A5037523331- Shoulder Injury and Treatment
- Shoulder and Clavicle Injuries
- Trauma Management and Diagnosis
- Nerve Injury and Rehabilitation
- Pelvic and Acetabular Injuries
- Sports injuries and prevention
- Knee injuries and reconstruction techniques
- Anesthesia and Pain Management
- Pectus Deformity Diagnosis and Treatment
- Total Knee Arthroplasty Outcomes
- Medical and Biological Ozone Research
- Pediatric Pain Management Techniques
- Hip disorders and treatments
- Winter Sports Injuries and Performance
- Cardiovascular Effects of Exercise
- Bone health and osteoporosis research
- Pregnancy-related medical research
- Cardiovascular Syncope and Autonomic Disorders
- Musculoskeletal synovial abnormalities and treatments
- Bone Tumor Diagnosis and Treatments
- Hernia repair and management
- Interpreting and Communication in Healthcare
- Clinical practice guidelines implementation
- Lower Extremity Biomechanics and Pathologies
- Bone Metabolism and Diseases
North Bristol NHS Trust
2013-2024
Southmead Hospital
2013-2024
University of Bath
2014
Frenchay Hospital
2013
St George’s University Hospitals NHS Foundation Trust
2011
South West London and St George's Mental Health NHS Trust
2011
North Sydney Orthopaedic and Sports Medicine Centre
2009
Worthing Hospital
2007
Frimley Park Hospital
2006
Croydon University Hospital
2005
Background: There is a growing trend to treat displaced midshaft clavicular fractures with primary open reduction and plate fixation; whether such treatment results in improved patient outcomes debatable. The aim of this multicenter, single-blinded, randomized controlled trial was compare union rates, functional outcomes, economic costs for that were treated either fixation or nonoperative treatment. Methods: In prospective, stratified, trial, 200 patients between sixteen sixty years age who...
BackgroundNew surgical procedures can expose patients to harm and should be carefully evaluated before widespread use. The InSpace balloon (Stryker, USA) is an innovative device used treat people with rotator cuff tears that cannot repaired. We aimed determine the effectiveness of for irreparable tears.MethodsWe conducted a double-blind, group-sequential, adaptive randomised controlled trial in 24 hospitals UK, comparing arthroscopic debridement subacromial space biceps tenotomy (debridement...
The torn hamstring is a common athletic injury. purpose of the present study was to review clinical presentation this injury, diagnostic imaging findings, surgical technique reattachment, and likely outcome surgery for treatment avulsion proximal origin.Seventy-two consecutive reconstructions in seventy-one patients with origin were performed at single center. mean age time operation 40.2 years. duration follow-up twenty-four months, all minimum six months included. There no exclusions....
In Brief Study Design. A randomized, double-blind controlled study. Objective. To assess the efficacy and safety of intrathecal fentanyl in relief postoperative pain patients undergoing lumbar spinal surgery. Summary Background Data. Fentanyl has been used as a analgesic surgery obstetrics with several studies promoting its safety. There is no evidence literature about Previous have looked at use morphine conclude that it effective but also associated respiratory depression. Methods. Sixty...
Aims To determine the blood transfusion rates following shoulder arthroplasty and to establish risk factors associated with increased of transfusion. Materials methods All cases performed between January 2012 March 2017 in a tertiary upper limb unit were identified. Patients who received perioperative tranexamic acid excluded. Retrospective review case notes was completed identify rate factors. Univariate multivariate analysis analyse association rate. Results Five hundred thirty-seven...
Abstract Background Clavicle fractures account for around 4% of all and up to 44% the shoulder girdle. Fractures middle third (or mid-shaft) approximately 80% clavicle fractures. Management this group is often challenging outcome can be unsatisfactory. In particular it not clear whether surgery produces better outcomes than non-surgical management. Currently there much variation in use a lack good quality evidence inform our decision. Methods/Design We aim undertake multicentre randomised...
Although dislocation of the shoulder is a relatively common event, overwhelming majority injuries are anterior. Posterior more uncommon, comprising between 3% and 5% all dislocations. One percent dislocations involve fracture, whereas only 0.9% 1500 cases reported by Neer (J Bone Joint Surg Am 1970; 52:1077-89; J 52:1090-103) concerned posterior fracture Bilateral an even rarer just Given rarity relative poor outcome often observed after these severe injuries, it important that upper limb...
Acute unreconstructible 3- or 4-part proximal humerus fractures can be treated with hemiarthroplasty reverse polarity shoulder arthroplasty. Randomized trials using implants from multiple different companies uncemented have found superior results
Introduction Shoulder arthroplasty rates are increasing in the UK. No data have been published from a UK centre on predictors of length inpatient stay following shoulder arthroplasty. This study analyses high-volume and identifies prolonged stay. Materials methods All cases performed between 2012 2018 were identified. A review case notes electronic patient records was completed to identify demographic data, Charlson comorbidity score, factors associated with Multiple linear regression...
Can improving communication between surgeons and clinical coders lead to cost savings?
Rupture of the pectoralis major (PM) tendon is a rare but severe injury. Several techniques have been described for PM fixation, including transosseus technique, placing cortical buttons at superior, middle and inferior insertion points. The present cadaveric study investigates proximity posterior branch axillary nerve to drill positions repair.Twelve shoulders were used. was marked during preparatory dissection. Drills passed through humerus insertions bits left in situ. distance between...