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Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_XXXIX | Pages 223 - 223
1 Sep 2012
Bowey A Athanatos L Bhalaik V
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Introduction

Cubital Tunnel syndrome is common affecting 1 in 4000 people. The cubital tunnel serves as major constraint for the ulna nerve. Cubital tunnel decompression is a relatively simple operation to resolve the patients' symptoms. There has been published data on return to work and normal activity after carpal tunnel decompression but not cubital tunnel.

Method

All patients who underwent cubital tunnel decompression in Wirral University Teaching Hospital NHS Foundation Trust between September 2006 and September 2010 were identified and sent a questionnaire; enquiring about age, type of job & if it involved heavy lifting, time off work, range of movement at elbow and hand and if their symptoms resolved or if they had any other complications.


Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_XXXIV | Pages 22 - 22
1 Jul 2012
Bowey A Athanatos L Bhalaik V
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Dupuytren's contracture is a common condition affecting 25% of men over the age of 65. With less advanced disease or with patients not suitable for a general or regional anaesthetic needle fasciotomy is the surgical option of choice.

The aim of this audit is to see whether the Department of Trauma and Orthopaedic surgery at Wirral University Teaching Hospital NHS Foundation Trust comply with the NICE guidelines.

All patients who underwent needle fasciotomy for Dupuytren's contracture at Wirral University Teaching Hospital NHS Foundation Trust from December 2008 and November 2010 were identified. The case notes of these patients were reviewed.

In a 23 month period 9 patients (13 fingers), underwent needle fasciotomy. There were 6 female and 3 male patients. The mean age at the time of surgery was 70 years (61-84 years). Of the 13 MCPJ contractures 12 had a full correction. At the PIPJ 5 of the 8 had a full correction. Of the one contracture affecting the DIPJ, this was fully corrected.

None of the patients undergoing needle fasciotomy had any complications recorded. At a minimum follow up 4 months and a mean follow up of 14 months, none of our patients have returned to the unit with recurrence of disease.

In our unit needle fasciotomy is a safe and effective in correcting deformity. To date we have no complications or recurrence. None of these patients have returned for further surgery. We are compliant with the NICE guidelines.


Orthopaedic Proceedings
Vol. 84-B, Issue SUPP_III | Pages 319 - 319
1 Nov 2002
Bhalaik V Sahni V Hartley R Carter P Finley R Parkinson RW
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Aim: The aim of this study was to evaluate the results of the Co-ordinate revision knee prosthesis (Depuy Ltd, Johnson and Johnson, Warsaw, In) between 1995–2001.

Methods: One hundred and thirty-three knees (126 patients) undergoing revision total knee replacement between 1995–2001 were followed up prospectively. Surgery was performed by one surgeon (senior author). The patients were scored pre-operatively and postoperatively with SF-12 and WOMAC score. Surgery was performed for aseptic loosening (92%) and infection (8%). The changes in SF-12 physical score and the WOMAC score between pre and post operation were significant (SF-12 p < 0.0018, WOMAC pain p< 0.0001, WOMAC stiffness p< 0.0001, WOMAC Function p< 0.0001)). The prosthesis produced reliable relief of pain and improved range of movement with minimal complications.

Conclusion: This modular knee revision system produced satisfactory results in dealing with bone loss and instability in the medium term.