Entries by DavidHawkes

Can C-Reactive Protein Be Used To Predict Acute Native Joint Septic Arthritis in the Adult Population?

Background: The hot swollen joint is a common presentation to the emergency department. A wide range of potential differential diagnoses exist. There is evidence to support CRP as a predictor of septic arthritis(SA) in children.  Limited evidence exists in adults.  The primary aim of this study was to establish whether C-reactive protein (CRP) can predict native […]

Association of Regular Preoperative Antiplatelet and Anticoagulant Medication With Surgical Site Infection Following Total Knee Arthroplasty: A Retrospective Case Control Study

Background Periprosthetic joint infection (PJI) is a disastrous complication following total knee arthroplasty (TKA), which can develop from a surgical site infection (SSI). The use of antiplatelet and anticoagulant medication are becoming ever more prevalent in todays ageing population and such agents but have been linked to an increased incidence of SSI during following surgical […]

BMI Change Associated with Waiting Times for Primary Lower Limb Arthroplasty

Background: Raised BMI (Body Mass Index) gives worse outcomes, higher revision risks and increased complications in lower limb arthroplasty. Lengthy NHS (National Health Service) waiting lists allow patients an opportunity to increase BMI by time of surgery, thus affecting outcomes. This study assesses association of BMI change with waiting time for lower limb arthroplasty. Methods: […]

Is the use of antibiotic loaded cement compared to top plain cement associated with lower rate of revision?

Background Antibiotic loaded bone cement (ALBC) is commonly used in cemented total hip arthroplasty (THA) in an attempt to reduce the risk of prosthetic joint infection (PJI). However, its role versus plain cement remains controversial due to the potential risk of developing resistant organisms and potential excess costs incurred from its usage. We investigated the […]

Do Patient Predicted Oxford Scores Correlate with Actual Outcomes

Background Patient reported outcome measures (PROMs) are utilised as a means of assessing the subjective experience of the patient. The Oxford Hip (OHS) and Knee Scores (OKS) are joint specific instruments designed to quantify the patient’s experience before and after their surgery. Uniquely, we asked patients attending pre-operatively to estimate a predicted Oxford Score (pOS). […]

Use of In-Space Balloons in Irreparable Cuff Tears

Background Irreparable cuff repairs present a difficult conundrum for shoulder surgeons, with no consensus on the best form of treatment. In-Space balloons (ISB) are a novel arthroscopic solution, seeking to reduce pain and improve function in patients suffering with this issue. Our aim was to evaluate the ISBs that had been inserted by one surgeon […]

Functional Outcomes of Elbow Injuries Managed According to the Wrightington Classification of Elbow Fracture Dislocations

Objectives The aim of this study is to review the functional outcomes of patients managed by application of the Wrightington elbow fracture-dislocation classification system and its corresponding management algorithm. Methods This is a retrospective case-series of all adult patients who were managed according the Wrightington classification. Images were retrospectively reviewed and classified by all investigators. […]

Does a skin incision following Langers Lines reduce complications following fixation of displaced middle third clavicle fractures

Background Internal fixation of displaced mid-third clavicle fractures reduces the rate of non-union and offers a faster return of functioncomparedtonon-operative management. Several studies have reported a significant rate of complications with this procedure however. The aim of this study is to investigate whether or not using a skin incision following Langer’s lines, as opposed to […]

Analysing the Benefit of Histology Alongside Microbiology Samples in the Diagnosis of Prosthetic Joint Infection

Introduction: Both the diagnosis and treatment of Prosthetic Joint Infection (PJI) can be challenging. The International Consensus meeting on PJI primarily defined joint infection as having two culture samples with phenotypically identical organisms or the presence of a sinus tract. Positive histology is only considered as one of the minor criteria of which 3 are […]