Orthopaedics
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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 ... -
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 ... -
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 ... -
Superior Stability and Compression Across Complex Peripheral Meniscal Tears: An Inside Out Technique
(Lippincott, Williams & Wilkins, 2021-06-01)Meniscal tear is the most common knee pathology. There are benefits to repairing and preserving the meniscus with regards to function and chondroprotection. Historically, reported failure rates have been unclear and are ... -
Reverse total shoulder arthroplasty
(Atypon, 2021-05-01)AIMS: This systematic review asked which patterns of complications are associated with the three reverse total shoulder arthroplasty (RTSA) prosthetic designs, as classified by Routman et al, in patients undergoing RTSA ... -
Hockey: a pain in the butt! Isolated superior gluteal artery rupture following blunt pelvic trauma - an unusual case
(Royal College of Surgeons, 2021-03-01)Superior gluteal artery rupture is a rare complication of trauma but a significant one with potential for substantial morbidity and mortality. This case demonstrates the importance of early diagnosis and treatment of this ... -
Early experience and patient-reported outcomes of 503 INFINITY total ankle arthroplasties
(Atypon, 2021-07-02)AIMS: This is a multicentre, non-inventor, prospective observational study of 503 INFINITY fixed bearing total ankle arthroplasties (TAAs). We report our early experience, complications, and radiological and functional ... -
A Prospective Cohort Study Comparing Functional Outcomes of Primary and Revision Ankle Replacements.
(SAGE, 2021-06-11)BACKGROUND: The number of ankle and revision ankle replacements performed is increasing. There is limited research into functional outcomes, especially in revision ankle replacements. The primary aim of this cohort study ... -
Ultrasound-directed reduction of distal radius fractures in adults: a systematic review.
(BMJ, 2021-04-14)OBJECTIVE: To conduct a systematic review of the clinical literature to determine whether ultrasound can be used to improve the reduction of distal radius fractures in adults in the ED. METHODOLOGY: A study protocol was ... -
Urgent Arthroplasty Interventions During the COVID-19 Pandemic: Operating Risks in Low-Prevalence Areas.
(PubMed Central, 2020-12-21)Background and objective Orthopaedic services have reorganised their delivery of care in response to the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic. In this study, we aimed to share our operating ... -
Periprosthetic joint infection in the knee - Criteria for the management of PJI
(Elsevier Science, 2020-12) -
A Randomised Controlled Trial of Local Infiltration Analgesia Versus Femoral Nerve Block for Postoperative Analgesia Following Total Knee Arthroplasty
(PubMed Central, 2020-09-02)Background Total knee replacement is often associated with significant postoperative pain. Although the use of a femoral nerve block is well-established, local infiltration analgesia has gained popularity in recent years. ... -
Factors associated with implant survival following total hip replacement surgery: A registry study of data from the National Joint Registry of England, Wales, Northern Ireland and the Isle of Man
(Public Library of Science, 2020-08-31)Background: Nearly 100,000 people underwent total hip replacement (THR) in the United Kingdom in 2018, and most can expect it to last at least 25 years. However, some THRs fail and require revision surgery, which results ... -
Does skin preparation alter suture strength characteristics? Assessing the effect of chlorhexidine and isopropyl alcohol on common skin closure suture material
(Wiley, 2020-12)Sutures are essential to approximate tissues and enable healing by first intention until a wound regains its original tensile strength. The mechanical properties of sutures are well documented, but the effects of exposing ...
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