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Conference paperSpulber I, Chen Y-M, Papi E, et al., 2015,
Live demonstration: Wearable electronics for a smart garment aiding rehabilitation
, Pages: 1912-1912 -
Journal articleWilson H, Shah I, Abel P, et al., 2015,
Contemporary hormone therapy with LHRH agonists for prostate cancer: avoiding osteoporosis and fracture
, Central European Journal of Urology, Vol: 68, Pages: 165-168 -
Journal articleChen A, Balogun-Lynch J, Aggarwal K, et al., 2014,
Should all elective knee radiographs requested by general practitioners be performed weight-bearing?
, SpringerPlus, Vol: 3, Pages: 1-5, ISSN: 2193-1801The aims of this study were to: [1] Assess the number of patients with suspected knee osteoarthritis that underwent repeat weight-bearing(WB) knee radiographs in the orthopaedic clinic following initial non-WB radiograph requested by their general practitioner (GP). [2] Confirm whether repeating WB knee views changed radiology reports. [3] Determine the number of London trusts with protocols for routinely performing WB views. A Retrospective cohort study of 1968 patients aged >40 years referred to a London teaching hospital for knee radiographs over 12 months. Radiographs were identified as WB/non-WB. Subsequent repeat WB views performed in those that went on to have an orthopaedic consultation were also documented. A consultant musculoskeletal radiologist reported both images. A proforma containing a likert scale of severity for commonly reported abnormalities in knee osteoarthritis and criteria from the Kellgren and Lawrence scale was used for reporting. London NHS Trusts were surveyed to identify if protocols were in place for performing WB views. A total of 1,968 patients underwent knee radiographs, of which 1922 (97.7%) had initial non-WB radiographs. Of the 56 patients in this group that underwent required repeat WB radiographs, joint space narrowing was reported as more severe on WB versus non-WB radiographs (p = 0.035). Only 54% of departments routinely performed WB radiographs. Few patients (2.3%) referred by GPs have WB radiographs requested. Some of those referred for a specialist opinion required repeat WB views. Nearly half of London hospitals do not routinely perform WB radiographs. This represents a significant financial burden to the NHS, increased radiation exposure and wasted patient/clinician time. We propose that all GP requested knee radiographs be performed as WB unless otherwise stated.
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Journal articleHalewood C, Risebury M, Thomas NP, et al., 2014,
Kinematic behaviour and soft tissue management in guided motion total knee replacement
, KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, Vol: 22, Pages: 3074-3082, ISSN: 0942-2056- Author Web Link
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- Citations: 31
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Journal articleHunt NC, Ghosh KM, Athwal KK, et al., 2014,
Lack of evidence to support present medial release methods in total knee arthroplasty
, KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, Vol: 22, Pages: 3100-3112, ISSN: 0942-2056- Author Web Link
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- Citations: 40
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Journal articlePuthumanapully PK, Harris SJ, Leong A, et al., 2014,
A morphometric study of normal and varus knees
, KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, Vol: 22, Pages: 2891-2899, ISSN: 0942-2056- Author Web Link
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- Citations: 31
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Journal articleWilson F, McGregor A, 2014,
Mythbusters in rowing medicine and physiotherapy: nine experts tackle five clinical conundrums
, British Journal of Sports Medicine, Vol: 48, Pages: 1525-1528, ISSN: 0306-3674 -
Journal articleWilson F, Gissane C, McGregor A, 2014,
Ergometer training volume and previous injury predict back pain in rowing; strategies for injury prevention and rehabilitation
, BRITISH JOURNAL OF SPORTS MEDICINE, Vol: 48, Pages: 1534-U27, ISSN: 0306-3674- Author Web Link
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- Citations: 43
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Conference paperGopalakrishnan A, Phillips ATM, Higginson JS, et al., 2014,
Predictive simulations of movement for informing rehabilitation programmes
, 12th International Symposium on Computer Methods in Biomechanics and Biomedical Engineering -
Journal articleKhatri C, Sugand K, Anjum S, et al., 2014,
Does Video Gaming Affect Orthopaedic Skills Acquisition? A Prospective Cohort-Study
, PLOS ONE, Vol: 9, ISSN: 1932-6203- Author Web Link
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- Citations: 6
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Conference paperGeraldes D, Hansen U, Amis A, 2014,
A framework for parametric analysis of glenoid implant design
, MECBioengineering 2014 -
Conference paperMullington C, Wrench C, He J, et al., 2014,
Thermal gradient: the primary driver of thermal perception?
, Annual Congress of the Association-of-Anaesthetists-of-Great-Britain-and-Ireland (AAGBI), Publisher: WILEY-BLACKWELL, Pages: 38-38, ISSN: 0003-2409 -
Journal articleKotti M, Duffell LD, Faisal AA, et al., 2014,
The Complexity of Human Walking: A Knee Osteoarthritis Study
, PLOS ONE, Vol: 9, ISSN: 1932-6203- Author Web Link
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- Citations: 20
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Conference paperGeraldes D, Hansen U, Jeffers J, et al., 2014,
A framework for parametric analysis of glenoid implant design
, International Society for Technology in Arthroplasty 2014 -
Journal articleGoetz AJ, Griesshaber E, Abel R, et al., 2014,
Tailored order: The mesocrystalline nature of sea urchin teeth
, Acta Biomaterialia, Vol: 10, Pages: 3885-3898, ISSN: 1742-7061 -
Book chapterCobb J, Harris S, Clarke S, 2014,
Computers and the hip arthroplasty operating room
, Successful Techniques for Total Hip Replacement, Pages: 151-159In the arthroplasty market, globally sales and marketing strategies continue to have a dominantimpact on prosthesis choice.If the promise of the patient-matched technology is born out, then the next generation ofsmaller, more patient-friendly devices, inserted using patient-matched instrumentation, may becost neutral with the conventional prostheses inserted conventionally, by reducing theinventory and instrumentation needed per case.As the patient-matched procedures gather momentum, their low cost, in both time and money,will transform the industry.The artisan hip surgeon will still perform his or her trade using those few tools that Charnleydeveloped.In the operating room, the anesthetist may well have computers monitoring every organsystem, but the surgeon, in all likelihood, will have a great deal of computer-based knowledgewrapped up in a US$25 piece of polymer that embodies the plan that the patient agreed topreoperatively. That is a world beyond computers, and it is happening now
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Journal articleMordecai SC, Al-Hadithy N, Ware HE, et al., 2014,
Treatment of meniscal tears: An evidence based approach.
, World J Orthop, Vol: 5, Pages: 233-241, ISSN: 2218-5836Treatment options for meniscal tears fall into three broad categories; non-operative, meniscectomy or meniscal repair. Selecting the most appropriate treatment for a given patient involves both patient factors (e.g., age, co-morbidities and compliance) and tear characteristics (e.g., location of tear/age/reducibility of tear). There is evidence suggesting that degenerative tears in older patients without mechanical symptoms can be effectively treated non-operatively with a structured physical therapy programme as a first line. Even if these patients later require meniscectomy they will still achieve similar functional outcomes than if they had initially been treated surgically. Partial meniscectomy is suitable for symptomatic tears not amenable to repair, and can still preserve meniscal function especially when the peripheral meniscal rim is intact. Meniscal repair shows 80% success at 2 years and is more suitable in younger patients with reducible tears that are peripheral (e.g., nearer the capsular attachment) and horizontal or longitudinal in nature. However, careful patient selection and repair technique is required with good compliance to post-operative rehabilitation, which often consists of bracing and non-weight bearing for 4-6 wk.
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Journal articleBuckeridge EM, Bull AMJ, McGregor AH, 2014,
Biomechanical determinants of elite rowing technique and performance
, Scandinavian Journal of Medicine & Science in Sports, Vol: 25, Pages: e176-e183, ISSN: 0905-7188 -
Journal articleBayona S, Akhtar K, Gupte C, et al., 2014,
Assessing performance in shoulder arthroscopy: The Imperial Global Arthroscopy Rating Scale (IGARS)
, Journal of Bone and Joint Surgery: American Volume, Vol: 96A, ISSN: 0021-9355Background: Surgical training is undergoing major changes with reduced resident work hours and an increasing focus on patient safety and surgical aptitude. The aim of this study was to create a valid, reliable method for an assessment of arthroscopic skills that is independent of time and place and is designed for both real and simulated settings. The validity of the scale was tested using a virtual reality shoulder arthroscopy simulator.Methods: The study consisted of two parts. In the first part, an Imperial Global Arthroscopy Rating Scale for assessing technical performance was developed using a Delphi method. Application of this scale required installing a dual-camera system to synchronously record the simulator screen and body movements of trainees to allow an assessment that is independent of time and place. The scale includes aspects such as efficient portal positioning, angles of instrument insertion, proficiency in handling the arthroscope and adequately manipulating the camera, and triangulation skills. In the second part of the study, a validation study was conducted. Two experienced arthroscopic surgeons, blinded to the identities and experience of the participants, each assessed forty-nine subjects performing three different tests using the Imperial Global Arthroscopy Rating Scale. Results were analyzed using two-way analysis of variance with measures of absolute agreement. The intraclass correlation coefficient was calculated for each test to assess inter-rater reliability.Results: The scale demonstrated high internal consistency (Cronbach alpha, 0.918). The intraclass correlation coefficient demonstrated high agreement between the assessors: 0.91 (p < 0.001). Construct validity was evaluated using Kruskal-Wallis one-way analysis of variance (chi-square test, 29.826; p < 0.001), demonstrating that the Imperial Global Arthroscopy Rating Scale distinguishes significantly between subjects with different levels of experience utilizing a virtual reali
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Journal articleChiou SY, Shih YF, Chou LW, et al., 2014,
Impaired neural drive in patients with low back pain
, European Journal of Pain, Vol: 18, Pages: 794-802, ISSN: 1090-3801BackgroundControl of trunk movement relies on the integration between central neuronal circuits and peripheral skeletomuscular activities and it can be altered by pain. There is increasing evidence that there are deficits within the central nervous system controlling the trunk muscles in people with low back pain (LBP). However, it is unclear how LBP impacts upon neural drive to back muscles at different levels of voluntary contraction. Therefore, the purpose of this study was to investigate if neural drive is impaired in these patients.MethodsSeventeen patients with LBP and 11 healthy controls were recruited. Bilateral electromyographic (EMG) recordings were obtained from the erector spinae (ES) muscles at two vertebral levels (T12 and L4). Participants performed a series of brief isometric back extensions (50–100% maximum voluntary contraction – MVC), during which transcranial magnetic stimulation was delivered. The size of the evoked (superimposed) twitch was measured using dynamometry.ResultsThe size of the superimposed twitch decreased linearly with increasing contraction strength in the controls; however, this linear relationship was not observed in the patients. Additionally, patients had larger superimposed twitches and longer time‐to‐peak amplitudes during MVCs than those observed in controls. Furthermore, patients had lower MVC and root‐mean‐square EMG activity of ES muscles during MVCs.ConclusionsA decline of central neural drive to the back muscles at high level of voluntary contraction was observed in patients with LBP. These results suggest that it might be pertinent to include neuromuscular facilitation programmes and therapeutic exercise utilizing high voluntary contractions for patients with LBP.
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