Litigation in Hand and Wrist Related Injuries and Surgery.

Background: We aimed to evaluate the burden of successful litigation relating to wrist and hand injuries and surgery.

Material And Methods: A retrospective review was conducted using the English national litigation data-base, National Health Service Litigation Authority database.

Results: A total of 325 successful claims were analysed from 2002-2012.

Venous Thromboembolism Prophylaxis in Outpatient Lower Limb Fractures and Injuries.

Background: The risk of venous thromboembolism (VTE) is a preventable complication of trauma in ambulatory patients requiring temporary lower limb immobilisation. We introduced a VTE risk assessment and management tool in fracture clinics, to help improve appropriate VTE management of trauma patients that do not require hospitalisation. This was based on guidelines published by the College of Emergency Medicine (UK).

Availability of Total Knee Arthroplasty Implants for Metal Hypersensitivity Patients.

Purpose: To provide information on the type of "hypersensitivity-friendly" components available for primary total knee arthroplasty (TKA) in the current market.

Materials And Methods: Implant manufactures were identified using the 2013 National Joint Registries of the United Kingdom and Sweden and contacted to obtain information about the products they offer for patients with metal hypersensitivity.

Results: Information on 23 TKA systems was provided by 13 implant manufacturers.

Litigation and Malpractice in Carpal Tunnel Surgery: An Analysis of 60 Successful Claims Over a 10-Year Period (2002-2012).

Introduction: Carpal tunnel surgery represents a significant source of litigation in hand surgery. The aim of this work was to evaluate the burden of successful litigation relating to this type of hand surgery in England. Secondary measures looked at identifying the most common causes of successful legal action.

Reduced Blood Loss and Transfusion Rates: Additional Benefits of Local Infiltration Anaesthesia in Knee Arthroplasty Patients.

We hypothesised that local infiltration of anaesthesia (LIA) containing adrenaline may reduce peri-operative blood loss and transfusion requirements in primary total knee arthroplasty patients (TKA) when compared to simple patient control analgesia (PCA). In this retrospective cohort study there were 22 TKAs in the PCA group and 27 TKAs in the LIA group. There were no drains used or significant differences in demographics between groups.

The use of MRI in the investigation of lateral meniscal tear post medial unicompartmental knee replacement.

The evaluation of lateral knee pain in patients with a medial unicompartmental knee replacement (UKR) is complex. The native lateral compartment structures are prone to the same injuries as patients with normal knees. Historical reports of lateral meniscal injury post medial UKR have argued MRI evaluation is obsolete due to artefact caused by the prosthesis.

Computer assisted versus conventional total knee replacement: a comparison of tourniquet time, blood loss and length of stay.

Unlabelled: AIMS AND INTRODUCTION: The aim of this study was to assess whether navigated total knee arthroplasty (TKA) reduces peri-operative blood loss and post-operative length of stay when compared to conventional total knee arthroplasty techniques.

Patients And Methods: A retrospective case-note review of 143 patients undergoing primary elective total knee arthroplasty was carried out. Two surgeons in this institution perform conventional knee arthroplasty using intramedullary alignment with another two surgeons using the computer assisted technique.