Trauma & Orthopaedics
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The Trauma & Orthopaedics team are based in the Princess Elizabeth Orthopaedic Centre (PEOC) wing of the RD&E hospital. They have an international reputation for clinical excellence and innovation in the specialist field of orthopaedics and rheumatology.
The department includes a number of specialist surgical teams including: Exeter Hip Unit, Exeter Spinal Team and the Exeter Knee Reconstruction Unit.
Collections in this community
Recent Submissions
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Is rationing of total hip arthroplasty justified? Working to optimize patient accessibility to surgery using long-term patient-reported outcome data
(British Editorial Society of Bone and Joint Surgery, 2022-03-01)AIMS: The aim of this study was to assess medium-term improvements following total hip arthroplasty (THA), and to evaluate what effect different preoperative Oxford Hip Score (OHS) thresholds for treatment may have on ... -
Tibial tuberosity-trochlear groove distance: does it measure up?
(British Editorial Society of Bone and Joint Surgery, 2022-03-24)Recognized anatomic variations that lead to patella instability include patella alta and trochlea dysplasia. Lateralization of the extensor mechanism relative to the trochlea is often considered to be a contributing factor; ... -
Dislocation of the hip after normal sonographic screening examination: a case report and literature review
(Royal College of Surgeons, 2022-02-17)We report the case of a five-month-old girl presenting with a subluxed left hip following normal neonatal clinical examination and serial ultrasound screening. Her only risk factor for developmental dysplasia of the hip ... -
Development of a core outcome set for lateral elbow tendinopathy (COS-LET) using best available evidence and an international consensus process
(BMJ Publishing Group, 2022-02-08)OBJECTIVES: To develop a core outcome set for lateral elbow tendinopathy (COS-LET) and to provide guidance for outcome evaluation in future studies. METHODS: We implemented a multi-stage mixed-methods design combining two ... -
Cement-in-cement revision of the femur in infected hip arthroplasty in 89 patients across two centres
(British Editorial Society of Bone and Joint Journal, 2022-02-01)AIMS: Femoral cement-in-cement revision is a well described technique to reduce morbidity and complications in hip revision surgery. Traditional techniques for septic revision of hip arthroplasty necessitate removal of all ... -
The STAR care pathway for patients with pain at 3 months after total knee replacement: a multicentre, pragmatic, randomised, controlled trial
(Elsevier, 2022-03-01)BACKGROUND: Approximately 20% of people experience chronic pain after total knee replacement, but effective treatments are not available. We aimed to evaluate the clinical effectiveness and cost-effectiveness of a new care ... -
What is the patient experience following revision knee replacement: A systematic review and meta-analysis of the medium term patient reported outcomes
(Elsevier, 2022-02-19)AIMS: Revision knee replacement is an increasingly common procedure, however, information on patient-focused outcomes is limited. This systematic review and meta-analysis aimed to investigate the medium-term patient reported ... -
Mid-term results of Eclipse total shoulder arthroplasty
(Atypon, 2022-01-01)AIMS: The use and variety of stemless humeral components in anatomical total shoulder arthroplasty (TSA) have proliferated since their advent in 2004. Early outcomes are reassuring but independent mid-term results are ... -
C.acnes in the joint, is it all just a false positive?
(Springer, 2022-01-15)BACKGROUND: Cutibacterium Acnes (C.acnes) has been linked to several shoulder pathologies. An alternative hypothesis suggests it only occurs in the joint secondary to previous instrumentation. Our hypothesis was patients ... -
The management of the shoulder skin microbiome (Cutibacterium acnes) in the context of shoulder surgery: a review of the current literature
(Sage, 2021-10-01)BACKGROUND: This review aims to establish current knowledge of the shoulder skin microbiome and how to manage the bacteria that reside within it. METHODS: A review was undertaken of the current literature through OvidSP. ... -
The reliability of clinical assessment of distal radioulnar joint instability
(Sage, 2021-11-02)Accurate assessment of distal radioulnar joint (DRUJ) stability is increasingly recognized as an important part of clinical examination of the wrist. The ability of 30 specialist UK hand surgeons to clinically determine ... -
Implant brand portfolios, the potential for camouflage of data, and the role of the Orthopaedic Data Evaluation Panel in total knee arthroplasty
(Atypon, 2021-10-01)AIMS: Knee arthroplasty surgery is a highly effective treatment for arthritis and disorders of the knee. There are a wide variety of implant brands and types of knee arthroplasty available to surgeons. As a result of a ... -
Magnet Fracture within a Magnetically Controlled Growing Rod: A Case Report of a New Mechanism of Failure
(Indian Orthopaedic Research Group, 2021-08-01)Introduction: Magnetically controlled growing rods (MCGRs) have been widely adopted in the management of early-onset scoliosis since they were first described in 2012. Recent reports have highlighted concerns around their ... -
Ergopaedics': the future of ergonomics in orthopaedics
(Mark Allen Group, 2021-11-02)Ergonomics is the scientific study of people and their working conditions, aiming to improve effectiveness. Improved ergonomics of orthopaedic theatres and equipment would reduce the risk of occupational injury and help ... -
A 2021 consensus statement on osteotomies around the knee by the UK Knee Osteotomy consensus Group (KOG)
(Elsevier, 2021-09-22)BACKGROUND: There are significant deficiencies in the evidence base of modern-day osteotomy which result in significant variation in practice between surgeons. The purpose of this statement was to develop a consensus ... -
BONE MARROW OEDEMA IN ASYMPTOMATIC KNEES OF ATHLETES
(British Editorial Society of Bone and Joint Journal, 2012-01-01)The aim of this prospective study was to determine the prevalence of bone marrow oedema (BME) in asymptomatic knees of athletes and to investigate the factors associated with appearance of BME in this group.A total of 25 ... -
Management of malignant pleural effusion associated with trapped lung syndrome
(SAGE, 2008-04-03)Management of recurrent malignant pleural effusion associated with trapped lung syndrome remains problematic. An alternative treatment using a pleural catheter has been advocated. Between August 1999 and August 2002, 127 ... -
Prosthetic joint infection of the knee - arthroscopic biopsy identifies more and different organisms than aspiration alone
(Elsevier, 2021-09-06)BACKGROUND: Prosthetic joint infection (PJI) causes significant morbidity and mortality following knee replacement surgery. Identifying causative organisms and antibiotic sensitivities is critical in increasing the chance ...