The role of orthopaedic trainees during the COVID-19 pandemic and impact on post-graduate orthopaedic education: a four-nation survey of over 100 orthopaedic trainees.

Aims: The COVID-19 pandemic has had a significant impact on the provision of orthopaedic care across the UK. During the pandemic orthopaedic specialist registrars were redeployed to "frontline" specialties occupying non-surgical roles. The impact of the COVID-19 pandemic on orthopaedic training in the UK is unknown.

Technical and surgical causes of outliers after computer navigated total knee arthroplasty.

Background: Navigated total knee arthroplasty (TKA) improves implant and limb alignment but outliers continue to exist. This study aimed to determine the technical and surgical causes of outliers.

Methods: This retrospective cohort study included 208 patients who had undergone navigated TKA.

A randomized controlled trial to compare component placement in navigated total knee arthroplasty using original and streamlined registration processes.

Background: This randomized controlled trial validated a redesigned version of navigated total knee arthroplasty software with a streamlined registration (Smart) against the previous version (Classic). The objectives were to determine if Smart software had the same accuracy of component positioning and whether registration and operative time were reduced.

Methods: A total of 220 patients were recruited and had a navigated total knee arthroplasty performed.

The ethical and practical challenges of patient noncompliance in orthopaedic surgery.

A fifty-five-year old man attends a trauma follow-up clinic six weeks after undergoing primary repair of a zone-II finger flexor tendon laceration. The patient has a history of substance abuse and has been noncompliant with postoperative treatment. He has not attended any postoperative outpatient or physiotherapy appointments, he removed his splint immediately on discharge, and he admits to moving the finger freely without restrictions, against advice.

Bilateral distal tibial stress fractures in a military recruit.

Stress fractures are common injuries in athletes and military recruits. They result from repetitive microtrauma, which over time exceeds the bone's intrinsic ability to repair itself. The site of occurrence is most commonly the weight-bearing lower limb.

A fracture of the radial styloid associated with proximal avulsion of abductor pollicis longus and extensor pollicis brevis.

The authors present the case of a right hand dominant adult who sustained a fracture of the distal radial styloid with complete avulsion of the abductor pollicis longus and extensor pollicis brevis tendons at their musculotendinous junctions. The authors could not find any reports of these injuries occurring together in the literature. No formal tendon reconstructive procedure was performed but full functional use of the injured extremity has been regained.

A rare presentation of TB: Osteomyelitis of distal ulna.

Tuberculosis (TB) is a major health issue in both developing and developed countries such as the UK. Healthy individuals who contract the infection have only 5-10% chance of converting to the active disease over their lifetime. We present the clinical history of a 76 year old female who attended the emergency department complaining of wrist pain, and was only diagnosed with TB after three years.

Osteo-myocutanoeus flap: a novel flap for single toe amputation.

Amputation is frequently required to treat wet gangrene secondary to peripheral vascular disease. Although different types of amputations have been reported, limited digital and ray amputation are the commonest amputations performed. The level of amputation will be determined by the distribution of lower limb disease but for every patient a balance between limb and functional preservation at lower levels versus better wound healing at higher levels should be sought.