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  1. Article ; Online: The management of traumatic spinal cord injury.

    Trompeter, Alex

    Injury

    2023  Volume 54, Issue 4, Page(s) 1039–1040

    MeSH term(s) Humans ; Spinal Cord Injuries/therapy
    Language English
    Publishing date 2023-02-04
    Publishing country Netherlands
    Document type Practice Guideline ; Journal Article
    ZDB-ID 218778-4
    ISSN 1879-0267 ; 0020-1383
    ISSN (online) 1879-0267
    ISSN 0020-1383
    DOI 10.1016/j.injury.2023.01.050
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Management of metastatic bone disease (MBD).

    Trompeter, Alex

    Injury

    2022  Volume 53, Issue 12, Page(s) 3869–3871

    MeSH term(s) Humans ; Bone Diseases
    Language English
    Publishing date 2022-09-27
    Publishing country Netherlands
    Document type Practice Guideline
    ZDB-ID 218778-4
    ISSN 1879-0267 ; 0020-1383
    ISSN (online) 1879-0267
    ISSN 0020-1383
    DOI 10.1016/j.injury.2022.09.054
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Orthopaedic education: a COVID-driven evolution.

    Trompeter, Alex

    European journal of orthopaedic surgery & traumatology : orthopedie traumatologie

    2021  Volume 31, Issue 5, Page(s) 803–806

    MeSH term(s) COVID-19 ; Humans ; Orthopedic Procedures ; Orthopedics ; SARS-CoV-2
    Language English
    Publishing date 2021-06-12
    Publishing country France
    Document type Editorial
    ZDB-ID 1231084-0
    ISSN 1432-1068 ; 1633-8065 ; 0948-4817 ; 0940-3264
    ISSN (online) 1432-1068
    ISSN 1633-8065 ; 0948-4817 ; 0940-3264
    DOI 10.1007/s00590-021-03009-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: A call to arms: it's time to bear weight!

    Trompeter, Alex

    The bone & joint journal

    2020  Volume 102-B, Issue 4, Page(s) 403–406

    MeSH term(s) Aged ; Fractures, Bone/physiopathology ; Fractures, Bone/rehabilitation ; Fractures, Bone/surgery ; Frail Elderly ; Humans ; Immobilization/adverse effects ; Osteoporotic Fractures/physiopathology ; Osteoporotic Fractures/rehabilitation ; Osteoporotic Fractures/surgery ; Weight-Bearing/physiology
    Language English
    Publishing date 2020-04-10
    Publishing country England
    Document type Editorial
    ZDB-ID 2697156-2
    ISSN 2049-4408 ; 2049-4394
    ISSN (online) 2049-4408
    ISSN 2049-4394
    DOI 10.1302/0301-620X.102B4.BJJ-2019-1482.R1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Taking time out of training: a Malawi experience.

    Raza, Mohsen / Trompeter, Alex

    European journal of orthopaedic surgery & traumatology : orthopedie traumatologie

    2022  Volume 33, Issue 3, Page(s) 611–615

    Abstract: There has been increased focus on global surgery in low-income and middle-income countries (LMICs) since the Lancet commission on global surgery was published in 2015. Interest from surgical trainees in overseas placements during their training is high ... ...

    Abstract There has been increased focus on global surgery in low-income and middle-income countries (LMICs) since the Lancet commission on global surgery was published in 2015. Interest from surgical trainees in overseas placements during their training is high with a number of motivating factors to engage in overseas work. In this article, we outline the overseas experience of a UK-based orthopaedic trainee during their time out of training in Malawi from both the trainee and training program director perspectives. Overseas LMIC placements during orthopaedic training are encouragingly becoming more established and are supported by a growing body of literature showing widespread benefits to the individual volunteer, donor and host institutions.
    MeSH term(s) Humans ; Malawi ; Orthopedics
    Language English
    Publishing date 2022-08-04
    Publishing country France
    Document type Journal Article
    ZDB-ID 1231084-0
    ISSN 1432-1068 ; 1633-8065 ; 0948-4817 ; 0940-3264
    ISSN (online) 1432-1068
    ISSN 1633-8065 ; 0948-4817 ; 0940-3264
    DOI 10.1007/s00590-022-03345-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: The Effect of Prone and Supine Limb Positioning on the Radiographic Evaluation of Posterolateral Plate Fixation of the Posterior Malleolus.

    Patel, Preemal / Little, Zoe / Beak, Phillip / Williams, Rachel / Trompeter, Alex

    Indian journal of orthopaedics

    2024  Volume 58, Issue 3, Page(s) 250–256

    Abstract: Aim: To facilitate the posterolateral approach to the posterior malleolus patients are often positioned prone initially, then turned supine to complete fixation at the medial malleolus. We sought to define observed differences in the radiographic ... ...

    Abstract Aim: To facilitate the posterolateral approach to the posterior malleolus patients are often positioned prone initially, then turned supine to complete fixation at the medial malleolus. We sought to define observed differences in the radiographic appearance of implants relative to the joint line, in prone and supine positions.
    Methods: A 3.5 mm tubular plate and a 3.5 mm posterior distal tibial periarticular plate were applied sequentially to 3 individual cadaveric legs, via a posterolateral approach. The tubular plate was positioned to simulate buttress fixation and the posterolateral plate placed more distally. Each limb was secured on a custom jig and radiographs were taken on a mobile c-arm fluoroscopy machine with a calibration ball. A series of prone AP, supine PA and mortise radiographs were taken. Prone radiographs were also taken in different degrees of caudal tilt to simulate knee flexion which occurs in practice, during intraoperative positioning. Plate tip-joint line distances were measured and Mann-Whitney
    Results: There was no statistically significant difference in plate tip-joint line distance when comparing equivalent prone and supine views (PA/AP or mortise). However, significant differences in apparent implant position were noted with alterations in caudal tilt. When taking a prone image, when the knee is flexed to 20 degrees, the plate tip will appear 6.5-8.5 mm more proximal than in the equivalent supine image where the knee is extended and the fluoroscopy beam is orthogonal to the anatomic axis of the tibia.
    Conclusion: Observed differences in radiographic appearance of metalwork in the prone and supine position are most likely due to knee flexion and the resulting variation in the angle of the fluoroscopy beam, rather than projectional differences between supine and prone views. Surgeons should be alert to this when analysing intraoperative images.
    Language English
    Publishing date 2024-01-22
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 603194-8
    ISSN 0019-5413
    ISSN 0019-5413
    DOI 10.1007/s43465-023-01066-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Digitalising patient reported outcome collection tools in orthopaedic trauma-A scoping review.

    Saleem, Jawaad / Beak, Philip / Eardley, William / Trompeter, Alex

    Injury

    2023  Volume 54, Issue 7, Page(s) 110792

    Abstract: Aims: The aim of this study was to provide a scoping review to the role of digital technology in the collection of orthopaedic trauma related patient reported outcome measures (PROMs) METHODS: The Preferred Reporting Items for Systematic Reviews and ... ...

    Abstract Aims: The aim of this study was to provide a scoping review to the role of digital technology in the collection of orthopaedic trauma related patient reported outcome measures (PROMs) METHODS: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) extension for scoping reviews and Arksey and O'Malley frameworks were followed. A search strategy identified relevant literature, with the identified criteria screened for acceptability for inclusion. Data was extracted to form a descriptive analysis.
    Results: Six studies met the criteria for inclusion. All were quantitative, the majority were published in the United States of America and the use of iPads was the commonest form of digital technology used. Heterogeneity existed in the type of outcomes collected between studies. All studies aimed to compare traditional methods of PROMs collection to digital methods, with an overall thematic summary suggestive of the positive impact of electronic methods of collecting patient reported outcomes.
    Conclusion: This paper has demonstrated the dearth of ePROM implementation in the orthopaedic trauma setting, however its use has proved successful and therefore further evidence is needed to demonstrate its effectiveness. Furthermore, the types of PROMs in orthopaedic trauma varies significantly, and efforts to standardise the type of digital trauma PROMs used are recommended.
    MeSH term(s) Humans ; Orthopedic Procedures ; Orthopedics ; Patient Reported Outcome Measures
    Language English
    Publishing date 2023-05-10
    Publishing country Netherlands
    Document type Journal Article ; Review
    ZDB-ID 218778-4
    ISSN 1879-0267 ; 0020-1383
    ISSN (online) 1879-0267
    ISSN 0020-1383
    DOI 10.1016/j.injury.2023.05.023
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Open fractures of the upper limb - do the BOAST guidelines need an update?

    Lancaster, Patrick / Eves, Timothy / Tennent, Duncan / Trompeter, Alex

    Injury

    2023  

    Abstract: Aims: This scoping review aims to explore the published literature on the current management strategies and outcomes of open upper limb injuries using the BOAST 4 guidelines as a structure.: Materials and methods: A comprehensive search of the ... ...

    Abstract Aims: This scoping review aims to explore the published literature on the current management strategies and outcomes of open upper limb injuries using the BOAST 4 guidelines as a structure.
    Materials and methods: A comprehensive search of the MEDLINE, EMBASE, Cochrane and OrthoSearch computerised literature databases (from January 2012 through April 2022) was performed. The medical subject headings used were "open fracture"/ "Gustilo Anderson" and "forearm" or "radius" or "ulna" or "elbow" or "humerus" or "clavicle" or "shoulder" or "scapula". Abstract titles were reviewed for relevance. If the article was deemed eligible, the article was retrieved and reviewed in full.
    Results: The literature reveals lower rates of infection for upper limb injuries compared to their lower limb counterparts. Early antibiotic administration remains a key component of their management. Those without significant soft tissue injury (Gustilo Anderson 1) can often be treated as per their closed counterparts and timing to definitive fixation can be safely delayed in selected cases.
    Discussion: There is limited high quality evidence available on the management of open upper limb injuries with guidelines built on borrowed principles from the more studied open tibia fractures. What the available evidence does show is that with lower infection rates and a more forgiving soft tissue envelope it may be safe to diverge from the current BOAST guidelines in certain cases. This has relevance in complex fracture patterns requiring specialist input where it is not possible to achieve definitive fixation in 72 h and when there are other life threatening injuries to manage. Despite this early antibiotic administration and debridement within 24 h remains a key component of the early management.
    Language English
    Publishing date 2023-04-15
    Publishing country Netherlands
    Document type Journal Article ; Review
    ZDB-ID 218778-4
    ISSN 1879-0267 ; 0020-1383
    ISSN (online) 1879-0267
    ISSN 0020-1383
    DOI 10.1016/j.injury.2023.04.029
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Use of a non-anatomic mini-fragment fixation system for foot fractures.

    Hague, Matthew / Pintar, Valeria / Nielsen, Dominic / Trompeter, Alex

    ANZ journal of surgery

    2023  Volume 93, Issue 7-8, Page(s) 1924–1929

    Abstract: Background: Plating techniques for the fixation of foot fractures can utilize pre-contoured region-specific plates or non-anatomic non-specific mini-fragment plating systems, however there is limited published data describing complication rates.: ... ...

    Abstract Background: Plating techniques for the fixation of foot fractures can utilize pre-contoured region-specific plates or non-anatomic non-specific mini-fragment plating systems, however there is limited published data describing complication rates.
    Methods: This study reviewed the complication rates and performed a cost analysis of 45 foot fractures that had fixation with the use of mini-fragment non-anatomic implants, comparing them to a series from the same centre fixed using anatomic implants and the published literature.
    Results: Complication rates seemed equivalent. Cost analysis demonstrated that non-anatomic implants were more expensive on average.
    Conclusions: Non-anatomic mini-fragment fixation is an appropriate method for use in a variety of foot trauma situations, with comparable complication rates to pre-contoured implants, although the potential for cost savings has not been realized in this patient cohort.
    MeSH term(s) Humans ; Treatment Outcome ; Fractures, Bone/surgery ; Fracture Fixation, Internal/methods ; Prostheses and Implants ; Knee Injuries ; Ankle Injuries ; Bone Plates
    Language English
    Publishing date 2023-06-11
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 2050749-5
    ISSN 1445-2197 ; 1445-1433 ; 0004-8682
    ISSN (online) 1445-2197
    ISSN 1445-1433 ; 0004-8682
    DOI 10.1111/ans.18567
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: A systematic review of tourniquet use in paediatric orthopaedic surgery: can we extrapolate from adult guidelines?

    Pintar, Valeria / Brookes, Charlotte / Trompeter, Alex / Bridgens, Anna / Hing, Caroline / Gelfer, Yael

    EFORT open reviews

    2024  Volume 9, Issue 1, Page(s) 80–91

    Abstract: Purpose: Tourniquets are commonly used intraoperatively in orthopaedic surgery to control bleeding and improve visibility in the surgical field. Recent evidence has thrown into question the routine use of tourniquets in the adult population resulting in ...

    Abstract Purpose: Tourniquets are commonly used intraoperatively in orthopaedic surgery to control bleeding and improve visibility in the surgical field. Recent evidence has thrown into question the routine use of tourniquets in the adult population resulting in a British Orthopaedic Association standard for intraoperative use. This systematic review evaluates the evidence on the practice, benefits, and risks of the intraoperative use of tourniquets for trauma and elective orthopaedic surgery in the paediatric population.
    Methods: A prospectively registered systematic review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines (PROSPERO: CRD42022359048). A search of MEDLINE, Embase, the Cochrane Library and a Grey literature search was performed from their earliest record to 23 March 2023. Studies reporting tourniquet data in paediatric patients undergoing orthopaedic surgery were included. Data extracted included demographics, involved limb, trauma versus elective use, tourniquet use as primary or secondary measure, and tourniquet parameters and complications.
    Results: Thirty-nine studies were included. Tourniquet practices and information reporting varied considerably. Tourniquets were used uneventfully in the majority of patients with no specific benefits reported. Several physiological and biochemical changes as well as complications including nerve injury, compartment syndrome, skin burns, thrombosis, post-operative limb swelling, and pain were reported.
    Conclusions: Tourniquets are routinely used in both trauma and elective paediatric orthopaedic surgery with no high-quality research affirming benefits. Severe complications associated with their use are rare but do occur. High-quality studies addressing their benefits, the exact indication in children, and the safest way to use them in this population are necessary.
    Language English
    Publishing date 2024-01-09
    Publishing country England
    Document type Journal Article
    ZDB-ID 2844421-8
    ISSN 2058-5241 ; 2058-5241 ; 2396-7544
    ISSN (online) 2058-5241
    ISSN 2058-5241 ; 2396-7544
    DOI 10.1530/EOR-23-0091
    Database MEDical Literature Analysis and Retrieval System OnLINE

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