Does long-term surveillance of primary linked total elbow arthroplasty identify failing implants requiring revision?

Background: Scoping review has identified a lack of evidence guiding long-term follow-up of elbow arthroplasty. We report the effectiveness of primary linked total elbow arthroplasty surveillance in identifying failing implants requiring revision.

Methods: A prospective database recording consecutive primary linked total elbow arthroplasty and subsequent surveillance in an elbow unit was analysed.

Discovery Elbow System arthroplasty polyethylene bearing exchange: outcomes and experience.

Background: The Discovery Elbow System (DES) utilizes a polyethylene bearing within the ulnar component. An exchange bearing requires preoperative freezing and implantation within 2 minutes of freezer removal to allow insertion. We report our outcomes and experience using this technique.

Scoping review: Evidence for long-term follow-up and monitoring in shoulder and elbow arthroplasty.

Aims: Long-term follow-up and monitoring of asymptomatic shoulder and elbow arthroplasty remains contentious, with a wide spectrum of non-evidence-based mechanisms used. This scoping review aims to outline related evidence, thereby informing research requirements.

Methods: Studies relevant to shoulder and elbow arthroplasty follow-up, surveillance and time-related failure were included.

Does long-term follow-up and monitoring of primary shoulder arthroplasty identify failing implants requiring revision?

Background: Published scoping review has identified evidence paucity related to long-term follow-up of shoulder arthroplasty. We aim to report effectiveness of elective primary shoulder arthroplasty surveillance in identifying failing implants requiring revision.

Methods: A prospective database recording shoulder arthroplasty and subsequent follow-up surveillance in a shoulder unit was analyzed.

Improving core surgical training in a major trauma centre.

Introduction: English Major Trauma Centres (MTCs) were established in April 2012. Increased case volume and complexity has influenced trauma and orthopaedic (T&O) core surgical training in these centres.

Objectives: To determine if T&O core surgical training in MTCs meets Joint Committee on Surgical Training (JCST) quality indicators including performance of T&O operative procedures and consultant supervised session attendance.

Arteriovenous fistula formations: key to vascular surgical training.

Purpose: To highlight missed training opportunities in daycase surgery for trainees to acquire competency in vascular anastomosis by performing arteriovenous fistula (AVF) formations.

Methods: Operative Room Management Information System records were reviewed for AVF procedures in daycase and general theatres at a UK Foundation Trust between 2007 and 2012. Data collected included procedure, procedure time (PT), patient length of stay (LOS), readmissions within 30 days of procedure and lead and assistant surgeons involved.