S S Jameson

..The standard lateral approach (SLA) and two MIS approaches (anterolateral [ALA] and posterior [PA]) were compared to determine which incision preserved cutaneous nerves...

..We have also established a baseline which can be used to identify the consequences of changes to length of training and working hours...

..More research is required to determine the benefits of THR over hemiarthroplasty in older patients and those with ASA grades > 2...

..34, p < 0.001). In summary, we found that there were significant differences in failure between different designs of acetabular component and sizes of femoral head after adjustment for a range of covariates...

..Concerns regarding high rates of wound complications following its use have prompted this multicenter comparison with low-molecular-weight heparins...

..We describe how orthopaedic surgeons are using the evidence from the eLogbook to improve training, set operative standards and support consultant (post-specialist registration) revalidation...

..Younger male patients had good five-year implant survival when the BHR was used...

..There is emerging evidence that patients with fractured neck of femur (FNOF) aged >85 years have different demands on a health-care system when compared to younger patients...

..It is a safe procedure, which in the majority of cases is performed as day case surgery. These data can be used for quality benchmarking, in terms of consent, consultant re-validation and individual unit performance...

..These data have revealed a significant reduction in dislocations associated with the use of large femoral head sizes, with no change in the 18-month revision rate...

..However, there is no evidence that thromboprophylaxis reduces this risk, and these national data suggest that prophylaxis is not required in most of these patients...

..We aimed to determine baseline postoperative complication rates with reference to national thromboembolic prophylaxis guidelines...

..This should allow meaningful interpretation of future baseline data supporting the development of a national ligament registry...

..We conclude that occult nerve injury to the lateral sural cutaneous nerve during preparation of the transverse femoral fixation may be responsible...

..The eLogbook is used to collect and collate the operative experience of every orthopaedic trainee in the UK and Ireland. We describe the project and discuss the national data now emerging on elective and trauma training...

..We describe the importance of accurate documentation and data collection for National Health Service hospital Trust finances and league tables, and support our discussion with examples drawn from our local audit work...

..These changes may contribute to the higher failure rate than in other series, compared with other designs. Given our poor results with the small components we are no longer implanting the smaller size...

..The early results in orthopaedic patients do not support these predictions, but do show an increase in complications...

..One area in which there is currently significant restructuring is finance. In this article we intend to give a brief overview of this financial restructuring and the implications for the surgeon...

..These results should be considered when the existing guidelines for thromboprophylaxis after knee replacement are reviewed...

..However, the extent of tissue destruction at revision surgery did not appear to be dose-related to the volumetric wear...

..Surgeons must consider implant design, expected component size and acetabular component positioning in order to reduce early failures when performing large-bearing metal-on-metal hip resurfacing and replacement...

..With concerns about significantly higher revision rates for UKR observed in worldwide registries, we question the widespread use of an arthroplasty that does not confer a significant benefit in clinical outcome...

..65% with aspirin and 0.51% with LMWH (OR 0.77; 95% CI 0.61 to 0.98). These results should be considered when the conflicting recommendations of existing guidelines for thromboprophylaxis after hip replacement are being addressed...

..Accurate positioning of the acetabular component intra-operatively is essential in order to reduce the concentration of metal ions in the blood after hip resurfacing arthroplasty with the Articular Surface Replacement implant...

..Our results suggest that wear at the modular junction is an important factor in the development of adverse tissue reactions after implantation of a large-diameter MoM THR...

..06). In this patient group, the risk of complications following joint replacement appears to be lower if bariatric surgery is performed first...