Entries by DavidHawkes

Temporal Trends and Survivorship of Total Hip Arthroplasty in Very Young Patients

Nicholas D Peterson, David Metcalfe, JM Wilkinson, Daniel Perry Background: In this study, we aimed to describe temporal trends and survivorship of total hip arthroplasty (THA) procedures in very young patients (aged ≤20 years). Methods: A descriptive observational study was undertaken using data from the National Joint Registry (NJR) for England, Wales, Northern Ireland and […]

Mid-Term Functional Outcomes & Cobalt Chromium Levels Following Ceramic on Metal Total Hip Replacement

Nisarg Mehta, Justin Leong, Philip Brown, Dhawal Patel, Hussain Kazi , Fintan Adrian Carroll Background: With controversies surrounding Metal on Metal (MoM) total hip arthroplasty (THA); alternate bearing surfaces such as Ceramic on Metal (CoM) had a surge in popularity. However, there are reports of higher than expected rate of revision and elevated serum metal […]

Pre-operative Skin preparation for Hip and Knee Arthroplasty

T. Ankers, N. Donnachie Background: Periprosthetic joint infection (PJI) is a devastating complication of hip and knee arthroplasty. I have encountered a variety of strategies for skin preparation during my training. In this abstract a review of current literature regarding pre-operative skin preparation is summarised. A protocol based on the evidence is proposed. Methods: A […]

Does Nottingham Hip Fracture Score Predict Mortality in Distal Femoral Fracture Patients?

Ignatius Liew, Joseph Attwood, Siddhant Kumar, Nameer Choudry, James Fountain Background: Patients with distal femoral fractures are associated with similar high rates of mortality to neck of femur fractures. Identifying high risk patients are crucial in pre-operative medical optimisation, risk stratification for anaesthetics and orthogeriatric input. Nottingham Hip Fracture Score (NHFS) has been validated as […]

A New Local Guideline for Hip Fracture Patients Taking Direct Oral Anticoagulants (DOACs)

Mohammed As-Sultany, Janice Armour, Jennifer Bowden, Rosemary Finley, Nigel J Donnachie Background: Deciding when to safely operate on hip fracture patients taking DOACs is a challenge. The aim of this unique audit was to assess the safety of a new local guideline implemented in a busy district general hospital. Methods: A retrospective review of all hip […]

Modular hip hemiarthroplasty for narrow femoral canal – Is it a true Indication?

Ignatius Liew, Khaldoun Bitar, Justin Leong, Nameer Choudry, James Fountain Background: The modular prosthesis is sometimes favoured for sizing options in narrow femoral canals despite no advantage in clinical outcomes with higher cost for displaced intracapsular femoral neck fractures. This study aimed to investigate factors affecting surgeons’ choice of using modular hip hemiarthroplasty instead of […]

SURGICAL MANAGEMENT OF LISFRANC FRACTURE DISLOCATIONS USING DORSAL BRIDGE PLATING OF THE TARSOMETATARSAL JOINTS

Robert J MacFarlane, Ignatius Liew ,James Widnall , Andrew Molloy , Lyndon Mason Background: Lisfranc ligament complex injuries are uncommon and frequently associated with high energy trauma. Dorsal bridge-plating has gained popularity in recent years as an alternative to transarticular screw fixation of the TMTJ’s. We present clinical outcomes and complications for dorsal bridge plating […]

Prevalence of Venous Thrombo-Embolism in Patients with Total Contact Cast

Mr J Widnall, Dr X Tonge, Mr S Platt, Miss G Jackson Background: Venous Thrombo-Embolism is a recognized complication of lower limb immobilization. In the neuropathic patient, limb immobilization, in the form of total contact casting (TCC), is used in the management of acute charcot neuroathropathy and/or to off-load neuropathic ulcers. There is currently no […]

Anatomy of the Lateral Plantar Ligaments of the Transverse Metatarsal Arch -The Lateral Lisfranc Ligament

Jayatilaka L, Swanton E, Fisher A, Fisher L, Fischer B, Molloy A , Mason L Background: The anatomy of the the lateral tarsometatarsal ligamentous structures are under investigated. A number of classifications have previously been proposed, noting homolateral and divergent subtypes of midfoot fracture dislocations. These subtypes indicate intact metatarsal connections of the middle and […]