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Bone & Joint 360
Vol. 4, Issue 6 | Pages 2 - 5
1 Dec 2015
Dodd L Sharpe I Mandalia VI Toms AD Phillips JRA

The global economy has been facing a financial crisis. Healthcare costs are spiraling, and there is a projected £30 billion health funding gap by 2020 in the UK. 1. This has prompted a drive for efficiency in healthcare provision in the UK, and in 2012, the Health and Social Care Act was introduced, heralding a fundamental change to the structure of the National Health Service, especially in the way that healthcare is funded in England. 2. What is happening in the UK is a reflection of a global problem. Rationing of healthcare is a topic of much discussion; as unless spending is capped, providing healthcare will become unsustainable. Who decides how money is spent, and which services should be rationed? . In this article we aim to discuss the impact that rationing may have on orthopaedic surgery, and we will discuss our own experiences of attempts to ration local services. 3. We also seek to inform and educate the general orthopaedic community on this topic


Bone & Joint 360
Vol. 2, Issue 1 | Pages 2 - 5
1 Feb 2013
Khan M Roberts S Richardson JB McCaskie A

Stem cells are a key component of regenerative medicine strategies. Particular areas of musculoskeletal application include cartilage and bone regeneration in arthritis and trauma. There are several types of stem cell and this article will focus on the adult derived cells. The review includes current issues and future developments.


Bone & Joint 360
Vol. 1, Issue 6 | Pages 34 - 35
1 Dec 2012
Rowlands LCTK


Bone & Joint 360
Vol. 6, Issue 2 | Pages 37 - 39
1 Apr 2017
Khan T


Bone & Joint 360
Vol. 1, Issue 3 | Pages 2 - 4
1 Jun 2012
Cobb JP Andrews BL

In a global environment of rising costs and limited funds, robotic and computer-assisted orthopaedic technologies could provide the means to drive a necessary revolution in arthroplasty productivity. Robots have been used to operate on humans for 20 years, but the adoption of the technology has lagged behind that of the manufacturing industry. The use of robots in surgery should enable cost savings by reducing instrumentation and inventories, and improving accuracy. Despite these benefits, the orthopaedic community has been resistant to change. If the ergonomics and economics are right, robotic technology just might transform the provision of joint replacement.


Bone & Joint 360
Vol. 4, Issue 6 | Pages 31 - 35
1 Dec 2015
Ahmed SS

The number of clinical negligence claims in the UK is constantly increasing. As a specialty, trauma and orthopaedic surgery has one of the highest numbers of negligence claims. 1. This study analyses NHS Litigation Authority (NHSLA) claims in trauma and orthopaedics between 2004 and 2014. . A formal request was made to the NHSLA under the Freedom of Information Act in order to obtain all data related to claims against orthopaedic surgery. It was found that the number of claims, and percentage of successful claims, has been constantly increasing over this period, with compensation paid of over £349 million.* Errors in clinical management accounted for the highest number of closed claims (2933 claims), costing over £119 million.*. The level of compensation paid out has a significant financial impact on the NHS. Reforms need to be made in order to tackle the high cost of legal fees generated by these claims, which further drain the limited resources available to the NHS


Bone & Joint 360
Vol. 4, Issue 5 | Pages 28 - 30
1 Oct 2015

The October 2015 Research Roundup360 looks at: Wasted implants; Biofilms revisited; Peri-operative anticoagulation not required in atrial fibrillation; Determinants in outcome following orthopaedic surgery; Patient ‘activation’ and outcomes; Neuroplasticity and nerve repair; KOOS Score in predicting injury?


Bone & Joint 360
Vol. 8, Issue 2 | Pages 21 - 23
1 Apr 2019


Bone & Joint 360
Vol. 8, Issue 5 | Pages 40 - 41
1 Oct 2019


Bone & Joint 360
Vol. 8, Issue 4 | Pages 29 - 32
1 Aug 2019


Bone & Joint 360
Vol. 8, Issue 3 | Pages 40 - 42
1 Jun 2019


Bone & Joint 360
Vol. 8, Issue 5 | Pages 45 - 45
1 Oct 2019


Bone & Joint 360
Vol. 8, Issue 2 | Pages 41 - 42
1 Apr 2019


Bone & Joint 360
Vol. 8, Issue 5 | Pages 20 - 21
1 Oct 2019


Bone & Joint 360
Vol. 8, Issue 5 | Pages 14 - 16
1 Oct 2019


Bone & Joint 360
Vol. 8, Issue 4 | Pages 34 - 36
1 Aug 2019


Bone & Joint 360
Vol. 7, Issue 6 | Pages 15 - 18
1 Dec 2018


Bone & Joint 360
Vol. 8, Issue 3 | Pages 3 - 7
1 Jun 2019
Patel NG Waterson HB Phillips JRA Toms AD


Bone & Joint 360
Vol. 7, Issue 4 | Pages 25 - 28
1 Aug 2018


Bone & Joint 360
Vol. 8, Issue 1 | Pages 19 - 20
1 Feb 2019