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  • Journal article
    Buckeridge EM, Bull AMJ, Mcgregor AH, 2014,

    Foot force production and asymmetries in elite rowers

    , SPORTS BIOMECHANICS, Vol: 13, Pages: 47-61, ISSN: 1476-3141
  • Conference paper
    Seah TET, Barrow A, Baskaradas A, Gupte C, Bello Fet al., 2014,

    A Virtual Reality System to Train Image Guided Placement of Kirschner-Wires for Distal Radius Fractures

    , 6th International Symposium on Biomedical Simulation (ISBMS), Publisher: SPRINGER INT PUBLISHING AG, Pages: 20-29, ISSN: 0302-9743
  • Conference paper
    Spulber I, Papi E, Chen Y-M, Anastasova-Ivanova S, Bergmann J, Georgiou P, McGregor AHet al., 2014,

    Development of a wireless multi-functional body sensing platform for smart garment integration

    , IEEE Biomedical Circuits and Systems Conference (BioCAS), Publisher: IEEE, Pages: 157-160, ISSN: 2163-4025
  • Journal article
    Hunt NC, Ghosh KM, Blain AP, Athwal KK, Rushton SP, Amis AA, Longstaff LM, Deehan DJet al., 2014,

    How does laxity after single radius total knee arthroplasty compare with the native knee?

    , J. Orthop. Res., Vol: 32, Pages: 1208-1213, ISSN: 1554-527X
  • Journal article
    Varma RK, Duffell LD, Nathwani D, McGregor AHet al., 2014,

    Knee moments of anterior cruciate ligament reconstructed and control participants during normal and inclined walking

    , BMJ OPEN, Vol: 4, ISSN: 2044-6055
  • Journal article
    Tay C, Khajuria A, Gupte C, 2014,

    Simulation training: A systematic review of simulation in arthroscopy and proposal of a new competency-based training framework

    , INTERNATIONAL JOURNAL OF SURGERY, Vol: 12, Pages: 626-633, ISSN: 1743-9191
  • Journal article
    Davidson DJ, Shaukat YM, Jenabzadeh R, Gupte CMet al., 2013,

    Spontaneous bilateral compartment syndrome in a HIV-positive patient.

    , BMJ Case Rep, Vol: 2013

    Spontaneous bilateral compartment syndrome is a very rare condition but one which requires swift diagnosis and urgent surgical decompression by fasciotomies in order to achieve the best outcome. We present the case of a 31-year-old HIV-positive man. The case highlights the perils of being sidetracked by an atypical clinical history instead of acting on the classical clinical examination findings. We will discuss the presentation and management of this patient, review the literature and highlight the key learning points. The most important learning point being that no matter how atypical the history, if a patient presents with limb pain out of proportion to the injury (with or without pain on passive stretch), sensory changes and a loss of motor power, then a diagnosis of acute compartment syndrome must be considered.
  • Journal article
    Davidson DJ, Clarke SG, Gupte CM, 2013,

    (i) Planning and consent for primary total knee replacement

    , Orthopaedics and Trauma, Vol: 27, Pages: 345-354, ISSN: 1877-1327

    The aim of primary total knee replacement is to decrease pain, restore function and reduce disability. This is achieved by correct patient selection and adequate planning so that the appropriate prosthesis can be implanted in the appropriate manner. The technical goal of total knee arthroplasty is to implant a well-aligned prosthesis in a well-balanced knee, with linear patellar tracking and achieve infection-free healing.Weight bearing anteroposterior, lateral and patellofemoral joint radiographs are mandatory and standing long leg views help determine alignment. CT and MRI scans may be of value in assessing bone stock and ligamentous deficiency. If there is a lack of bone stock a stemmed prosthesis or augmentation wedges may be required, whilst a ligamentous deficiency may necessitate a stabilized or constrained prosthesis.The consent process for TKR commences at the outpatient consultation and must consider the reason for operation, alternative treatments, all common and serious risks and the rehabilitation protocol. There is an increasing use of multimedia tools (e.g. www.orthoconsent.com) in the consent process. © 2013 Elsevier Ltd.
  • Journal article
    McGregor AH, Dore CJ, Morris TP, 2013,

    An exploration of patients' expectation of and satisfaction with surgical outcome

    , European Spine Journal, Vol: 22, Pages: 2836-2844, ISSN: 1432-0932

    Purpose The majority of studies of surgical outcomefocus on measures of function and pain. Increasingly,however, the desire to include domains such as patients’satisfaction and expectations had led to the development ofsimple measures and their inclusion into clinical studies.The purpose of this study was to determine patients’ preoperativeexpectations of and post-operative satisfactionwith the outcome of their spinal surgery.Methods As part of the FASTER randomised controlledtrial, patients were asked pre-operatively to quantify theirexpected improvement in pain and health status at 6 weeks,6 and 12 months following surgery using 100 mm visualanalogue scales (VAS), and to indicate their confidence inachieving this result and also the importance of thisrecovery to them. Patients were then asked to rate theirsatisfaction with the improvement achieved at each postoperativereview using 100 mm VAS.Results Although differences between patients’ expectationand achievement were minimal 6 weeks post-operatively,there was a clear discrepancy at 6 months and1 year, with patient expectations far exceeding achievement.There were significant correlations between failure toachieve expectations and the importance patients attachedto this recovery at each post-operative assessment, but notwith their confidence in achieving this result. Satisfactionlevels remained high despite expectations not being met,with discectomy patients being more satisfied thandecompression patients.Conclusions Patients’ pre-operative expectations of surgicaloutcome exceed their long-term achievement. Themore importance the patient attached to a good outcome,the larger is the discrepancy between expectation andachievement. Despite this, satisfaction levels remainedhigh. The impact of unrealistic expectations on outcomeremains unclear.
  • Journal article
    Altuntas AO, Alsop H, Cobb JP, 2013,

    Early results of a domed tibia, mobile bearing lateral unicompartmental knee arthroplasty from an independent centre

    , KNEE, Vol: 20, Pages: 466-470, ISSN: 0968-0160
  • Journal article
    Abel RL, Prime M, Jin A, Cobb JP, Bhattacharya Ret al., 2013,

    3D Imaging Bone Quality: Bench to Bedside

    , Hard Tissue, Vol: 2, ISSN: 2050-2303

    IntroductionMeasuring the health of bone is important for understanding the pathogenesis, progression, diagnosis and treatment outcomes for fragility. At present the most common method for measuring bone health in a clinical setting is to assess skeletal mass. The current gold standard is dual-energy X-ray absorptiometry (DXA) which models bones as 2D objects and measures areal bone mineral density (BMD). However, BMD only accounts for 50% of bone strength and the technique ignores other important factors such as cortical geometry and trabecular architecture, which are also significant contributors. Consequently a new concept of ‘bone quality’ has developed the material and structural basis of bone strength and fragility. As yet though, a suitable non-invasive method has not been developed for measuring quality in living patients. The aim of this paper is to discuss how bone quality might be visualised, quantified and applied in a clinical setting.DiscussionThe most useful imaging techniques are likely to be clinical-CT and MRI. Both modalities have been used successfully to characterise bone macro-structure in 3D e.g. volume fraction and orientation. More recently in vivo systems with high resolution (~0.100–0.200 mm) have been developed that can capture some aspects of bone micro-architecture. Alternatively 3D models created using clinical-CT and MRI can be used to virtually simulate loading on a computer and calculate bone mechanical properties. Analysed together these morphological and mechanical data sets might allow clinicians to provide screening programmes for osteoporosis and calculate individual fracture risk. Especially if applied as part of a holistic approach utilising patient meta-data on risk factors for metabolic bone disease (e.g. FRAX). As well as improve primary and secondary care by setting treat to target criteria for pharmacological therapies and planning surgical interventions or following up treatment outcomes.In the short t
  • Journal article
    Jaffry Z, Masjedi M, Clarke S, Harris S, Karia M, Andrews B, Cobb Jet al., 2013,

    Unicompartmental knee arthroplasties: Robot vs. patient specific instrumentation

    , The Knee
  • Journal article
    Masjedi M, Tay C, Harris S, Cobb Jet al., 2013,

    A Local Reference Frame for Describing the Proximal Human Femur; Application inclinical settings

    , Skeletal Radiology
  • Journal article
    Athwal KK, Hunt NC, Davies AJ, Deehan DJ, Amis AAet al., 2014,

    Clinical biomechanics of instability related to total knee arthroplasty

    , Clinical Biomechanics, ISSN: 0268-0033
  • Journal article
    Eftaxiopoulou T, Gupte CM, Dear JP, Bull AMJet al., 2013,

    The effect of digitisation of the humeral epicondyles on quantifying elbow kinematics during cricket bowling

    , JOURNAL OF SPORTS SCIENCES, Vol: 31, Pages: 1722-1730, ISSN: 0264-0414
  • Journal article
    Aqil A, Siddiqui MRS, Solan M, Redfern DJ, Gulati V, Cobb JPet al., 2013,

    Extracorporeal Shock Wave Therapy Is Effective In Treating Chronic Plantar Fasciitis: A Meta-analysis of RCTs

    , CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, Vol: 471, Pages: 3645-3652, ISSN: 0009-921X
  • Journal article
    Al-Hadithy N, Dodds AL, Akhtar KSN, Gupte CMet al., 2013,

    Current concepts of the management of anterior cruciate ligament injuries in children

    , BONE & JOINT JOURNAL, Vol: 95B, Pages: 1562-1569, ISSN: 2049-4394
  • Journal article
    Shah SIA, Langley RE, Cafferty FH, Abel RL, Abel PDet al., 2013,

    Fracture after androgen deprivation therapy among men with a high baseline risk of skeletal complications

    , BJU INTERNATIONAL, Vol: 112, Pages: E431-E432, ISSN: 1464-4096
  • Journal article
    Wiik AV, Manning V, Strachan RK, Amis AA, Cobb JPet al., 2013,

    Unicompartmental knee arthroplasty enables near normal gait at higher speeds, unlike total knee arthroplasty

    , Journal of Arthroplasty, Vol: 28, Pages: 176-178, ISSN: 0883-5403

    Top walking speed (TWS) was used to compare UKA with TKA. Two groups of 23 patients, well matched for age, gender, height and weight and radiological severity were recruited based on high functional scores, more than twelve months post UKA or TKA. These were compared with 14 preop patients and 14 normal controls. Their gait was measured at increasing speeds on a treadmill instrumented with force plates. Both arthroplasty groups were significantly faster than the preop OA group. TKA patients walked substantially faster than any previously reported series of knee arthroplasties. UKA patients walked 10% faster than TKA, although not as fast as the normal controls. Stride length was 5% greater and stance time 7% shorter following UKA — both much closer to normal than TKA. Unlike TKA, UKA enables a near normal gait one year after surgery.
  • Journal article
    Eilander W, Harris SJ, Henkus HE, Cobb JP, Hogervorst Tet al., 2013,

    Functional acetabular component position with supine total hip replacement

    , BONE & JOINT JOURNAL, Vol: 95B, Pages: 1326-1331, ISSN: 2049-4394

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