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The Bone & Joint Journal
Vol. 105-B, Issue 8 | Pages 895 - 904
1 Aug 2023
Smith TO Dainty J Loveday DT Toms A Goldberg AJ Watts L Pennington MW Dawson J van der Meulen J MacGregor AJ

Aims

The aim of this study was to capture 12-month outcomes from a representative multicentre cohort of patients undergoing total ankle arthroplasty (TAA), describe the pattern of patient-reported outcome measures (PROMs) at 12 months, and identify predictors of these outcome measures.

Methods

Patients listed for a primary TAA at 19 NHS hospitals between February 2016 and October 2017 were eligible. PROMs data were collected preoperatively and at six and 12 months including: Manchester-Oxford Foot and Ankle Questionnaire (MOXFQ (foot and ankle)) and the EuroQol five-dimension five-level questionnaire (EQ-5D-5L). Radiological pre- and postoperative data included Kellgren-Lawrence score and implant position measurement. This was supplemented by data from the National Joint Registry through record linkage to determine: American Society of Anesthesiologists (ASA) grade at index procedure; indication for surgery, index ankle previous fracture; tibial hind foot alignment; additional surgery at the time of TAA; and implant type. Multivariate regression models assessed outcomes, and the relationship between MOXFQ and EQ-5D-5L outcomes, with patient characteristics.


The Bone & Joint Journal
Vol. 99-B, Issue 12 | Pages 1577 - 1583
1 Dec 2017
Nakano N Lisenda L Jones TL Loveday DT Khanduja V

Aims

The number of patients undergoing arthroscopic surgery of the hip has increased significantly during the past decade. It has now become an established technique for the treatment of many intra- and extra-articular conditions affecting the hip. However, it has a steep learning curve and is not without the risk of complications. The purpose of this systematic review was to determine the prevalence of complications during and following this procedure.

Materials and Methods

Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were used in designing this study. Two reviewers systematically searched the literature for complications related to arthroscopy of the hip. The research question and eligibility criteria were established a priori. Pertinent data were abstracted and analysed.


Orthopaedic Proceedings
Vol. 92-B, Issue SUPP_I | Pages 242 - 242
1 Mar 2010
Doran SLF Loveday DT Robinson AHN Rushton N
Full Access

The influence of the timing of surgery for closed ankle fractures on complications is unclear. Previous studies have failed to demonstrate any associations with clear statistical support. This is a retrospective review of 221 patients presenting with closed ankle fractures treated with open reduction and internal fixation. The patients were similar in respect to age, gender, fracture type, surgeon grade, American Society of Anaesthesiologists grade, grade of anaesthetist and tourniquet time. Power analysis was performed for sample size. Patients were followed up until fracture union. The mean duration of inpatient care was greater in the delayed group (p = 0.0002). There was an increased rate of local (p = 0.0451) and total complications (p = 0.0116) if surgery was delayed more than 24 hours. This observational study demonstrates that for the management of closed ankle fractures there is an adverse clinical outcome in patients who undergo delayed operative intervention.