Research Publications

Introduction Undersizing of an uncemented femoral stem is a post-operative description of a radiograph with unclear clinical importance. It may not always translate into a suboptimal clinical outcome. Aim To describe a novel classification system of undersizing in a fully hydroxyapatite coated femoral implant, assess if it could be reliably [...]

Aims: This study aimed to evaluate implant survival of reverse hybrid total hip arthroplasty (THA) at medium-term follow-up. Patients and methods: A consecutive series of 1082 THAs in 982 patients with mean follow-up of 7.9 years (5 to 11.3) is presented. Mean age was 69.2 years (21 to 94). Of [...]

Introduction The uncemented total hip arthroplasty relies on a secure initial fixation of the femoral stem to achieve osseointegration. Undersizing of the femoral implant compromises this. Surgeons routinely review postoperative radiographs to assess appropriate sizing, but existing methods of assessment lack standardisation. We present a system of accurately and reliably [...]

Introduction The removal of well-fixed broken femoral component and cement mantle can be extremely demanding, time consuming and potentially damaging to the host bone. Different methods have been described to extract broken femoral stem yet this remains one of the most challenging prospect to the revision hip surgeon. Presentation of [...]

Fractures of the proximal humerus are extremely common. While there is as yet no consensus regarding surgical management, this article discusses the rationale behind nailing and details the authors' technique. Read More: (iii) Intramedullary fixation for fractures of the proximal humerus | Request PDF (researchgate.net)

Flexor digitorum longus (FDL) is the primary flexor of the lateral four toes. It is a reliable source of tendon for transfer surgery. We present a case whereby a patient who required a reconstruction for adult acquired flatfoot deformity using FDL as a dynamic structure for transfer was found to [...]

Tendinopathy is characterised by a disorganised, haphazard healing response with no histological signs of inflammation. Research on tendon injuries is limited to the description of the condition and its management, and the pathogenesis is still ill defined. Together with known intrinsic and extrinsic factors, genetics may play a significant role [...]

Read More: https://www.researchgate.net/publication/6216850_Genetics_Does_It_Play_A_Role_in_Tendinopathy

Mechanosensitive and voltage-gated ion channels are known to perform important roles in mechanotransduction in a number of connective tissues, including bone and muscle. It is hypothesized that voltage-gated and mechanosensitive ion channels also may play a key role in some or all initial responses of human tenocytes to mechanical stimulation. [...]

The elbow is a common site of orthopaedic injury in the paediatric population. The number of these injuries continues to rise following increased levels of participation in paediatric recreational and competitive sport. Injuries to the paediatric elbow can be classified as either overuse or acute. Delineating injury patterns to the [...]

Read More: https://www.researchgate.net/publication/7522776_Matrix_metalloproteases_A_role_in_overuse_tendinopathies

Disorganized, haphazard ineffective healing is a constant feature of chronic tendinopathy. Normal tendon is composed mostly of type I collagen. Tendinopathic tendons, conversely, have a greater proportion of type III collagen, which is associated with tendon rupture. Matrix metalloproteinases (MMPs) are involved in remodelling of the extracellular matrix (ECM) of [...]

endinopathy, a broad term used to describe disorders in and around tendons, 1,2 is associated with repetitive tensile forces exerted on tendons. 3-5 Rapid increases in the duration and intensity of these forces may cause tendon injuries, 6 possibly the starting point in the pathogenesis of chronic tendinopathy. The exact [...]

Objective: To review the existing data available on the epidemiology of elbow injuries in sport. Data sources and study selection: A comprehensive, web-based search of existing articles pertaining to elbow injuries in sports was performed. Main results: Age, sex, and level of experience in sport influence the incidence of common [...]