Publications by authors named "Katharine Bennett-Brown"

Parkinson's disease (PD) poses a significant challenge for the arthroplasty surgeon, owing to excessive muscle tone, higher fracture risk and poor bone quality. Several studies have reported high mortality, early failure and perioperative complications associated with hip fracture surgery in PD; however, no higher-level evidence exists regarding elective hip arthroplasty.The aim of our study was to perform a systematic review to evaluate the evidence basis and clinical outcomes pertaining to patients with underlying Parkinson's disease undergoing elective total hip arthroplasty (THA).

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In the UK the incidence of hip fractures is nearly 76 000 cases per year, with the vast majority of these fractures occurring in patients over the age of 70 years. Most patients who sustain a hip fracture will have significant comorbidities and up to 40% will have cognitive impairment. For patients, sustaining a hip fracture can potentially be a devastating event.

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Article Synopsis
  • The study assesses how the COVID-19 pandemic impacted acute paediatric orthopaedic trauma referrals and operative caseload at a large hospital in London, comparing data from 2019 and the first six weeks of the 2020 lockdown.
  • Findings revealed a significant reduction in trauma referrals during the lockdown, with a two-thirds decrease in cases and fewer sports-related injuries recorded.
  • The research highlighted a shift to telemedicine for patient consultations, with a dramatic increase in virtual appointments and a corresponding decline in face-to-face visits, emphasizing a lasting change in healthcare delivery due to the pandemic.
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The COVID-19 pandemic has had a major impact on global healthcare systems, has drastically affected patient care, and has had widespread effects upon medical education. As plans are being devised to reinstate elective surgical services, it is important to consider the impact that the pandemic has had and will continue to have on surgical training. We describe the effect COVID-19 has had at all levels of training in the UK within trauma and orthopaedics and evaluate how training might change in the future.

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Clavicle fractures account for approximately 2-5% of all fractures in adults and 10-15% in children. There is a bimodal distribution, with two peaks occurring in patients <25 years of age as a result of direct trauma and in those >55 years of age secondary to a fall onto an outstretched arm. Approximately two-thirds of all clavicle fractures occur in men.

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