Publications by authors named "Owain Evans"
Multibody optimisation approaches have not seen much use in routine clinical applications despite evidence of improvements in modelling through a reduction in soft tissue artifacts compared to the standard gait analysis technique of direct kinematics. To inform clinical use, this study investigated the consistency with which both approaches predicted post-surgical outcomes, using changes in Gait Profile Score (GPS) when compared to a clinical assessment of outcome that did not include the 3D gait data. Retrospective three-dimensional motion capture data were utilised from 34 typically developing children and 26 children with cerebral palsy who underwent femoral derotation osteotomies as part of Single Event Multi-Level Surgeries.
View Article and Find Full Text PDFBackground: With reduced community mobility, household infections may become increasingly important in SARS-CoV-2 transmission dynamics.
Methods: We investigate the intra-household transmission of COVID-19 through the secondary-attack rate (SAR) and household reproduction number (Rh). We estimate these using (i) data from 29 prior studies (February-August 2020), (ii) epidemiologically linked confirmed cases from Singapore (January-April 2020) and (iii) widespread-testing data from Vo' (February-March 2020).
Article Synopsis
- The COVID-19 pandemic prompted significant changes in pediatric outpatient orthopaedics, shifting to more telephone appointments and self-removable casts.
- A comparison between data from 2019 and 2020 showed a substantial reduction in face-to-face visits and discharge times, while telehealth usage surged and self-removable cast adoption skyrocketed.
- No significant increases in complications or reattendance were noted, highlighting potential cost savings in clinic operations during the pandemic.
Aims: To determine the impact of COVID-19 on orthopaediatric admissions and fracture clinics within a regional integrated care system (ICS).
Methods: A retrospective review was performed for all paediatric orthopaedic patients admitted across the region during the recent lockdown period (24 March 2020 to 10 May 2020) and the same period in 2019. Age, sex, mechanism, anatomical region, and treatment modality were compared, as were fracture clinic attendances within the receiving regional major trauma centre (MTC) between the two periods.
Objectives: To analyse the acute effects of spinal manipulation on neuromuscular function in asymptomatic individuals.
Design: Randomised controlled, cross-over trial.
Settings: Spinal manipulation (SM) is used as therapeutic modality for various neuromuscular disorders and also in sport with asymptomatic individuals to improve range of motion and/or facilitate motor control.
Purpose: Developmental dysplasia of the hip (DDH) affects approximately 1 % of live births. Dislocated hips require reduction and stabilisation in a spica cast, and reduction efficacy is assessed radiologically. Numerous measurements are used to ascertain the adequacy of reduction but can be inconsistent in evaluating femoral head position.
View Article and Find Full Text PDFIntroduction: The purpose of the study was to assess the quality of documentation of knee arthroscopy and evaluate the implementation of a novel operative template.
Method: A 34-point assessment was undertaken based on published national guidelines. A retrospective study of 50 operative notes of patients (group A) undergoing knee arthroscopy was completed.