Nicholas David Clement

Summary

Country: UK

Publications

  1. ncbi The minimal clinically important difference in the Oxford knee score and Short Form 12 score after total knee arthroplasty
    N D Clement
    Royal Infirmary of Edinburgh, Little France, Edinburgh, EH16 4SA, UK
    Knee Surg Sports Traumatol Arthrosc 22:1933-9. 2014
  2. pmc Assessment of shoulder function using the coronal plane angle
    N D Clement
    Department of Orthopedics and Trauma, Sunderland Royal Hospital, SR4 7TP
    Int J Shoulder Surg 3:90-3. 2009
  3. doi Can deformity of the knee and longitudinal growth of the leg be predicted in patients with hereditary multiple exostoses? A cross-sectional study
    N D Clement
    Department of Orthopaedics and Trauma, The Royal Infirmary of Edinburgh, Little France, Edinburgh, EH16 4SA, UK Electronic address
    Knee 21:299-303. 2014
  4. ncbi Patient satisfaction after total knee arthroplasty is affected by their general physical well-being
    N D Clement
    Department of Orthopaedics and Trauma, The Royal Infirmary of Edinburgh, Little France, Edinburgh, EH16 4SA, UK
    Knee Surg Sports Traumatol Arthrosc 21:2638-46. 2013
  5. pmc Accelerated polyethylene wear and early failure of the uncemented Reflection acetabular component: a ten to fifteen-year follow-up study
    Nicholas D Clement
    Department of Orthopaedics and Trauma, The Royal Infirmary of Edinburgh, Little France, Edinburgh, EH16 4SA, UK
    Int Orthop 37:2337-43. 2013
  6. doi Diabetes does not influence the early outcome of total knee replacement: a prospective study assessing the Oxford knee score, short form 12, and patient satisfaction
    N D Clement
    Department of Orthopaedics and Trauma, The Royal Infirmary of Edinburgh, Little France, Edinburgh, EH16 4SA, UK Electronic address
    Knee 20:437-41. 2013
  7. doi The outcome of tibial diaphyseal fractures in the elderly
    N D Clement
    Edinburgh Orthopaedic Trauma Unit, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh EH16 4SU, UK
    Bone Joint J 95:1255-62. 2013
  8. doi Forearm deformity in patients with hereditary multiple exostoses: factors associated with range of motion and radial head dislocation
    N D Clement
    Department of Orthopaedics and Trauma, The Royal Infirmary of Edinburgh, Little France, Edinburgh EH16 4SA, Scotland, United Kingdom
    J Bone Joint Surg Am 95:1586-92. 2013
  9. pmc Management of degenerative rotator cuff tears: a review and treatment strategy
    Nicholas D Clement
    Royal Infirmary of Edinburgh, Little France, Edinburgh EH16 4SA, Scotland
    Sports Med Arthrosc Rehabil Ther Technol 4:48. 2012
  10. doi Undisplaced intracapsular hip fractures in the elderly: predicting fixation failure and mortality. A prospective study of 162 patients
    N D Clement
    Department of Orthopaedics and Trauma, The Royal Infirmary of Edinburgh, Little France, Edinburgh EH16 4SA, UK
    J Orthop Sci 18:578-85. 2013

Detail Information

Publications34

  1. ncbi The minimal clinically important difference in the Oxford knee score and Short Form 12 score after total knee arthroplasty
    N D Clement
    Royal Infirmary of Edinburgh, Little France, Edinburgh, EH16 4SA, UK
    Knee Surg Sports Traumatol Arthrosc 22:1933-9. 2014
    ..The aim of this study was to identify the minimal clinically important difference (MCID) in the Oxford knee score (OKS) and Short Form (SF-) 12 score after total knee arthroplasty (TKA)...
  2. pmc Assessment of shoulder function using the coronal plane angle
    N D Clement
    Department of Orthopedics and Trauma, Sunderland Royal Hospital, SR4 7TP
    Int J Shoulder Surg 3:90-3. 2009
    ..Current scoring relies on multiple subjective and / or objective components. We present a single angular measurement, the coronal plane angle, which relates to the functional assessment of the shoulder...
  3. doi Can deformity of the knee and longitudinal growth of the leg be predicted in patients with hereditary multiple exostoses? A cross-sectional study
    N D Clement
    Department of Orthopaedics and Trauma, The Royal Infirmary of Edinburgh, Little France, Edinburgh, EH16 4SA, UK Electronic address
    Knee 21:299-303. 2014
    ..There is a high rate of knee deformity in patients with hereditary multiple exostoses (HME), and a quarter of patients have a limb length discrepancy...
  4. ncbi Patient satisfaction after total knee arthroplasty is affected by their general physical well-being
    N D Clement
    Department of Orthopaedics and Trauma, The Royal Infirmary of Edinburgh, Little France, Edinburgh, EH16 4SA, UK
    Knee Surg Sports Traumatol Arthrosc 21:2638-46. 2013
    ....
  5. pmc Accelerated polyethylene wear and early failure of the uncemented Reflection acetabular component: a ten to fifteen-year follow-up study
    Nicholas D Clement
    Department of Orthopaedics and Trauma, The Royal Infirmary of Edinburgh, Little France, Edinburgh, EH16 4SA, UK
    Int Orthop 37:2337-43. 2013
    ..The aim of this study was to describe the ten to 15-year survivorship and polyethylene wear rate for the uncemented Reflection® acetabular component performed as part of a primary total hip replacement...
  6. doi Diabetes does not influence the early outcome of total knee replacement: a prospective study assessing the Oxford knee score, short form 12, and patient satisfaction
    N D Clement
    Department of Orthopaedics and Trauma, The Royal Infirmary of Edinburgh, Little France, Edinburgh, EH16 4SA, UK Electronic address
    Knee 20:437-41. 2013
    ..The aim of this study was to assess the effect of diabetes upon the Oxford knee score (OKS), short form (SF)-12, and patient satisfaction after TKR...
  7. doi The outcome of tibial diaphyseal fractures in the elderly
    N D Clement
    Edinburgh Orthopaedic Trauma Unit, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh EH16 4SU, UK
    Bone Joint J 95:1255-62. 2013
    ..Tibial diaphyseal fractures in the elderly are most common in women after a fall, are more likely to be open than in the rest of the population, and are associated with a high incidence of nonunion and mortality...
  8. doi Forearm deformity in patients with hereditary multiple exostoses: factors associated with range of motion and radial head dislocation
    N D Clement
    Department of Orthopaedics and Trauma, The Royal Infirmary of Edinburgh, Little France, Edinburgh EH16 4SA, Scotland, United Kingdom
    J Bone Joint Surg Am 95:1586-92. 2013
    ..There is a high rate of forearm deformity in patients with hereditary multiple exostoses, with many patients developing radial head dislocation associated with ulnar shortening...
  9. pmc Management of degenerative rotator cuff tears: a review and treatment strategy
    Nicholas D Clement
    Royal Infirmary of Edinburgh, Little France, Edinburgh EH16 4SA, Scotland
    Sports Med Arthrosc Rehabil Ther Technol 4:48. 2012
    ..The management options, and the evidence to support these, are reviewed. We also present our preferred management protocol and method, if applicable, for surgical fixation of degenerative rotator cuff tears...
  10. doi Undisplaced intracapsular hip fractures in the elderly: predicting fixation failure and mortality. A prospective study of 162 patients
    N D Clement
    Department of Orthopaedics and Trauma, The Royal Infirmary of Edinburgh, Little France, Edinburgh EH16 4SA, UK
    J Orthop Sci 18:578-85. 2013
    ..Our purpose was to identify predictors of fixation failure and mortality for elderly patients sustaining undisplaced intracapsular hip fractures, and to assess whether their socioeconomic status affected their outcome...
  11. doi Cracking the code: the accuracy of coding shoulder procedures and the repercussions
    N D Clement
    Department of Trauma and Orthopaedic Surgery, Royal Infirmary of Edinburgh, Little France Crescent, Edinburgh, UK
    Scott Med J 58:109-12. 2013
    ..Our aim was to explore and address reasons behind coding errors of shoulder diagnosis and surgical procedures and to evaluate a potential solution...
  12. doi Predicting patient satisfaction using the Oxford knee score: where do we draw the line?
    Nicholas D Clement
    Department of Orthopaedics and Trauma, The Royal Infirmary of Edinburgh, Little France, Edinburgh, UK
    Arch Orthop Trauma Surg 133:689-94. 2013
    ..The aim of this study was to identify threshold values in the pre- and post-operative Oxford knee score (OKS), and change in the score for differing levels of patient satisfaction with their total knee replacement (TKR)...
  13. doi Primary total knee replacement in patients with mental disability improves their mental health and knee function: a prospective study
    N D Clement
    University of Edinburgh, Department of Orthopaedics, The Royal Infirmary of Edinburgh, Little France, Old Dalkeith Road, Edinburgh EH16 4SU, UK
    Bone Joint J 95:360-6. 2013
    ..001). Patients with poor mental health do benefit from improvements in their mental health and knee function after TKR, but also have a higher rate of dissatisfaction...
  14. doi Socioeconomic status affects the Oxford knee score and short-form 12 score following total knee replacement
    N D Clement
    University of Edinburgh, Department of Orthopaedics, The Royal Infirmary of Edinburgh, Old Dalkeith Road, Edinburgh EH16 4SU, UK
    Bone Joint J 95:52-8. 2013
    ....
  15. doi An uncemented metal-backed glenoid component in total shoulder arthroplasty for osteoarthritis: factors affecting survival and outcome
    N D Clement
    Department of Orthopaedics and Trauma, Royal Infirmary of Edinburgh, Edinburgh EH16 4SA, UK
    J Orthop Sci 18:22-8. 2013
    ..This is probably related to implant design. We report the outcome and survivorship of the uncemented glenoid in patients with osteoarthritis receiving a TSR with an intact or repairable rotator cuff at surgery...
  16. ncbi Medium-term results of Oxford phase-3 medial unicompartmental knee arthroplasty
    Nicholas David Clement
    Department of Orthopaedics and Trauma, Borders General Hospital, Melrose, United Kingdom
    J Orthop Surg (Hong Kong) 20:157-61. 2012
    ..To review medium-term results of 49 consecutive patients who underwent Oxford phase-3 medial unicompartmental knee arthroplasty by a single surgeon...
  17. pmc Lower limb joint replacement in rheumatoid arthritis
    Nicholas D Clement
    Orthopaedic Research Fellow, Royal Infirmary of Edinburgh, Little France EH16 4SA, UK
    J Orthop Surg Res 7:27. 2012
    ..This review article summarises factors involved in the peri-operative management of major lower limb arthroplasty surgery for patients with rheumatoid arthritis...
  18. doi Multiple fractures in the elderly
    N D Clement
    Royal Infirmary of Edinburgh, 51 Little France Crescent, Old Dalkeith Road, Edinburgh EH16 4SA, UK
    J Bone Joint Surg Br 94:231-6. 2012
    ..001). This mortality risk increased further if patients were < 80 years of age, indicating that the existence of multiple fractures after low-energy trauma is a marker of mortality...
  19. doi Predictors of mortality after total knee replacement: a ten-year survivorship analysis
    N D Clement
    Royal Infirmary of Edinburgh, 51 Little France Crescent, Old Dalkeith Road, Edinburgh EH16 4SA, UK
    J Bone Joint Surg Br 94:200-4. 2012
    ..This resulted in an overall excess standardised mortality ratio of 1.90. Patient mortality after TKR is predicted by their demographics: these could be used to assign an individual mortality risk after surgery...
  20. doi Total hip arthroplasty: to cement or not to cement the acetabular socket? A critical review of the literature
    N D Clement
    Department of Orthopaedics and Trauma, Royal Infirmary of Edinburgh, Little France, Edinburgh, UK
    Arch Orthop Trauma Surg 132:411-27. 2012
    ....
  21. doi Retention of forearm plates: risks and benefits in a paediatric population
    N D Clement
    The Royal Hospital for Sick Children, 9 Sciennes Road, Edinburgh EH9 1LF, UK
    J Bone Joint Surg Br 94:134-7. 2012
    ..6, p = 0.04). The complications associated with retaining a plate are different, but do not occur more frequently than the complications following removal of a plate in children...
  22. ncbi The metal-backed glenoid component in rheumatoid disease: eight- to fourteen-year follow-up
    Nicholas David Clement
    Shoulder Unit, Department of Orthopaedics and Trauma, Sunderland Royal Hospital, Sunderland, United Kingdom
    J Shoulder Elbow Surg 19:749-56. 2010
    ..This study reports the outcome and survivorship of the uncemented glenoid in rheumatoid patients with an intact or repairable rotator cuff at surgery, and considers the key design features that may predict longevity of this component...
  23. pmc Polytrauma in the elderly: predictors of the cause and time of death
    Nicholas D Clement
    Dept, of Trauma and Orthopaedic Surgery, Royal Infirmary of Edinburgh, Little France, Edinburgh EH16 4SU, UK
    Scand J Trauma Resusc Emerg Med 18:26. 2010
    ..Our aim was to review all trauma deaths, identifying the cause and the relation to time from injury, ISS, age and PMCs...
  24. doi Does diabetes affect outcome after arthroscopic repair of the rotator cuff?
    N D Clement
    Department of Orthopaedics and Trauma, Edinburgh Royal Infirmary, Little France, Edinburgh EH16 4SA, UK
    J Bone Joint Surg Br 92:1112-7. 2010
    ..15) in diabetics. These trends were observed at one year. Patients with diabetes showed improvement of pain and function following arthroscopic rotator cuff repair in the short term, but less than their non-diabetic counterparts...
  25. doi Shoulder exostoses in hereditary multiple exostoses: probability of surgery and malignant change
    Nicholas David Clement
    Department of Orthopaedics and Trauma, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom
    J Shoulder Elbow Surg 20:290-4. 2011
    ..Patients with hereditary multiple exostoses (HME) in association with palpable shoulder exostoses are more severely affected by their disease...
  26. pmc The Edinburgh variant of a talar body fracture: a case report
    Nicholas D Clement
    Department of Orthopaedics and Trauma, The Royal Infirmary of Edinburgh, Little France, Edinburgh EH16 4SA, UK
    J Orthop Surg Res 5:92. 2010
    ..This configuration required stabilisation with an external fixator. There were no signs of avascular necrosis, or arthrosis at 15 months follow but is currently using a stick to mobilise...
  27. doi Socioeconomic status affects the early outcome of total hip replacement
    N D Clement
    Department of Orthopaedics and Trauma, The Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh EH16 4SA, UK
    J Bone Joint Surg Br 93:464-9. 2011
    ..3, p < 0.001) and mortality at 90 days (odds ratio 3.2, p = 0.02). Outcome, risk of dislocation and early mortality after a total hip replacement are affected by the socioeconomic status of the patient...
  28. doi The outcome of fractures in very elderly patients
    N D Clement
    Edinburgh Orthopaedic Trauma Unit, The Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh EH16 4SA, UK
    J Bone Joint Surg Br 93:806-10. 2011
    ..04). This suggests that the principle of early surgery and mobilisation of elderly patients with hip fractures should be extended to include all those in this vulnerable age group...
  29. doi The outcome of primary total hip and knee arthroplasty in patients aged 80 years or more
    N D Clement
    The Royal Infirmary of Edinburgh, 51 Little France Crescent, Old Dalkeith Road, Edinburgh EH16 4SA, UK
    J Bone Joint Surg Br 93:1265-70. 2011
    ..047). The older group had a longer hospital stay for both THR (5.9 versus 9.0 days, p < 0.0001) and TKR (6.2 versus 8.3 days, p < 0.0001). The rates of post-operative complications and mortality were increased in the older group...
  30. pmc Salter-Harris II injury of the proximal tibial epiphysis with both vascular compromise and compartment syndrome: a case report
    Nicholas D Clement
    Dept of Trauma and Orthopaedic Surgery, Royal Infirmary of Edinburgh, Little France, Edinburgh, EH16 4SU, UK
    J Orthop Surg Res 4:23. 2009
    ..The potential complications of this injury are limb threatening and the neurovasular status of the limb should be continually monitored. Maintaining anatomic reduction is difficult and fixation may be needed to achieve optimal results...
  31. doi Skeletal growth patterns in hereditary multiple exostoses: a natural history
    Nicholas David Clement
    Department of Orthopaedics and Trauma, The Royal Infirmary of Edinburgh, Little France, Edinburgh, UK
    J Pediatr Orthop B 21:150-4. 2012
    ..Stature was more severely affected in patients with an EXT1 mutation (P=0.008). This study illustrates a novel age-related growth pattern associated with HME, which is also affected by genotype...
  32. doi Malignant lesions are rare in medial third of the clavicle in children: the European Juvenile Medial End of Clavicle Tumour study
    Nicholas David Clement
    Department of Orthopaedics and Trauma, The Royal Infirmary of Edinburgh, Little France Crescent, Edinburgh, UK
    J Pediatr Orthop B 20:117-23. 2011
    ..We suggest that for a chronic nonmalignant process in which clinical features are typical, serial imaging with follow-up is sufficient although timely biopsy would be recommended when doubt exists...