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The 'three-legged stool': a system for spinal informed consent.
(British Editorial Society of Bone and Joint Journal, 2016-11)Many hospitals do not have a structured process of consent, the attainment of which can often be rather 'last-minute' and somewhat chaotic. This is a surprising state of affairs as spinal surgery is a high-risk surgical ... -
International consensus on the definition and classification of fibrosis of the knee joint.
(British Editorial Society of Bone and Joint Journal, 2016-11)The aim of this consensus was to develop a definition of post-operative fibrosis of the knee. -
Challenges in reporting surgical site infections to the national surgical site infection surveillance and suggestions for improvement.
(Royal College of Surgeons, 2015-09)Mandatory orthopaedic surgical site infection (SSI) data in England are used as a benchmark to compare infection rates between participating hospitals. According to the national guidelines, trusts are required to submit ... -
Cement-in-cement femoral component revision in the multiply revised total hip arthroplasty: results with a minimum follow-up of five years.
(British Editorial Society of Bone and Joint Journal, 2017-02)We present the clinical and radiological results at a minimum follow-up of five years for patients who have undergone multiple cement-in-cement revisions of their femoral component at revision total hip arthroplasty (THA). -
Transforaminal epidural steroid injection in lumbar spinal stenosis: an observational study with two-year follow-up.
(Taylor & Francis, 2016-08-22)Transforaminal epidural steroid injection (TFESI) is recognised as a treatment for symptomatic lumbar disc herniation, whilst surgical decompression is generally thought to be the most effective treatment option for lumbar ... -
Retroperitoneal haematoma in a postoperative ALIF patient taking rivaroxaban for atrial fibrillation.
(Springer, 2016-11-02)Novel oral anticoagulants (NOACs) are being increasingly used in the secondary prevention of thromboembolic stroke in patients with atrial fibrillation. Patients taking NOACs are difficult to manage perioperatively, and ... -
Short-term results with a constrained acetabular liner in patients at high risk of dislocation after primary total hip arthroplasty.
(Wichtig, 2016-10-08)Dislocation following primary total hip arthroplasty (THA) is a complication with an incidence of 2%-5%. This study examines the clinical and radiological outcome of a constrained acetabular implant used in primary THA in ... -
Adolescent patellar instability: current concepts review.
(British Editorial Society of Bone and Joint Journal, 2017-02)Patellar instability most frequently presents during adolescence. Congenital and infantile dislocation of the patella is a distinct entity from adolescent instability and measurable abnormalities may be present at birth. ... -
The critical role of registries in documenting the outcomes of hip preservation surgery
(Springer, 2017-06)In the UK, a Non-Arthroplasty Hip Register (NAHR) was launched in 2012 to allow data collection for patients with hip conditions other than arthroplasty or fracture (e.g. iliopsoas impingement, SUFE, Perthes, etc.). The ...