spinal Fractures and Fixation Techniques
- Musculoskeletal Disorders and Rehabilitation
- Vascular Malformations Diagnosis and Treatment
- Dental Education, Practice, Research
- Neurofibromatosis and Schwannoma Cases
- Pain Management and Opioid Use
- Crime, Illicit Activities, and Governance
- Inflammatory Myopathies and Dermatomyositis
- Migration, Refugees, and Integration
- Opioid Use Disorder Treatment
Sydney Local Health District
2024-2025
Royal Prince Alfred Hospital
2010-2024
Australian Diabetes Society
2012-2013
North Shore Hospital
1997
Horsley Medical Practice
1997
Royal North Shore Hospital
1997
St. Leonards Hospital
1997
Importance There remains a lack of randomized trials investigating aspirin monotherapy for symptomatic venous thromboembolism (VTE) prophylaxis following total hip arthroplasty (THA) or knee (TKA). Objective To determine whether was noninferior to enoxaparin in preventing VTE after THA TKA. Design, Setting, and Participants Cluster-randomized, crossover, registry-nested trial across 31 hospitals Australia. Clusters were performing greater than 250 TKA procedures annually. Patients (aged ≥18...
Pressure offloading treatment is critical for healing diabetes-related foot ulcers (DFU). Yet the 2011 Australian DFU guidelines regarding are outdated. A national expert panel aimed to develop a new guideline on people with by adapting international that have been assessed as suitable adapt context.
Appropriate assessment and management of diabetes-related foot ulcers (DRFUs) is essential to reduce amputation risk. Management requires debridement, wound dressing, pressure off-loading, good glycaemic control potentially antibiotic therapy vascular intervention. As a minimum, all DRFUs should be managed by doctor podiatrist and/or care nurse. Health professionals unable provide appropriate for people with promptly refer individuals the requisite knowledge skills. Indicators immediate...
Study Design This report describes presumed traction-induced rupture of a vertebral artery aneurysm in patient with neurofibromatosis Type I. Objective To draw attention to the need for preoperative arteriography surgical management severe cervical kyphosis neurofibromatosis. Summary Background Data Aneurysmal dilatation is rare but well-documented manifestation The complication lesion has not been described previously. Methods clinical features reported 56-year-old woman are detailed....
Abstract Background Owing to its association with prosthetic joint infection, persistent wound drainage has become an important clinical entity after THA or TKA. The between venous thromboembolism (VTE) prophylaxis and not been extensively reported before but potentially implications. Questions/purposes (1) Is the type of VTE (enoxaparin aspirin) used hip arthroplasty knee associated a higher risk drainage? (2) In patients who experience drainage, is longer time taken achieve dry wound? (3)...
Knee arthroplasty is a high-risk, resource-intensive procedure that should be reserved for patients in whom the benefit will outweigh risks. The provision of high-quality, publicly available decision aids can help to balance benefits against harms treatments and assist informed decision-making. aim this study was identify evaluate content readability freely knee aids.A systematic search using an environmental scan methodology online materials performed December 2018. Included were assessed...
Importance Ischemic heart disease remains the leading cause of mortality following hip and knee arthroplasty. Due to its antiplatelet cardioprotective properties, aspirin has been proposed as an agent that could reduce when used venous thromboembolism (VTE) prophylaxis these procedures. Objective To compare with enoxaparin in reducing 90-day for patients undergoing or arthroplasty Design, Setting, Participants This study was a planned secondary analysis CRISTAL cluster randomized, crossover,...
Abstract Background To formulate a hierarchy of primary goals patients prior to total knee arthroplasty (TKA) and evaluate the agreement between health professionals regarding this patient goals. Methods The five most important for each 110 consecutive booked June October 2019 were identified. Goals grouped into themes then formulated. This was randomized provided 94 professionals, including orthopaedic surgeons ( n = 49), rheumatologists 16), physiotherapists 16) general practitioners 13)....
We discuss the case of patient who suffered a profunda femoris artery branch pseudoaneurysm following total hip arthroplasty. Such an injury is rare and particularly unusual in anterolateral approach to hip. Adding diagnostic difficulty was timing presentation occurring subacute rather than acute post-operative period. The remained hemodynamically stable throughout. However, failure note clues this complication can pose catastrophic consequences patient.
Introduction Most simple undisplaced fractures can be managed without surgery by immobilising the limb with a splint, prescribing medication for pain, and providing advice early rehabilitation. Recent systematic reviews based on retrospective observational studies have reported that virtual fracture clinics deliver follow-up care is safe cost-effective. However, no randomised controlled trial has investigated if clinic provide non-inferior physical function outcomes compared an in-person...
<title>Abstract</title> Purpose As uptake of robotic-assisted arthroplasty increases there is a need for economic evaluation the implementation and ongoing costs associated with robotic surgery. The aims this study were to describe in-hospital cost total knee (RA-TKA) unicompartmental (RA-UKA) determine influence patient characteristics surgical outcomes on cost. Methods This prospective cohort included adult patients (≥ 18 years) undergoing primary unilateral RA-TKA RA-UKA, at tertiary...
Abstract Background Total knee arthroplasty (TKA) is a common procedure employed to treat end-stage osteoarthritis. While TKA generally believed have acceptable outcomes, many patients report pain or functional deficits not in line with their expectation following the procedure. It has been postulated that patient’s pre-operative expectations regarding post-operative treatment outcomes play significant role satisfaction. therefore important assess if of surgery truly align individual...