Patient-reported outcome and survival following meniscal allograft transplantation : an international case series.

Aims: Meniscal allograft transplantation (MAT) for patients with symptomatic meniscal loss has demonstrated good clinical results and survivorship. Factors that affect both functional outcome and survivorship have been reported in the literature. These are typically single-centre case series with relatively small numbers and conflicting results.

Current concepts in the prevention, diagnosis and treatment of fracture-related infection (FRI).

Fracture-related infection (FRI) is one of the most challenging complications following operative management of fractures. It can have profound implications for the patient, can be associated with considerable morbidity and often lead to impaired outcomes. There are significant healthcare-related costs.

Ten-year survival rate of 89% after distal femoral osteotomy surgery for lateral compartment osteoarthritis of the knee.

Purpose: The purpose of this study was to assess the accuracy, safety, and survival of distal femoral osteotomy (DFO) surgery for lateral compartment OA of the knee.

Methods: A retrospective cohort study was conducted at a single UK centre, using prospectively collected data over an 8-year period (2009-2017). All patients had pre-operative radiographic analysis and digital planning of their deformity correction in addition to post-operative analysis of the achieved correction and yearly face-to-face follow-up.

Treatment of focal chondral lesions in the knee using a synthetic scaffold plug: Long-term clinical and radiological results.

The management of symptomatic articular cartilage lesions, especially in the young, fit individual remains an area of considerable controversy. Articular cartilage repair or reconstruction techniques may offer these patients alternatives to arthroplasty. The TruFit™ plug is a synthetic biphasic polymer scaffold that is designed for implantation at the site of a focal chondral defect.

Impact of MSSA screening on rates of surgical site infection following lumbar spine surgery.

Purpose: Methicillin-sensitive Staphylococcus aureus (MSSA) carriage may confer a significant risk of surgical site infection (SSI) and is common amongst the UK population. Screening for MSSA is not routinely offered to patients in the UK. Primary aim was to review the impact of introducing a MSSA screening programme, in addition to established Methicillin-resistant Staphylococcus aureus (MRSA) screening, on the incidence of SSIs following lumbar spine surgery.

Assessment of Head Displacement and Disassembly Force With Increasing Assembly Load at the Head/Trunnion Junction of a Total Hip Arthroplasty Prosthesis.

Background: Most femoral components used now for total hip arthroplasty are modular, requiring a strong connection at assembly. The aim of this study was to assess the effect of assembly force on the strength of head-trunnion interface and to measure the initial displacement of the head on the trunnion with different assembly forces.

Methods: Three assembly load levels were assessed (A: 2 kN, B: 4 kN, C: 6 kN) with 4 implants in each group.

The learning curve of electronic prescribing.

Introduction: Medication errors are a potentially avoidable source of harm to patients. The authors' hospital has introduced electronic prescribing in an attempt to reduce these errors. A prospective quality improvement project was performed to assess both the impact of this change on prescribing errors and to see if there was a learning curve associated with prescribers using the new system.

Anatomy, classification and treatment of intracapsular hip fractures.

Hip fractures are increasingly common, given the increasing ageing, osteoporotic population with significant medical comorbidities. This review summarizes the anatomy of the proximal femur, reviews classification systems and gives recommendations for use of each treatment modality.

Major haemorrhage in pubic rami fractures.

A 62-year-old man presented to the emergency department, having fallen 6 ft from a ladder, with pain over his left hip and shoulder. He was managed according to the Advanced Trauma Life Support (ATLS) protocol, and his primary survey showed no haemodynamic compromise. Initial radiographs showed a unilateral left superior and inferior pubic rami fracture, which was treated conservatively.

Improving communication with primary care to ensure patient safety post-hospital discharge.

Introduction: Successful communication between hospitals and primary care is of paramount importance to enable continuity of care and maintain patient safety post-discharge. Discharge summaries are the simplest way for GPs to obtain information about a patient's hospital stay. A quality improvement study was conducted with the aim of increasing the content of discharge summaries for inpatients in the authors' department.

An isolated articular surface fracture of the distal patella: an unusual and previously unreported paediatric injury.

Paediatric patella fractures are uncommon, accounting for less than 1% of all paediatric fractures. This case report describes a previously undocumented patella fracture in a child, with a clear mechanism of injury. We present a case of a previously healthy 14-year-old boy who fell directly onto his right knee after coming off his pushbike.

Cauda equina syndrome: the importance of complete multidisciplinary team management.

A 44-year-old lady with a history of lumbar back pain presented to the emergency department complaining of severe back pain radiating to her buttocks. Positive examination findings were a loss of sensation in the perianal area and 348 ml of retained urine. An urgent MRI showed compression of the cauda equina by a herniated disc.