Using a Wearable Activity Monitor to Accurately Measure Mobility After Surgery for Hip Fractures (MASH)-A Feasibility Study Protocol.

Introduction: Hip fractures are the most common reason for acute orthopaedic admission in the United Kingdom (UK) and pose a substantial cost to the National Health Service (NHS). A significant proportion of this expenditure is accounted for by hospital bed days, with additional contributions from health and social aftercare. Early ambulation following hip fracture surgery improves outcomes by accelerating functional recovery and reducing the need for ongoing care.

The relationship between alignment, function and loading in total knee replacement: In-vivo analysis of a unique patient population.

The purpose of this study was to quantify the effect of total knee replacement (TKR) alignment on in-vivo knee function and loading in a unique patient cohort who have been identified as having a high rate of component mal-alignment. Post-TKR (82.4 ± 6.

Patients with Clinically Suspected but Unproven Hip Fractures, Who Require Cross-Sectional Imaging, Are Best Initially Admitted under Geriatrician-Led Care-A Retrospective Review.

Patients with suspected hip fractures who require further imaging to confirm or disprove the diagnosis may be admitted to orthopaedic or medical departments. We aim to provide evidence regarding the appropriate admission pathway for such patients. This is a retrospective study of all suspected hip fracture patients receiving second-line imaging between 1 January 2015 to 30 June 2016 in one hospital trust.

Meniscal integrity predicts laxity of anterior cruciate ligament reconstruction.

Purpose: The aim of this study was to evaluate the incidence of failure of anterior cruciate ligament (ACL) reconstruction and to assess the prognostic factors for such an outcome.

Methods: A prospective inception cohort of patients undergoing ACL reconstruction was analysed for failure (patient reported symptoms of rotational instability, a clinically positive pivot shift, MRI or arthroscopy showing ACL graft rupture). Risk factors evaluated included medial and lateral meniscal deficiency, medial and lateral meniscal repair, age, gender, BMI, graft size and time to surgery.

The Cardiff Arthroplasty Satisfaction Index (CASI). A simple tool for the assessment of outcome following knee arthroplasty.

Our aim was to develop a patient reported outcome measure of satisfaction following total knee arthroplasty (TKA) and assess its correlation with Oxford knee score (OKS), Quality of life (EQ5D) and Visual analogue scale for pain (VAS). 172 patients with minimum 5year follow up post primary total knee arthroplasty completed CASI, OKS, EQ5D and VAS for pain. Receiver-operator curve analysis was performed to identify an OKS threshold of poor satisfaction defined by CASI rarely/never.

Secondary collapse of lateral femoral condyle following bone bruise: a case report.

The term bone bruise, in modern medicine, is still a relatively young one, which followed the advent of MRI. Resolution takes between 12 and 24 weeks, however clinical significance is unknown. We present the case of an 18-year-old male who developed bone bruising of his lateral femoral condyle, associated with meniscal injury and anterior cruciate ligament rupture, following a fall from a push bike.

Dorsally angulated proximal phalanx fractures: closed reduction and rigid fixation using a reversed extension splint.

Dorsally angulated proximal phalanx fractures have always presented a difficulty for treatment. A variety of options for treatment have been tried in the past, many of these are operative options and therefore carry the risks of a surgical procedure. We present a case of a conservatively managed proximal phalanx fracture using a reversed dynamic or static finger extension splint, such as Roylan Sof-Stretch.