Patient and technical contributors to periprosthetic fracture around the CPT stem.

Introduction: The incidence of postoperative periprosthetic fracture has been reported to be higher in polished tapered femoral stems with the CPT stem possibly of greatest concern. We report on the patient and surgical factors in a consecutive cohort of 2892 CPT stems implanted as part of a total hip construct, either electively or for the treatment of a fractured neck of femur (NOF) over a 15-year period.

Methods: The Bluespier departmental database was used to identify any patients who been treated for a Vancouver B periprosthetic fracture around a CPT stem from 2008 to 2021.

Prognostic performance of clinical assessment tools following hip fracture in patients with chronic kidney disease.

Purpose: People living with chronic kidney disease (CKD) are at a higher risk of hip fracture with an associated increased mortality risk compared to individuals without CKD. Our study aimed to evaluate the clinical assessment tools that best predict mortality risk following hip fracture for patients with CKD.

Methods: Patients with CKD G3b-5D admitted to Lancashire Teaching Hospitals NHS Foundation Trust, U.

Trauma theatre productivity - Does the individual surgeon, anaesthetist or consultant presence matter?

Introduction: With rising NHS clinical and financial demands, improving theatre efficiency is essential to maintain quality of patient care. Consistent teams and consultant presence have been shown to improve outcomes and productivity in elective orthopaedic surgery. The aim of this study was to investigate the impact on trauma theatre productivity of different surgeons and anaesthetists working together in a Major Trauma Centre.

Patella denervation in primary total knee arthroplasty - a randomized controlled trial with 2 years of follow-up.

We randomized 126 consecutive patients undergoing primary total knee arthroplasty into group 1: patella denervation (n = 63) and group 2: no patella denervation (n = 63). Assessment was performed preoperatively and at 3, 12 and 24 months post-operatively. Average follow-up of patients was 26.

Pain control after primary total knee replacement. A prospective randomised controlled trial of local infiltration versus single shot femoral nerve block.

Background: We report a prospective blinded randomised trial of local infiltration versus femoral nerve block in patients undergoing primary total knee replacement (TKR), in accordance with the CONSORT statement 2010.

Methods: Fifty patients in a teaching hospital were consented for the study. The study arms were intraoperative local anaesthesia (150ml 0.

WITHDRAWN: Interventions for treating acute and chronic Achilles tendinitis.

Background: Achilles tendinitis is one of the most common of all sports injuries. There is no consensus on treatment.

Objectives: To assess the effectiveness of various treatment interventions for acute and chronic Achilles tendinitis in adults.

Preliminary results of an uncemented trabecular metal tibial component in total knee arthroplasty.

Trabecular metal has several theoretical advantages for the long-term survival of a tibial component. We report the results of a prospective cohort of 105 consecutive primary total knee arthroplasties using an uncemented trabecular metal (tantalum) tibial component at a minimum 3-year follow-up (range, 36-56 months). There was a significant improvement in Oxford Knee scores and Short Form-12 scores postoperatively.