Long-term outcomes of amputation in the treatment of complex regional pain syndrome : a case series
Amputation as a form of treatment for patients with complex regional pain syndrome (CRPS) remains controversial. The aim of this study was to assess the long-term outcomes of amputation in patients with CRPS according to the criteria set by the core outcome measurement set for complex regional PAin syndrome Clinical sTudies (COMPACT) group.
Polymicrobial periprosthetic joint infections of the hip and knee : characteristics and management
The aim of this study was to evaluate the clinical and microbiological characteristics, surgical and antibiotic strategies, and long-term outcomes in patients with polymicrobial periprosthetic joint infection (PJI).
Unicompartmental knee arthroplasty revisions to total knee arthroplasty : good outcomes at mid-term follow-up
Data on revision of unicompartmental knee arthroplasty (UKA) to total knee arthroplasty (TKA) are limited by low patient numbers and short-term follow-up. This study evaluated the mid-term outcomes of revision of UKA to TKA focusing on implant survival, radiological results, and clinical outcomes in a large series.
A UK national prospective cohort study investigating current practices in single-event multilevel surgery for children with bilateral cerebral palsy and its impact on gait and function: the CPinBOSS study
The aim of this study was to identify the number of ambulant children with cerebral palsy (CP) who are eligible for single-event multilevel surgery (SEMLS) in the UK, to explore regional variations in care and estimate the outcomes over a two-year period.
A modified Delphi consensus on periprosthetic infection in orthopaedic oncology : a report from the Birmingham Orthopaedic Oncology Meeting (BOOM)
The aim of this study was to achieve consensus for important topics related to periprosthetic infection (PJI) in orthopaedic oncology, and to identify areas for future research.
A cost-consequence analysis comparing spinal fusion and decompression with decompression alone in the treatment of degenerative spondylolisthesis
The aim of this study was to compare outcomes of combined fusion and decompression with decompression alone in patients with lumbar degenerative sponylolisthesis. Traditional cost-effectiveness analysis was avoided due to the prospective nature of the two groups of patients.
Factors associated with failed conservative treatment in patients with degenerative full-thickness supraspinatus tears : a prospective cohort study
The conservative treatment of degenerative full-thickness supraspinatus tears yields satisfactory results in most patients. However, identifying those likely to require surgery remains difficult. The aim of this study was to evaluate the effectiveness of conservative treatment and identify the characteristics of the patient or the size of the tear which are associated with treatment failure.
Clinical characteristics and predictors of outcomes in septic arthritis of the shoulder : a 16-year study
The incidence of septic arthritis is rising due to an increase in joint surgeries and life expectancy. Limited data exist on the characteristics and risk factors associated with septic arthritis of the shoulder. This study aimed to describe the clinical characteristics and identify predictors of unfavourable outcomes in affected patients.
Clinical outcomes following treatment of extracapsular hip fractures with long compared with short cephalomedullary nails
The use of cephalomedullary nails for the fixation of extracapsular hip fractures has increased in recent years, but high-quality evidence to guide surgical decision-making between long and short cephalomedullary nails is lacking. The aim of this study was to compare the quality of life (QoL) and the risks of mortality and complications in patients treated with long and short cephalomedullary nails.
Shortening and in situ relengthening versus bone transport for the treatment of metaphyseal defect of lower limb long bones
The Ilizarov bone transport (BT) technique is a common surgical method for treating segmental bone defects. However, major issues with the BT technique are prolonged external fixation period and docking site problems. This study aims to introduce a new modification of the Ilizarov technique - shortening and in situ relengthening (SISRL) - specifically for treating bone defects in the metaphyseal long bones in the lower limbs, and to compare its effectiveness with that of BT technique.
Preoperative bisphosphonates in total hip arthroplasty : safe regardless of treatment duration
Recent studies have suggested that preoperative bisphosphonate (BP) use increases complications after total hip arthroplasty (THA), compared with THA in BP-naive patients. This study aimed to determine whether preoperative BP is associated with adverse surgical outcomes in patients receiving perioperative BP therapy, and whether duration of preoperative BP affected complication risk.
The number of fractures of the distal radius in older adult patients will almost double by 2040 : prediction modelling using national data from Scotland
The aim of this study was to predict the number and incidence of fractures of the distal radius in Scotland during the next two decades, according to sex and age group, categorized into under 65 years (< 65 years) and 65 years and older (≥ 65 years). A secondary aim was to estimate the potential increased operative burden associated with this.
Mid-term outcomes of combined anterior latissimus dorsi and teres major tendon transfer for irreparable anterosuperior rotator cuff tears : a minimum five-year follow-up study
Combined anterior latissimus dorsi and teres major tendon transfer has been introduced as a joint-preserving surgical option for patients with an irreparable anterosuperior rotator cuff tear involving both the subscapularis and supraspinatus tendons. This procedure includes synergistic biomechanics to improve the strength of internal rotation and the stability of the shoulder. The aim of this study was to assess the mid-term clinical and radiological outcomes of the procedure in patients with an irreparable rotator cuff tear. The short-term outcomes at a mean follow-up of 38.1 months (24 to 63) in some of these patients have previously been reported.
No difference in early outcomes between cementless and cemented primary total knee arthroplasties : a propensity score-matched analysis
There has recently been renewed interest in cementless primary total knee arthroplasty (TKA). Some authors have suggested that micromotion of cementless components before osseointegration may result in early postoperative pain. However, the existing studies have not used extensive, robust methodologies including the reporting of the minimal clinically important difference (MCID), substantial clinical benefit (SCB), patient-acceptable symptom state (PASS), and 'time to achieve MCID' analyses. Intuitively, MCID reflects 'feeling better', SCB reflects 'feeling much better', PASS reflects 'feeling good', and time to achieve MCID reflects 'how long it took to feel better'. The aim of this study was to compare the MCID, SCB, PASS, and time to achieve MCID between cementless and cemented primary TKAs.
Reasons for cancellation of total knee arthroplasty surgery in NHS hospitals in the UK
Non-UK single-centre studies report total knee arthroplasty (TKA) cancellation rates of between 5% and 23%, with one UK study reporting 26%. Many occur at short notice and for avoidable medical reasons. This negatively affects patient wellbeing and typically results in a lost NHS tariff of £6,500 to £11,000 per cancellation. This study aimed to collect reasons for and timing of cancellation of TKA surgery at UK NHS hospitals.
Contemporary insights into hinged knee arthroplasties : biomechanics, indications, and outcomes in complex primary and revision total knee arthroplasty
Hinged knee arthroplasty (HKA) serves as a pivotal solution for complex primary and revision total knee arthroplasty, addressing challenges such as ligament insufficiency, instability, and severe bone loss, which in turn leads to ligamentous compromise. Modern hinge designs mitigate historical issues such as aseptic loosening by incorporating advanced features, including enhanced load distribution, tibiofemoral conformity, and improved fixation methods. These innovations provide superior stability and survivorship while accommodating extensive soft-tissue and bony deficiencies. HKA also offers versatility in managing indications such as infection, arthrofibrosis, and neuropathic arthropathy. This review highlights the evolving indications, biomechanical principles, and outcomes of fixed and rotating hinges, emphasizing their indispensable role in advanced knee reconstruction.
Prosthetic reconstruction or hip transposition after periacetabular tumour resection? : a real-world comparative study and proposed preoperative scoring system
Reconstruction after periacetabular tumour resection poses significant challenges in limb salvage surgery, particularly in the management of its complications and in optimizing functional outcome. This study aims to compare the outcomes of prosthetic reconstruction and hip transposition, and to develop a preoperative scoring system to assist surgical decision-making.
Long-term results and implant survival of revision reverse shoulder arthroplasty after a mean follow-up of ten years
With the growing number of primary arthroplasties of the shoulder being undertaken, revision arthroplasty becomes an increasing challenge. Most revisions are of reverse shoulder arthroplasties (RSAs); however, there is a paucity of long-term results.
