Publications by authors named "P Halliwell"

Article Synopsis
  • Patients with end-stage ankle osteoarthritis face limited mobility and have two main surgical options: total ankle replacement (TAR) and ankle fusion (AF).
  • The study aimed to compare the costs and quality of life improvements associated with TAR versus AF over 52 weeks and over the patients' lifetime, using a cost-utility analysis on 282 participants from a trial.
  • Results showed TAR was more expensive than AF at 52 weeks, with a cost-effectiveness ratio indicating TAR isn't cost-effective in the short term; however, long-term modeling suggested it could become cost-effective, with a 69% likelihood if using a threshold of £20,000 per quality-adjusted life-year gained.
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There has been an increasing shift towards individually owned leader development programs within organizations. Whilst leadership coaching is one of these and is gaining in popularity, the mechanisms of its effect remain poorly understood. We develop and investigate a model in which leadership coaching enhances leader effectiveness through coaching's positive effect on authentic and change-oriented leadership behaviours as well as self-efficacy.

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Background: End-stage ankle osteoarthritis causes severe pain and disability. There are no randomized trials comparing the 2 main surgical treatments: total ankle replacement (TAR) and ankle fusion (AF).

Objective: To determine which treatment is superior in terms of clinical scores and adverse events.

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End stage ankle joint arthritis is a debilitating condition. Surgical treatment, most commonly ankle arthrodesis or fusion, can be highly effective. The authors outline the nature and prevalence of ankle arthritis and show that the frequency of each type of procedure varies geographically.

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Distal tibial resection during total ankle arthroplasty can be time consuming and presents a technical challenge. We recommend the use of a femoral distractor to assist with this specific part of the operation. We describe the technique below and have now adopted it as a commonplace stage in our ankle replacements.

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