Publications by authors named "Alexander Hartland"

Article Synopsis
  • The study investigates the impact of NSAIDs and COX-2 inhibitors on healing rates, functional outcomes, and patient satisfaction after rotator cuff repair surgery.
  • A review of seven randomized controlled trials (RCTs) involving 507 patients found that NSAIDs did not affect the retear rate but significantly reduced postoperative pain and improved functional outcomes, while COX-2 inhibitors showed no significant benefits.
  • The findings highlight that NSAIDs can help with pain management and functionality post-surgery, but neither treatment significantly impacts the healing process itself.
View Article and Find Full Text PDF

Objectives: The comparative clinical effectiveness of common surgical techniques to address long head of biceps (LHB) pathology is unclear. We synthesised the evidence to compare the clinical effectiveness of tenotomy versus tenodesis.

Design: A systematic review and meta-analysis using the Grading of Recommendations Assessment, Development and Evaluation approach.

View Article and Find Full Text PDF

Introduction: is a gram-positive anaerobe that is found on the dermis and epidermis of the shoulder and is the most commonly identifiable cause of periprosthetic shoulder joint infection. Various topical strategies have been investigated to reduce the prevalence of , with several demonstrating efficacy in reducing the positive culture. The aim of this systematic review and meta-analysis is to review the literature to assess the effectiveness of topical preparations in reducing the prevalence of in shoulder surgery.

View Article and Find Full Text PDF

Introduction: Acute acromioclavicular joint separation is a common injury to the shoulder. Various surgical reconstruction methods exist when operative management is required, but the optimal procedure is not known. The aim of this systematic review and meta-analysis is to review the literature to assess the clinical effectiveness of various surgical reconstruction modalities used for acute ACJ separation.

View Article and Find Full Text PDF

The Mid Essex teaching team have adapted and innovated to ensure delivery of the curriculum to over 150 students from two medical schools during COVID-19. A fully immersive education experience was created through protected teaching time, the introduction of a simulation package (virtual reality simulation, ward simulation and bleep simulation), the proactive recruitment of fourteen dedicated teaching fellows, and the procurement of technology-based platforms. The blended learning approach we designed supplemented student-patient interaction on the ward with virtual and face-to-face teaching sessions where appropriate.

View Article and Find Full Text PDF

Purpose: Undergraduate clinical placements have the potential for significant improvement. Previous research has shown the growing value of clinical teaching fellows (CTFs) within medical education. Changing traditional placements to a model whereby CTFs have defined roles and lead the majority of teaching can positively reinvent undergraduate clinical teaching.

View Article and Find Full Text PDF

Introduction: The long head of biceps tendon is a common source of anterior shoulder pain and impaired function. Multiple surgical procedures are available as treatment options, but the optimal procedure is not known. The aim of this systematic review and meta-analysis is to review the literature to assess the clinical effectiveness of various surgical procedures to treat pain arising from the long head of biceps.

View Article and Find Full Text PDF

Background: Tranexamic acid (TXA) is widely used across surgical specialties to reduce perioperative bleeding. It has been shown to be effective in spinal surgery and lower limb arthroplasty. Among all languages, there are no systematic reviews or meta-analyses investigating its clinical effectiveness for all types of shoulder surgery.

View Article and Find Full Text PDF

Introduction: Blood loss is an important consideration in all types of shoulder surgery. Excessive bleeding is associated with increased morbidity. Tranexamic acid (TXA) is an antifibrinolytic agent.

View Article and Find Full Text PDF