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Bone & Joint 360
Vol. 5, Issue 2 | Pages 3 - 6
1 Apr 2016
Patel M Eastley N Ashford R

This paper aims to provide evidence-based guidance for the general orthopaedic surgeon faced with the presentation of a potential soft tissue sarcoma in an extremity


Bone & Joint 360
Vol. 5, Issue 5 | Pages 2 - 7
1 Oct 2016
Forward DP Ollivere BJ Ng JWG Coughlin TA Rollins KE

Rib fracture fixation by orthopaedic and cardiothoracic surgeons has become increasingly popular for the treatment of chest injuries in trauma. The literature, though mainly limited to Level II and III evidence, shows favourable results for operative fixation. In this paper we review the literature and discuss the indications for rib fracture fixation, surgical approaches, choice of implants and the future direction for management. With the advent of NICE guidance and new British Orthopaedic Association Standards for Trauma (BOAST) guidelines in production, the management of rib fractures is going to become more and more commonplace


Bone & Joint 360
Vol. 13, Issue 5 | Pages 8 - 17
1 Oct 2024
Holley J Lawniczak D Machin JT Briggs TWR Hunter J


Bone & Joint 360
Vol. 12, Issue 2 | Pages 6 - 9
1 Apr 2023
O’Callaghan J Afolayan J Ochieng D Rocos B


Bone & Joint 360
Vol. 11, Issue 4 | Pages 5 - 7
1 Aug 2022
Hennessy O


Bone & Joint 360
Vol. 10, Issue 6 | Pages 8 - 10
1 Dec 2021
Spacey K Wimhurst J Hasan R Sharma D


Bone & Joint 360
Vol. 11, Issue 1 | Pages 6 - 12
1 Feb 2022
Khan T Ng J Chandrasenan J Ali FM


Bone & Joint 360
Vol. 9, Issue 4 | Pages 6 - 10
1 Aug 2020
Machin JT Forward D Briggs T


Bone & Joint 360
Vol. 9, Issue 6 | Pages 5 - 11
1 Dec 2020
Sharma V Turmezei T Wain J McNamara I


Bone & Joint 360
Vol. 8, Issue 4 | Pages 5 - 13
1 Aug 2019
Middleton R Khan T Alvand A


Bone & Joint 360
Vol. 8, Issue 2 | Pages 2 - 8
1 Apr 2019
Shivji F Bryson D Nicolaou N Ali F


Bone & Joint 360
Vol. 7, Issue 3 | Pages 2 - 6
1 Jun 2018
Mayne AIW Campbell DM


Bone & Joint 360
Vol. 7, Issue 2 | Pages 2 - 7
1 Apr 2018
Das A Giddie J Ollivere B


Bone & Joint 360
Vol. 6, Issue 3 | Pages 2 - 6
1 Jun 2017
Das A Shivji F Ollivere BJ


Bone & Joint 360
Vol. 6, Issue 2 | Pages 2 - 6
1 Apr 2017
Singh A Collins R Wimhurst J


Bone & Joint 360
Vol. 4, Issue 5 | Pages 2 - 7
1 Oct 2015
Clark GW Wood DJ

The use of robotics in arthroplasty surgery is expanding rapidly as improvements in the technology evolve. This article examines current evidence to justify the usage of robotics, as well as the future potential in this emerging field.


Bone & Joint 360
Vol. 4, Issue 3 | Pages 2 - 6
1 Jun 2015
Sahota O

Clinical studies evaluating the effects of vitamin D alone or in combination with calcium on physical function, falls and fractures have been inconsistent. Vitamin D has, however, been the focus of much orthopaedic, trauma and endocrine research. Playing a central role in muscle and bone metabolism, some studies on Vitamin D therapies offer the tantalising suggestion of a reduction in falls and fractures simply with vitamin D supplementation. We review the background and evidence behind vitamin D.


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. 3, Issue 3 | Pages 9 - 13
1 Jun 2014
Waterson HB Philips JRA Mandalia VI Toms AD

Mechanical alignment has been a fundamental tenet of total knee arthroplasty (TKA) since modern knee replacement surgery was developed in the 1970s. The objective of mechanical alignment was to infer the greatest biomechanical advantage to the implant to prevent early loosening and failure. Over the last 40 years a great deal of innovation in TKA technology has been focusing on how to more accurately achieve mechanical alignment. Recently the concept of mechanical alignment has been challenged, and other alignment philosophies are being explored with the intention of trying to improve patient outcomes following TKA.

This article examines the evolution of the mechanical alignment concept and whether there are any viable alternatives.


Bone & Joint 360
Vol. 2, Issue 5 | Pages 2 - 7
1 Oct 2013
Penn-Barwell JG Rowlands TK

Blast and ballistic weapons used on the battlefield cause devastating injuries rarely seen outside armed conflict. These extremely high-energy injuries predominantly affect the limbs and are usually heavily contaminated with soil, foliage, clothing and even tissue from other casualties. Once life-threatening haemorrhage has been addressed, the military surgeon’s priority is to control infection.

Combining historical knowledge from previous conflicts with more recent experience has resulted in a systematic approach to these injuries. Urgent debridement of necrotic and severely contaminated tissue, irrigation and local and systemic antibiotics are the basis of management. These principles have resulted in successful healing of previously unsurvivable wounds. Healthy tissue must be retained for future reconstruction, vulnerable but viable tissue protected to allow survival and avascular tissue removed with all contamination.

While recent technological and scientific advances have offered some advantages, they must be judged in the context of a hard-won historical knowledge of these wounds. This approach is applicable to comparable civilian injury patterns. One of the few potential benefits of war is the associated improvement in our understanding of treating the severely injured; for this positive effect to be realised these experiences must be shared.