- Orthopedic Surgery and Rehabilitation
- Elbow and Forearm Trauma Treatment
- Bone fractures and treatments
- Sports injuries and prevention
- Congenital Diaphragmatic Hernia Studies
- Ethics and Legal Issues in Pediatric Healthcare
- Diversity and Career in Medicine
- Clinical Reasoning and Diagnostic Skills
Alder Hey Children's NHS Foundation Trust
2021-2024
The University of Sydney
1937-2002
BackgroundThe most common fractures in children are torus (buckle) of the wrist. Controversy exists over treatment, which ranges from splint immobilisation and discharge to cast immobilisation, follow-up, repeat imaging. This study compared pain function affected offered a soft bandage immediate with those receiving rigid follow-up as per treating centre protocol.MethodsIn this randomised controlled equivalence trial we included 965 (aged 4–15 years) distal radius fracture 23 hospitals UK....
Aims The remarkable capacity for distal radius fractures in children to remodel raises questions about the necessity and extent of intervention required achieve anatomical alignment. British Society Children’s Orthopaedic Surgery prioritized this uncertainty as one their most important research questions. This is protocol a randomized, controlled, multicentre, prospective, noninferiority trial non-surgical casting versus surgical reduction severely displaced children: Radius Acute Fracture...
Aims The aim of this study was to explore clinicians’ experience a paediatric randomized controlled trial (RCT) comparing surgical reduction with non-surgical casting for displaced distal radius fractures. Methods Overall, 22 staff from 15 hospitals who participated in the RCT took part an interview. Interviews were informed by phenomenology and analyzed using thematic analysis. Results Analysis findings identified overarching theme “overcoming obstacles”, which described challenge...
The aim of this study was to explore parents and young people's experience having a medial epicondyle fracture, their thoughts about the uncertainty regarding optimal treatment.Families were identified after being invited participate in randomized controlled trial surgery or no for displaced fractures humerus children. A purposeful sample 25 (22 females) five people (three females, mean age 11 years (7 14)) from 15 UK hospitals interviewed 39 days (14 78) injury. Qualitative interviews...
Background Torus (buckle) fractures of the wrist are most common in children involving distal radius and/or ulna. It is unclear if require rigid immobilisation and follow-up or would recover equally as well by being discharged without any a bandage. Given large number these injuries, identifying optimal treatment strategy could have important effects on child, days school absence NHS costs. Objectives To establish whether not treating with torus fracture offer soft bandage immediate...
Aims The aim of this study was to explore parents’ experience their child’s recovery, and thoughts about decision enrol child in a randomized controlled trial (RCT) surgery versus non-surgical casting for displaced distal radius fracture. Methods A total 20 parents children from 13 hospitals participating the RCT took part an interview five 11 months after injury. Interviews were informed by phenomenology analyzed using thematic analysis. Results Analysis findings identified theme “being...