Introduction Prosthetic joint infection (PJI) and aseptic loosening in total hip arthroplasty (THA) can present with pain and osteolysis. The International Consensus Group on Periprosthetic Joint Infection (ICGPJI) have provided criteria for the diagnosis of PJI. The aim of our study was to analyse the utility of F18-Fluoro-deoxy-glucose (FDG) Positron Emission Tomography (PET) CT scan […]
Introduction: The diagnosis and management of Chronic implant related infection remains a challenge to the Spinal surgeon. Patients often present with minimal radiographic and biochemical indication of infection. We present our 5 year experience of the use of FDG PET CT in the diagnosis and management of suspected infection of spinal instrumentation. Method: Retrospective review […]
Background: According to 2018 National Hip Fracture Database (NHFD) annual report only 31.4% of intracapsular neck of femur fracture (NOF) patients eligible for Total Hip Replacement (THR) received this operation.The aim was to Identify compliance rates of THR for NOF and rationale for management in our unit. Methods: During the period January 2014 to December […]
Background Periprosthetic femoral fractures are on the increase in the aging population. Conservative and operative management strategies are challenging with significant societal and health system cost. This study aims to investigate the pragmatic management of periprosthetic fractures in a large single centre cohort. Methods This is a retrospective cohort study of all femoral periprosthetic fractures […]
Background: Management of complex, comminuted distal femoral fractures present a challenge to orthopaedic surgeons. High rate of complications are associated with surgical management of such injuries especially in elderly patients. This study aims to review the outcome of surgical fixation of these complex injuries at our trauma unit, to identify correctable surgical factors associated with […]
Background & Methods Quadriceps tendon (QT) rupture is an uncommon condition requiring early intervention and repair to maintain stability and function of the knee. Surgical Management and success can be variable, and the aim of this study was to assess patient outcomes and factors associated with failure. A retrospective review of a prospective database was conducted between 2010 and […]
Background: The aim of this study was to evaluate randomised trials for significant findings in the orthopaedic literature based on the main elective procedures undertaken across different subspecialties. Methods: We evaluated the following procedures: anterior cervical discectomy and fusion (ACDF), subacromial decompression (SAD), carpal tunnel decompression (CTD), total hip replacement (THR), anterior cruciate ligament reconstruction […]
Background The Montgomery vs.Lanarkshire case is a precedent and is driving the modernisation of consenting in our practice. Our aims were to establish consenting documentation practice, provide guidance for surgeons and to improve the patient experience during decision-making. Methods A three-cycle audit of consecutive elective patients from three-week theatre block schedules were included. Documentation from all […]
Introduction A paradigm shift has recently been observed in limb reconstruction surgery, with a move away from external fixators where it is possible to achieve the same results using internal fixation. Accuracy with internal fixation is critical as there is no opportunity to adjust correction postoperatively. Materials and Methods A review of consecutive external fixator […]
Background: Meniscal sparing surgery is a widely utilised treatment option for unstable meniscal tears with the aim of minimising the risk of progression towards osteoarthritis. However, there is limited data in the literature on meniscal repair outcomes in skeletally immature patients.The aim was to assess the re-operation rate and functional outcomes of meniscal repairs in […]