Long-term survivorship of the Herbert ulnar head prosthesis: a multicentre retrospective cohort study.

IV.

Total wrist arthroplasty: commentary and opinions.

Total wrist arthroplasty (TWA) is gaining interest as a management option for wrist arthritis. This review article summarizes the current evidence base for TWA, focusing on the performance and survivorship of fourth-generation implants. These appear to offer satisfactory patient-reported outcomes and survivorship over the medium term, but heterogeneity between implants and patient populations complicates data interpretation.

Questions, answers and challenges: Summarising the guidance for distal radius fractures.

This article summarises the current recommendations from the American Academy of Orthopaedic Surgeons (AAOS), the British Orthopaedic Association (BOA), the British Society for Surgery of the Hand (BSSH) and the National Institute of Health and Care Excellence (NICE) for the management of distal radius fractures (DRF). We performed an audit of DRF management at our local emergency hospital. Results and conclusion: Despite DRF representing a large portion of our workload, there remains a paucity of evidence to base recommendations on.

Medium Term Radiographic and Clinical Outcomes Using a Modular Tapered Hip Revision Implant.

Background: The rate of revision hip arthroplasty surgery is rising. Surgeons must use implants with proven outcomes to help overcome the technical challenges faced during revision surgery. However, outcome studies using these implants are limited.

Use radiography rarely, not routinely, for hip hemiarthroplasty.

Purpose: Hip hemiarthroplasty (HA) is a commonly performed operation. A post-operative radiograph forms part of the routine hip fracture pathway, although patients are often mobilised prior to this investigation. This study seeks to provide evidence for a pragmatic clinical change to optimise patient safety and allocate limited resources within the National Health Service (NHS).

The National Hip Fracture Database is only as good as the data we feed it - significant inaccuracy demonstrated and how to improve it.

Introduction: The National Hip Fracture Database of England, Wales and Northern Ireland (NHFD) is the largest such database in the world. Data errors in within the NHFD lead to spurious evidence which ultimately informs Orthopaedic, Anaesthetic and Orthogeriatric clinical practice.

Materials And Methods: This multi-centre quality improvement study investigated, and sought to improve data inaccuracy within the NHFD.

Post-operative outcomes of arthroscopic tarsal coalition resection: A systematic review.

Background: Arthroscopic resection of tarsal coalitions is a relatively new technique. This systematic review aimed to investigate the post-operative complications and functional outcomes in arthroscopic resection of tarsal coalitions.

Methods: PubMed, Medline, Embase and Cochrane library were searched for studies that reported outcomes in arthroscopic resection of tarsal coalitions.

Management of hip fractures during the COVID-19 pandemic at a high-volume hip fracture unit in the United Kingdom.

This study aimed to compare the treatment pathway and 30-day outcomes of hip fracture patients admitted during the COVID-19 pandemic with the pre-pandemic period. Three periods were retrospectively analysed: period C = 23/03/2020-11/05/2020, period A = 23/03/2018-11/05/2018, period B = 23/03/2019-11/05/2019. No statistically significant differences in time to surgery, type of treatment, complications, and mortality rates were noted.