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Orthopaedic Proceedings
Vol. 104-B, Issue SUPP_11 | Pages 17 - 17
1 Nov 2022
SPINE HUB AND SPOKE MODEL: A QUESTIONNAIRE-BASED STUDY AMONG ORTHOPAEDIC SURGEONS IN THE UNITED KINGDOM
Goru P Verma G Haque S Majeed H Ebinesan A Morgan C
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Abstract

Introduction

Specialist Spinal Services provide operative and non-operative management strategies for a variety of conditions ranging from simple pathologies to complex disabling conditions. The existing spinal hub and spoke model implemented in 2015 nationally across the NHS.

We aim to assess the effectiveness and pitfalls of the Spinal hub and spoke model in this questionnaire-based study.

Methods

We conducted a prospective questionnaire-based study in the Northwest England and attendees of the BOA conference in 2021. Questionnaires included from the hospitals with no local spinal services and those with on-site services were excluded. Questions specific to initial assessment, referrals process, MRI availability, and awareness of Spine Hub and Spoke model.

Orthopaedic Proceedings
Vol. 96-B, Issue SUPP_11 | Pages 119 - 119
1 Jul 2014
METAL ALLERGY SCREENING PRIOR TO JOINT ARTHROPLASTY AND ITS INFLUENCE ON IMPLANT CHOICE: A DELPHI CONSENSUS STUDY AMONGST JOINT ARTHROPLASTY SURGEONS IN THE UNITED KINGDOM
Razak A Ebinesan A Charalambous C
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Summary Statement

Routine metal allergy screening prior to joint arthroplasty is not essential and the use of cobalt chromium or stainless steel implants is recommended regardless of the patient's metal allergy status.

Introduction

This study was undertaken to obtain a consensus amongst joint arthroplasty experts with regards to metal allergy screening prior to joint arthroplasty and the choice of implant in patients with potential metal allergy.

Orthopaedic Proceedings
Vol. 90-B, Issue SUPP_II | Pages 231 - 232
1 Jul 2008
CONSERVATIVE, OPEN OR PERCUTANEOUS REPAIR FOR ACUTE RUPTURE OF THE ACHILLES TENDON
Sarai B Ebinesan A Walley G Miller D McBride D Maffulli N
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Introduction: We reviewed the complications and recovery of patients treated for Achilles tendon rupture by percutaneous repair, open repair, and non-operative management in a tertiary referral centre between 2001 and 2003.

Materials and Methods: We identified patients who underwent Achilles tendon rupture repair by percutaneous or open methods from the logbooks of Consultants and the operating theatre register. We used plaster room records were also used to identify patients who received non-operative treatment. We collated demographic and management details, and compared them with published rates relating to average age range, demographic, and management details.

Results: In the 20 patients who underwent open repair, one (4.8%) patient sustained a re-rupture, four (19%) sustained minor complications, and one (4.8%) had a major complication. In the 31 patients who underwent percutaneous repair, one (3.2%) patient sustained a major complication, six (19.4%) patients experienced minor wound complications, and there were no re-ruptures. In the 12 patients who underwent conservative management, re-ruptures occurred in one patient (8.3%), minor complications occurred in five patients (41.7%), and there were no major complications. The median recovery time in the open, percutaneous and conservative groups was 25 weeks, 26 weeks and 18.5 weeks respectively.

Discussion and Conclusion: In our setting, percutaneous repair is the most successful management method, with no re-ruptures and very few complications. Although conservative management produced the highest rate of complications, each patient will have different needs due to their age, occupation or level of sporting activity. Ultimately, the decision of the management regime used probably lies with the patient.