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General Orthopaedics

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Orthopaedic Proceedings
Vol. 106-B, Issue SUPP_5 | Pages 33 - 33
23 Apr 2024
Macey A Omar HA Leitch P Vaidean T Swaine S Santos E Bond D Abhishetty N Shetty S Saini A Phillips S Groom G Lahoti O
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Introduction

Classical fixation using a circular frame involves two rings per segment and in many units this remains the norm whether using ilizarov or hexapod type frames. We present the results of two ring circular frame at King's College Hospital.

Materials & Methods

A prospective database has been maintained of all frames applied since 2007. Radiographs from frames applied prior to July 2022 were examined. Clinic letters were then used to identify complications.

Included: two ring hexapod for fracture, malunion, nonunion, arthrodesis or deformity correction in the lower limb.

Excluded: patients under 16 years old, diabetic feet, Charcot joints, soft tissue contractures, arthrodiastasis, correction of the mid/forefoot, plate fixation augmentation, fixation off a third ring.


Orthopaedic Proceedings
Vol. 103-B, Issue SUPP_6 | Pages 27 - 27
1 May 2021
Goh K Tarrant P Green C Swaine S Santos E Bond D Groom G Lahoti O Phillips S
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Introduction

Patients undergoing complex limb reconstruction are often under immense physical, psychological and financial stress. We already provide psychological support within our unit. We have identified that patients struggle to obtain proper advice on the financial support to which they are entitled. In September 2019, rebuildcharity.org commissioned a Citizens Advice Clinic. One advisor from the local Citizens Advice staffs the clinic. Currently we have no set criteria for referral and patients can be referred by any member of the limb reconstruction team. Although severely affected by the coronavirus pandemic and the disruption of all routine work we were able to run clinics from September 2019 to March 2020 and September 2020 to January 2021. We present our initial results.

Materials and Methods

In total 19 patients (68% male) have been seen. There have been 58 clinic appointments which have been a combination of face to face and virtual. The majority (80%) of issues dealt with relate to benefits – including claiming tax credits, universal credits and Personal Independence Payments. Other issues include housing problems, employment and claiming for travel and transport.