Publications by authors named "Alisdair Gilmour"
Background: Noise exposure during surgery is a known occupational hazard, impacting staff hearing and surgical outcomes. Despite guidelines such as the Australian Work Health and Safety Act, noise safety remains largely neglected in orthopaedic surgery. Anecdotally, the introduction of robotic-assisted arthroplasty has contributed to increased noise production.
View Article and Find Full Text PDFAims: To perform an incremental cost-utility analysis and assess the impact of differential costs and case volume on the cost-effectiveness of robotic arm-assisted unicompartmental knee arthroplasty (rUKA) compared to manual (mUKA).
Methods: This was a five-year follow-up study of patients who were randomized to rUKA (n = 64) or mUKA (n = 65). Patients completed the EuroQol five-dimension questionnaire (EQ-5D) preoperatively, and at three months and one, two, and five years postoperatively, which was used to calculate quality-adjusted life years (QALYs) gained.
Article Synopsis
- Unicompartmental knee arthroplasty (UKA) can offer benefits for medial compartment osteoarthritis, but it has a higher chance of needing revision compared to total knee arthroplasty; robotic-assisted UKA may improve outcomes but lacks strong evidence on functional benefits.
- In a study with 139 participants, outcomes were compared between robotic-arm-assisted UKA and conventional surgery, with no significant differences overall at the 2-year mark.
- However, more active patients (those with a higher preoperative activity level) showed better outcomes with robotic assistance, indicating potential advantages, but further long-term studies are needed to confirm survivorship differences.
Background: Fifth metacarpal fractures are common and comprise a significant proportion of traditional orthopaedic fracture clinic workload. We reviewed the functional outcome and the satisfaction of patients managed with a new protocol that promoted "self-care" and resulted in the discharge of most of these patients from the emergency department with no further follow-up.
Methods: A retrospective study was performed of patients discharged with a fifth metacarpal fracture between April 2012 to October 2012.
Background: Mallet finger injuries are usually successfully treated non-operatively with a splint. Most patients are reviewed at least twice in a clinic after the initial presentation in A&E. A new protocol promoting "self-care" was introduced at our institution.
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