- Bone fractures and treatments
- Hip and Femur Fractures
- Orthopaedic implants and arthroplasty
- Orthopedic Surgery and Rehabilitation
- Shoulder Injury and Treatment
- Shoulder and Clavicle Injuries
- Hip disorders and treatments
- Pelvic and Acetabular Injuries
- Bone health and osteoporosis research
- Anatomy and Medical Technology
- Innovations in Medical Education
- Structural Behavior of Reinforced Concrete
- Medical Malpractice and Liability Issues
- Clinical Reasoning and Diagnostic Skills
- Mechanical Failure Analysis and Simulation
- History of Medical Practice
- Engineering Structural Analysis Methods
- Mechanical Engineering and Vibrations Research
- Problem and Project Based Learning
- Trauma and Emergency Care Studies
- Abdominal Trauma and Injuries
- Digital Imaging in Medicine
- Spinal Fractures and Fixation Techniques
- Surgical Simulation and Training
- Total Knee Arthroplasty Outcomes
University of Bath
2018-2025
Bristol Royal Infirmary
2021-2024
University of North Florida
2024
AO Foundation
2019-2023
East Carolina University
2023
University of Central Arkansas
2022
At Bristol
2019
Health Education England
2018
Musgrove Park Hospital
2016
Weston General Hospital
2014
IntroductionDue to their hypocoagulable state on presentation, anticoagulated patients with femoral fragility fractures typically experience delays surgery. There are no large, multicentre studies previously carried out within the United Kingdom (UK) evaluating impact of anticoagulant use in this patient population. This study aimed evaluate current epidemiology and compare perioperative management non-anticoagulated fracture patients.MethodsData was prospectively collected through a...
Abstract Orthopaedic research necessitates accurate and reliable models of human bone to enable biomechanical discoveries translation into clinical scenarios. Juvenile bovine is postulated be a potential model normal given its dimensions comparatively reduced ethical restrictions. Demineralisation techniques can reduce density alter properties, methods osteoporotic using demineralised juvenile are investigated. long bones were quantitatively CT scanned assess density. hydrochloric acid (0.6,...
ABSTRACT Multifragmented proximal humeral fractures frequently require operative fixation. The locking plates commonly used are often placed relative to the greater tuberosity, however no quantitative data exists regarding effect of positional changes. aim study was establish effects from variations in proximal‐distal PHILOS plate positioning on predicted fixation failure risk. Twenty‐one left‐sided low‐density virtual humeri models were created with a simulation framework CT elderly donors...
Abstract Despite bone screws being the most commonly inserted implant in orthopaedic surgery, 10% of fracture fixation failure is a result screw migration or pullout. In this study, effect four auxetic structures on pullout performance novel unthreaded fastener was investigated through experiments and numerical simulations. The fasteners included re-entrant, rotating squares, missing rib, tetrachiral structures. Parametric CAD models were developed for each, polymer samples manufactured...
Fixation of osteoporotic proximal humerus fractures remains challenging even with state-of-the-art locking plates. Despite the demonstrated biomechanical benefit screw tip augmentation bone cement, clinical findings have remained unclear, potentially as optimal combinations are unknown. The aim this study was to systematically evaluate benefits options in a humeral plate using finite element analysis (FEA).A total 64 cement configurations were analyzed six screws virtually fix unstable...
Introduction Traditional medical school curricula rely on textbook-based learning during the first two years, often limiting students' clinical exposure. Simulation-based (SBL) provides an opportunity for students to gain exposure and competency with common procedures as well knowledge related topics. Retention of factual is a current topic discussion learners have difficulty long-term retention. The aim this study was assess if would learn, retain, enjoy emergency medicine (EM)-focused SBL....
Pelvic injuries are common in high energy trauma. It is now a standard practice to reduce the potential space for haemorrhage with use of pelvic binders and slings resuscitative scenario as this has been shown mortality. Most trauma centres have CT based protocols so that alongside increased awareness injuries, there higher detection rate fractures.
Aims To devise a method to quantify and optimize tightness when inserting cortical screws, based on bone characterization screw geometry. Methods Cortical human cadaveric diaphyseal tibiae holes (n = 20) underwent destructive testing firstly establish the relationship between thickness experimental stripping torque (T str ), secondly calibrate an equation predict T . Using equation’s predictions, 3.5 mm screws were inserted 66) targeted torques representing 40% 100% of , with recording...
(1) Background: Unstable meta-diaphyseal tibial fractures represent a heterogeneous group of injuries. Recently, good clinical results have been reported when applying technique externalized locked plating in appropriate cases, highlighting its advantage terms less additional tissue injury compared with conventional methods fracture fixation. The aims this prospective cohort study were, firstly, to investigate the biomechanical and feasibility and, secondly, evaluate functional outcomes...
Volume indices and left ventricular ejection fraction (LVEF) are routinely used to assess cardiac function. Ventricular strain values may provide additional diagnostic information, but their reproducibility is unclear. This study therefore compares the repeatability of volumes, volume fraction, regional strains, derived from cardiovascular magnetic resonance (CMR) imaging, across three software packages between readers.
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Abstract Background Screws are the most frequently inserted orthopaedic implants. Biomechanical, laboratory-based studies used to provide a controlled environment investigate revolutionary and evolutionary improvements in techniques. Predominantly, biomechanical trained, non-surgically practicing researchers perform these studies, whilst it will be surgeons who put procedures into practice on patients. Limited data exist comparative performance of surgically trained when inserting screws....
Introduction and Review of the Literature. Experiential learning (EL) is an instructional method that increasingly being used to teach Doctor Physical Therapy (DPT) pediatric content. However, there remains a paucity research describing student outcomes resulting from EL courses compared with traditional instruction-based courses. The purpose this study was evaluate change in perceived clinical reasoning self-efficacy experienced by DPT students same program who completed either high (at...