Objectives We aimed to improve patient access and understanding of information regarding rehabilitation post trauma using education videos (PEVs). Methods created 11 PEVs in the Trauma Orthopaedics Department at Croydon University Hospital which were uploaded Official Trust YouTube channel. Quick-response codes generated from corresponding links, then added posters leaflets (PILs). A survey on Microsoft Forms was PILs given patients clinic complete after watching videos. Results 36 patients,...

Objective: To evaluate the cost-effectiveness of different antibiotics in treating adult patients with community-acquired pneumonia (CAP). Methodology: This retrospective study analyzed 100 case sheets CAP admitted to Medical Centre between January 2024 and December 2024. The contained details on various administered both orally intravenously. most commonly used included azithromycin, ampicillin-sulbactam, levofloxacin, cefuroxime, amoxicillin-clavulanate. Intravenous showed a more...

Aims Elective orthopaedic services have had to adapt significant system-wide pressures since the emergence of COVID-19 in December 2019. Length stay is often recognized as a key marker quality care patients undergoing arthroplasty. Expeditious discharge establishing early rehabilitation and reducing infection risk, both procedure-related from COVID-19. The primary aim was determine effects pandemic length following hip knee arthroplasty at high-volume, elective centre. Methods A...

A 60-year-old woman with no medical history presented to the emergency department worsening knee pain after a short-haul flight.She had 2 year of intermittent left pain, made worse by crouching and lump at back her leg, which was gradually increasing in size.On examination, she found have 3×4 cm behind posterolateral aspect knee.The located subcutaneous plane, firm consistency, deep fascia mobile horizontal plane.It did not transilluminate fluctuant.No other lumps were palpable there distal...

Abstract Background With over 2.35 million records, the National Joint Registry (NJR) is largest arthroplasty registry in world. It provides a powerful tool to monitor implant survivorship and influence different surgical strategies. To date, little work has been undertaken investigate validity of ‘ Reason for Revision ’ recorded Consultant Outcome Reports on NJR. Methods The NJR was queried identify all revisions THR performed at single centre an 11-year period. Review validation each case...

Lumbar paraspinal muscle dysfunction and Low Back Pain are strongly correlated. The best treatment for non-specific is still controversial.To evaluate the efficacy of lumbar multifidus retraining exercises perifacet injections in Pain.63 patients with LBP, or without leg pain, magnetic resonance images degeneration only, were randomised to one three groups: A- education standard physiotherapy 10 weeks, B- gym ball exercise weeks C- Perifacet injection into methylprednisolone. Oswestry...

Ankle immobilization is often used after ankle injury.To determine the influence of 1 week's unilateral on plantar-flexor strength, balance, and walking gait in asymptomatic volunteers.Repeated-measures laboratory study.University laboratory.6 physically active male participants with no recent history lower-limb injury.Participants completed a 1-wk period achieved through wearing below-knee cast. Before cast was applied, as well immediately, 24 h, 48 h removal, their strength assessed...

Introduction: Hip fractures are a major cause of morbidity and mortality in the elderly. A new patient pathway was introduced our institution to facilitate rapid preoperative assessment, acute physician involvement early surgery for patients with hip fractures. We sought assess its impact on care outcomes. Materials Methods: Prospective audit 161 admitted proximal femoral fracture six months before (92 patients) after (69 implementation pathway. Data included: time orthogeriatric assessment...

To evaluate the inhibitory effect of ethanolic extract blackseed, seaweed, and calcium hydroxide intracanal medicament with Enterococcus faecalis biofilm. study binding interaction between active components blackseed seaweed against enterococcal surface protein (

The patella is the largest sesamoid bone in body and may have one (77%) or multiple (23%) ossification centres. Patellar patellofemoral joint abnormalities are a common cause of anterior knee pain but symptomatic bipartite an uncommon problem.We report series six cases painful synchondrosis patellae, all keen athletes following direct blow to aspect knee. A complete rupture with evidence retropatellar chondral separation was seen on MRI scan cases. Successful surgical fixation undertaken...

ABSTRACT In 2018, the International Society for Hip Preservation Surgery (ISHA) initiated a series of Delphi consensus studies to identify global hip preservation community’s current opinion on best practices different facets surgery. Arthroscopic procedures treat pathologies, such as femoroacetabular impingement syndrome (FAIS) are now established in mainstream orthopaedic practice. This study establishes recommendations investigation patients with suspected FAIS. The has focused three...

Venous thromboembolism (VTE) remains a significant complication following knee and hip arthroplasty. National international guidelines recommend pharmacological mechanical thromboprophylaxis surgery, unless contraindicated, to reduce the risk of VTE. This study aimed explore safety efficacy profile an adapted regimen consisting sequential enoxaparin rivaroxaban for or arthroplasty at London teaching hospital. A total 265 patients who received were included in study. Efficacy outcomes...

Hip preservation surgery is now an established part of orthopedic and sports medicine. This report describes the key findings 11th Annual Scientific Meeting International Society for Arthroscopy-the Preservation Society-in Madrid, Spain from 16 to 19 October 2019. Lectures, seminars debates explored most up-to-date expert views on a wide variety subjects, including: diagnostic problems in groin pain, buttock pain low back pain; surgical techniques acetabular dysplasia, hip instability,...

The National Health Service (NHS) 'Choose and Book' online scheme, which allows patients to select the location time of hospital appointments, has now been extended include option for a specific consultant carry out any necessary treatment. aim this study was determine whether there is sufficient information about consultants or consultant-led teams make an informed choice regarding consultant.A web-based analysis availability information.North England.Two hundred websites orthopaedic...

A variety of short Exeter stems designed specifically for use in performance total hip arthroplasty (THA) primary and revision settings have recently been introduced. Some used 'off label' reconstruction. The aim this study is to report clinical radiological results from the V40 125 mm stem THA THA.This had a retrospective design. Insertion 58 (24 primary, 34 revision) was performed between 2015 2017. minimum follow-up period two years. Assessment Oxford score (OHS), EuroQol-5 Dimension...

Study design: Cross-sectional pilot study on 24 healthy volunteers. Objectives: Investigate the value of stabilization exercises using a gym ball in paraspinal muscle activation by measuring changes signal intensity MRI before and after

Abstract Arthroscopic procedures to treat hip pathologies such as femoroacetabular impingement (FAI) syndrome are now established in mainstream orthopaedic practice. Surgical techniques, rehabilitation protocols and outcomes widely published. However, consensus on standards of practice remains be determined. The International Hip Preservation Society (ISHA) has undertaken a research study identify current areas across the global preservation community. focussed statements operative steps...

Fixation of phalangeal fractures can be challenging. Several methods have been described in the literature. Stiffness is a common complication following surgical management these fractures. We describe simple method treating injuries allowing for early mobilization to prevent stiffness. The push-pull technique using 2 Kirschner wires.

Pubic rami fractures are common. They associated with significant morbidity and mortality. These usually classified as stable injuries traditionally receive limited orthopaedic input. Management typically involves hospital admission early input from physiotherapists occupational therapists. Early mobilisation is advocated a central part of managing these patients, emphasis on secondary prevention. We report case diagnosed minimally displaced inferior pubic ramus fracture in patient an...

A 26-year-old woman with a 1-year history of right knee pain had failed to respond analgesia and activity modification in the community. Her general practitioner referred her orthopaedic department for specialist review. thorough revealed that she multiple interventions as child. The patient significant postoperative infection left following surgery at 7 years age. Examination demonstrated presence limp, scoliosis suspected leg length discrepancy. Plain film radiography confirmed...