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General Orthopaedics

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Orthopaedic Proceedings
Vol. 101-B, Issue SUPP_13 | Pages 1 - 1
1 Nov 2019
Makvana S Faroug R Venturini S Alcorn E Gulati A Gaur A Mangwani J
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Introduction

Hindfoot surgery is assumed to be more painful than midfoot/forefoot procedures with the former often requiring an inpatient stay for pain relief. Poorly controlled pain is associated with adverse patient outcomes and consequently, peripheral nerve blocks (PNB) have become popular for their effective pain control.

Aim

To investigate whether hindfoot procedures are more painful than forefoot/midfoot procedures by measuring pain scores, assessing effectiveness of PNBs and patient satisfaction in foot and ankle surgery.


Orthopaedic Proceedings
Vol. 98-B, Issue SUPP_4 | Pages 126 - 126
1 Jan 2016
Stirling P Faroug R Whittaker M Freemont T
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Objectives

The efficacy of Gram-stain microscopy for diagnosis of septic arthritis is fundamentally limited by an inherent false-negative rate of 25–50%. The aim of this study was to calculate the sensitivity of Gram-stain microscopy of synovial fluid collected in heparinised containers and to investigate if this collection method improves diagnostic value.

Methods

12-year retrospective study of patients undergoing synovial fluid analysis between 1998 and 2010. Gram-stain result was correlated with culture result and clinical diagnosis. The formula sensitivity = number of true positives/(number of true positives + number of false negatives) was used for analysis.