LIVIVO - The Search Portal for Life Sciences

zur deutschen Oberfläche wechseln
Advanced search

Search results

Result 1 - 7 of total 7

Search options

  1. Article ; Online: Management of Open Ankle Fractures in Elderly Patients With a Fibula Nail is a Safe and Reliable Technique.

    Odeh, Abdulrahman / Archer, James / Budair, Basil / Marsh, Alastair / Fenton, Paul

    Foot & ankle specialist

    2022  , Page(s) 19386400221099660

    Abstract: Background: Ankle fractures are becoming more common in the elderly and their management is frequently challenging. There is increasing evidence of good outcomes following fibula nail fixation in the management of ankle fractures. The use of a fibula ... ...

    Abstract Background: Ankle fractures are becoming more common in the elderly and their management is frequently challenging. There is increasing evidence of good outcomes following fibula nail fixation in the management of ankle fractures. The use of a fibula nail in open fractures comes with potential advantages such as minimal soft tissue dissection, early rehabilitation, and decreased wound complications. We aimed to assess their use in the management of open ankle fractures in the elderly.
    Methods: A review of patients aged 60 years or older with an open ankle fracture treated with a fibular nail at a major trauma center was conducted. All patients were managed with joint Orthopaedic and Plastic Surgical input to determine their optimal management. Functional outcome scores, postoperative complications, and re-operation rates were determined.
    Results: Fifteen patients were identified with a mean age of 76 years. Patient-reported outcomes (Olerud and Molander Score) were calculated in 73% of patients. Our results demonstrated excellent outcome scores (>91) in 1 patient, good outcome scores (61-90) in 7 patients, and fair outcome scores (31-60) in 3 patients. There were no postoperative complications or re-operations within our study group.
    Conclusion: This article is the largest series presenting the outcomes of fibula nails in the management of open ankle fractures in elderly patients. We conclude that it can be used as a treatment option to safely manage open ankle fractures in the elderly. It provides a stable fixation, early weight-bearing, low risk of postoperative complications while maintaining good patient-reported functional outcomes.
    Level of evidence: Level 4
    Language English
    Publishing date 2022-06-29
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2488579-4
    ISSN 1938-7636 ; 1938-6400
    ISSN (online) 1938-7636
    ISSN 1938-6400
    DOI 10.1177/19386400221099660
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

    In stock of ZB MED Cologne/Königswinter

    Zs.A 7037: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

    Order via subito

    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

  2. Article: Circular Economy strategies for concrete: implementation and integration

    Marsh, Alastair T.M. / Velenturf, Anne P.M. / Bernal, Susan A.

    Journal of cleaner production. 2022 Aug. 15, v. 362

    2022  

    Abstract: Concrete is the world's most widely-used anthropogenic material, and Circular Economy strategies will be key to addressing the myriad challenges that face its use today and into the future. Despite a rapid growth of research interest in developing ... ...

    Abstract Concrete is the world's most widely-used anthropogenic material, and Circular Economy strategies will be key to addressing the myriad challenges that face its use today and into the future. Despite a rapid growth of research interest in developing Circular Economy strategies for concrete, this has mostly focussed on technical and environmental issues at the material and product scale. Holistic approaches considering wider social and political aspects as well as system-scale perspectives have been relatively neglected. This article uses a narrative review to investigate three outstanding questions to help address this gap: how concrete's material, product and system-scale attributes influence the interpretation of Circular Economy principles; how the full range of Circular Economy strategies can be implemented for concrete; and what the likely implementation issues will be when integrating different Circular Economy strategies (such as design for durability, component reuse and material recycling). From a product-scale perspective, it is argued that greater specificity is needed around the growing diversity of concrete materials and products in Circular Economy discourse - their properties are often distinct and hence specific strategies are not necessarily universally applicable. At the same time, a solely product-centric Circular Economy perspective is insufficient for concrete, and only joint consideration of structural and systemic perspectives will yield satisfactory solutions. ‘Soft’ perspectives of social, political and legal aspects cannot be viewed simply as an added bonus, but are essential to reconciling the ‘hard’ issues of technical, environmental and economic aspects that dominate discussions. Whilst concrete can and should have a key role in a Circular Economy, its success will require more than just extensions of linear economy thinking.
    Keywords circular economy ; concrete ; durability ; politics
    Language English
    Dates of publication 2022-0815
    Publishing place Elsevier Ltd
    Document type Article
    ISSN 0959-6526
    DOI 10.1016/j.jclepro.2022.132486
    Database NAL-Catalogue (AGRICOLA)

    Full text online

    More links

    Kategorien

    Order via subito

    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

    Inter-library loan at ZB MED

    Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

  3. Article: Complete re-utilization of waste concretes–Valorisation pathways and research needs

    Villagrán-Zaccardi, Yury A. / Marsh, Alastair T.M. / Sosa, María E. / Zega, Claudio J. / De Belie, Nele / Bernal, Susan A.

    Resources, conservation, and recycling. 2022 Feb., v. 177

    2022  

    Abstract: Global demand for buildings and infrastructure is extremely high as provision of shelter, sanitation and healthcare are paramount to safeguard the world's growing population. Concrete is a preferred construction material to meet this demand, but its ... ...

    Abstract Global demand for buildings and infrastructure is extremely high as provision of shelter, sanitation and healthcare are paramount to safeguard the world's growing population. Concrete is a preferred construction material to meet this demand, but its production is leading to overexploitation of natural gravel and sand, causing an environmental crisis in regions where these materials are extracted unsustainably. Waste concrete is available globally, particularly in regions with fast growth of the built environment, and those struck by coordinated attacks, earthquakes or severe weather events. Waste concrete has mainly been used for producing recycled aggregates; however, its full recycling is still not practiced. Alternative uses include applications as fine recycled aggregates, supplementary cementitious materials, filler, and feedstocks for clinker production. These technologies still face challenges concerning their adoption and eco-efficiency. Restricted knowledge and operational barriers have also prevented implementation of beneficiation technologies for complete re-recycling of waste concretes, particularly the fine fractions produced during crushing. Despite these issues, it is recognised that the complete utilization of waste concrete offers unique opportunities for supply chain security, reducing natural resources consumption and enabling to move towards a Circular Economy. Harmonizing current practices for the treatment of waste concrete and the by-products generated during their processing, is a first step toward policy and standards development to enable their widespread use. This critical discussion addresses challenges and opportunities, as well as facilitation strategies needed to progress the complete re-utilization of waste concrete as a valuable resource for creating sustainable future infrastructure.
    Keywords circular economy ; concrete ; construction materials ; eco-efficiency ; feedstocks ; gravel ; health services ; infrastructure ; issues and policy ; sand ; sanitation ; supply chain ; weather
    Language English
    Dates of publication 2022-02
    Publishing place Elsevier B.V.
    Document type Article
    ZDB-ID 1498716-8
    ISSN 0921-3449
    ISSN 0921-3449
    DOI 10.1016/j.resconrec.2021.105955
    Database NAL-Catalogue (AGRICOLA)

    Full text online

    More links

    Kategorien

    Order via subito

    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

  4. Article ; Online: Response to: 'Concerns about the evidence in relation to implementation of the ProFHER trial' by Handoll

    Reeves, Katharine / Chan, Samuel / Marsh, Alastair / Gallier, Suzy / Wigley, Catrin / Khunti, Kamlesh / Lilford, Richard J

    BMJ quality & safety

    2020  Volume 29, Issue 5, Page(s) 432–435

    MeSH term(s) Orthopedic Procedures ; Orthopedics
    Language English
    Publishing date 2020-02-18
    Publishing country England
    Document type Letter ; Research Support, Non-U.S. Gov't ; Comment
    ZDB-ID 2592912-4
    ISSN 2044-5423 ; 2044-5415
    ISSN (online) 2044-5423
    ISSN 2044-5415
    DOI 10.1136/bmjqs-2020-010967
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

    Order via subito

    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

  5. Article ; Online: Volar locking plates versus Kirschner wires for distal radial fractures—A cost analysis study.

    Horriat, Saman / Marsh, Alastair

    Injury

    2011  Volume 42, Issue 2, Page(s) 229; author reply 229–30

    MeSH term(s) Bone Plates/economics ; Bone Wires/economics ; Costs and Cost Analysis ; Fracture Fixation, Internal/economics ; Fracture Fixation, Internal/instrumentation ; Humans ; Radius Fractures/economics ; Radius Fractures/surgery ; Treatment Outcome
    Language English
    Publishing date 2011-04-22
    Publishing country Netherlands
    Document type Comment ; Letter
    ZDB-ID 218778-4
    ISSN 1879-0267 ; 0020-1383
    ISSN (online) 1879-0267
    ISSN 0020-1383
    DOI 10.1016/j.injury.2010.05.013
    Database MEDical Literature Analysis and Retrieval System OnLINE

    Full text online

    More links

    Kategorien

    In stock of ZB MED Cologne/Königswinter

    Zs.A 778: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)
    Zs.MO 10: Show issues

    Order via subito

    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

  6. Article ; Online: Implementation of research evidence in orthopaedics: a tale of three trials.

    Reeves, Katharine / Chan, Samuel / Marsh, Alastair / Gallier, Suzy / Wigley, Catrin / Khunti, Kamlesh / Lilford, Richard J

    BMJ quality & safety

    2019  Volume 29, Issue 5, Page(s) 374–381

    Abstract: Objective: To examine implementation of evidence in orthopaedic practice following publication of the results of three pivotal clinical trials.: Design: Case studies based on three orthopaedic trials funded in sequence by the National Institute for ... ...

    Abstract Objective: To examine implementation of evidence in orthopaedic practice following publication of the results of three pivotal clinical trials.
    Design: Case studies based on three orthopaedic trials funded in sequence by the National Institute for Health Research Health Technology Assessment (HTA) programme. These trials dealt with treatment of fractures of the humerus, radius and ankle, respectively. For each case study, we conducted time-series analyses to examine the relationship between publication of findings and the implementation (or not) of the findings.
    Results: The results of all three trials favoured the less expensive and less invasive option. In two cases, a change of practice, in line with the evidence that eventually emerged, preceded publication. Furthermore, the upturn in use of the intervention most supported by each of these two trials corresponded to the start of recruitment to the respective trial. The remaining trial failed to influence practice despite yielding clear-cut evidence.
    Conclusions: Implementation of results of all three HTA orthopaedic trials favoured the less expensive and less invasive option. In two of the three studies, a change in practice, in line with the evidence that eventually emerged, preceded publication of that evidence. A trend or a change in practice, at around the start of the trial, indicates that the direction of causation opposes our hypothesis that publication of trial findings would lead to changes in practice. Our results provide provocative insight into the nuanced topic of research and practice, but further qualitative work is needed to fully explain what led to the pre-emptive change in practice we observed and why there was no change in the third case.
    MeSH term(s) Ankle Fractures/therapy ; Clinical Trials as Topic ; Fractures, Bone/therapy ; Health Knowledge, Attitudes, Practice ; Humans ; Humerus/injuries ; Orthopedic Procedures/methods ; Orthopedics/methods ; Practice Patterns, Physicians' ; Radius Fractures/therapy ; United Kingdom/epidemiology
    Language English
    Publishing date 2019-11-27
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2592909-4
    ISSN 2044-5423 ; 2044-5415
    ISSN (online) 2044-5423
    ISSN 2044-5415
    DOI 10.1136/bmjqs-2019-010056
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

    In stock of ZB MED Cologne/Königswinter

    Zs.A 3754: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

    Order via subito

    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

  7. Article: Re: salvage of osteoporotic ankle fractures after failed primary fixation with an ankle arthrodesis nail: a report on four cases.

    Marsh, Alastair / Tilkerides, Kostos / Elliott, David

    Injury

    2007  Volume 38, Issue 5, Page(s) 643; author reply 643–4

    MeSH term(s) Aged ; Ankle Injuries/surgery ; Arthrodesis ; Bone Nails ; Fracture Fixation, Internal/methods ; Fractures, Spontaneous/surgery ; Humans ; Osteoporosis/complications ; Treatment Failure
    Language English
    Publishing date 2007-05
    Publishing country Netherlands
    Document type Comment ; Letter
    ZDB-ID 218778-4
    ISSN 1879-0267 ; 0020-1383
    ISSN (online) 1879-0267
    ISSN 0020-1383
    DOI 10.1016/j.injury.2006.11.009
    Database MEDical Literature Analysis and Retrieval System OnLINE

    Full text online

    More links

    Kategorien

    In stock of ZB MED Cologne/Königswinter

    Zs.A 778: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)
    Zs.MO 10: Show issues

    Order via subito

    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

To top