Publications by authors named "Alastair Marsh"
Background: Functional outcome following ankle fracture fixation is linked to the restoration of joint congruity, anatomic alignment and stability. If surgical fixation fails to achieve these goals, revision surgery may be indicated. This retrospective study aims to report a consecutive series of fourteen patients with a minimum of one year follow up after revision ankle fixation and describe CT scan based modified Pettrone score used to assess quality of primary fixation.
View Article and Find Full Text PDFHybrid organic-inorganic binders based on blast furnace slag were produced using sodium (NaAc) or potassium (KAc) acetate as the sole activator, and their properties were compared with those of sodium- or potassium hydroxide-activated slag pastes. The acetate-activated binders showed significantly lower cumulative heat release and extended setting time (∼230 h) than the hydroxide-activated binders. The main reaction products forming in all binders were calcium aluminosilicate hydrate-type gels and a hydrotalcite-like phase, independently of the activator type used.
View Article and Find Full Text PDFBackground: Ankle fractures are becoming more common in the elderly and their management is frequently challenging. There is increasing evidence of good outcomes following fibula nail fixation in the management of ankle fractures. The use of a fibula nail in open fractures comes with potential advantages such as minimal soft tissue dissection, early rehabilitation, and decreased wound complications.
View Article and Find Full Text PDFObjective: To examine implementation of evidence in orthopaedic practice following publication of the results of three pivotal clinical trials.
Design: Case studies based on three orthopaedic trials funded in sequence by the National Institute for Health Research Health Technology Assessment (HTA) programme. These trials dealt with treatment of fractures of the humerus, radius and ankle, respectively.