Publications by authors named "Nigel Donnachie"

Background: Direct oral anticoagulants (DOACs) have promised superior efficacy to low molecular weight heparins in the prevention of venous thromboembolism (VTE) in total hip and knee arthroplasty. However, there are concerns about raised associated bleeding and wound problems with these agents. This study aims to evaluate and compare the efficacy and safety of the 3 DOAC drugs: rivaroxaban, dabigatran and apixaban.

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Article Synopsis
  • The study investigates the re-dislocation rates after revision surgery for recurrent dislocation in total hip arthroplasty (THA) over an 8-year period, finding a rate of 16.7% for late dislocations.
  • The major causes of recurrent dislocation identified were socket mal-orientation and abductor deficiency, and most patients underwent revision of both hip components.
  • No re-dislocations occurred within the first 90 days post-surgery, indicating favorable short-term outcomes after the revisions.
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Patella fractures are relatively common injuries. Tension band wiring is commonly used to treat displaced patella fractures. The goal of this study was to assess the outcome and implant removal rate following surgical stabilization of patella fracture.

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Introduction: PFNA design compacts the cancellous bone to provide increased stability and has been bio-mechanically proven to retard rotation and varus collapse.

Methods: Between 2006 and 2007, 62 consecutive patients with unstable proximal femoral fractures were treated with the PFNA.

Results: Twenty males and 42 females with a mean age of 78 years (44-94) were reviewed.

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