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Journal articleNigam C, Masjedi M, Houston J, et al., 2014, , PROCEEDINGS OF THE INSTITUTION OF MECHANICAL ENGINEERS PART H-JOURNAL OF ENGINEERING IN MEDICINE, Vol: 228, Pages: 1235-1240, ISSN: 0954-4119
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- Citations: 3
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Journal articleHalewood C, Risebury M, Thomas NP, et al., 2014, , KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, Vol: 22, Pages: 3074-3082, ISSN: 0942-2056
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- Citations: 31
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Journal articleWilson F, McGregor A, 2014, , British Journal of Sports Medicine, Vol: 48, Pages: 1525-1528, ISSN: 0306-3674
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Journal articleWilson F, Gissane C, McGregor A, 2014, , BRITISH JOURNAL OF SPORTS MEDICINE, Vol: 48, Pages: 1534-U27, ISSN: 0306-3674
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- Citations: 43
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Journal articleCobb JP, 2014, , LANCET, Vol: 384, Pages: 1405-1407, ISSN: 0140-6736
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- Citations: 12
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Journal articleKhatri C, Sugand K, Anjum S, et al., 2014, , PLOS ONE, Vol: 9, ISSN: 1932-6203
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- Citations: 6
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Conference paperGopalakrishnan A, Phillips ATM, Higginson JS, et al., 2014,
Predictive simulations of movement for informing rehabilitation programmes
, 12th International Symposium on Computer Methods in Biomechanics and Biomedical Engineering -
Conference paperGeraldes D, Hansen U, Amis A, 2014,
A framework for parametric analysis of glenoid implant design
, MECBioengineering 2014 -
Conference paperMullington C, Wrench C, He J, et al., 2014,
Thermal gradient: the primary driver of thermal perception?
, Annual Congress of the Association-of-Anaesthetists-of-Great-Britain-and-Ireland (AAGBI), Publisher: WILEY-BLACKWELL, Pages: 38-38, ISSN: 0003-2409 -
Journal articleKotti M, Duffell LD, Faisal AA, et al., 2014, , PLOS ONE, Vol: 9, ISSN: 1932-6203
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- Citations: 20
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Conference paperGeraldes D, Hansen U, Jeffers J, et al., 2014,
A framework for parametric analysis of glenoid implant design
, International Society for Technology in Arthroplasty 2014 -
Journal articleGoetz AJ, Griesshaber E, Abel R, et al., 2014, , Acta Biomaterialia, Vol: 10, Pages: 3885-3898, ISSN: 1742-7061
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Book chapterCobb J, Harris S, Clarke S, 2014, , Successful Techniques for Total Hip Replacement, Pages: 151-159
In the arthroplasty market, globally sales and marketing strategies continue to have a dominantimpact on prosthesis choice.If the promise of the patient-matched technology is born out, then the next generation ofsmaller, more patient-friendly devices, inserted using patient-matched instrumentation, may becost neutral with the conventional prostheses inserted conventionally, by reducing theinventory and instrumentation needed per case.As the patient-matched procedures gather momentum, their low cost, in both time and money,will transform the industry.The artisan hip surgeon will still perform his or her trade using those few tools that Charnleydeveloped.In the operating room, the anesthetist may well have computers monitoring every organsystem, but the surgeon, in all likelihood, will have a great deal of computer-based knowledgewrapped up in a US$25 piece of polymer that embodies the plan that the patient agreed topreoperatively. That is a world beyond computers, and it is happening now
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Journal articleMordecai SC, Al-Hadithy N, Ware HE, et al., 2014, , World J Orthop, Vol: 5, Pages: 233-241, ISSN: 2218-5836
Treatment options for meniscal tears fall into three broad categories; non-operative, meniscectomy or meniscal repair. Selecting the most appropriate treatment for a given patient involves both patient factors (e.g., age, co-morbidities and compliance) and tear characteristics (e.g., location of tear/age/reducibility of tear). There is evidence suggesting that degenerative tears in older patients without mechanical symptoms can be effectively treated non-operatively with a structured physical therapy programme as a first line. Even if these patients later require meniscectomy they will still achieve similar functional outcomes than if they had initially been treated surgically. Partial meniscectomy is suitable for symptomatic tears not amenable to repair, and can still preserve meniscal function especially when the peripheral meniscal rim is intact. Meniscal repair shows 80% success at 2 years and is more suitable in younger patients with reducible tears that are peripheral (e.g., nearer the capsular attachment) and horizontal or longitudinal in nature. However, careful patient selection and repair technique is required with good compliance to post-operative rehabilitation, which often consists of bracing and non-weight bearing for 4-6 wk.
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Journal articleBuckeridge EM, Bull AMJ, McGregor AH, 2014, , Scandinavian Journal of Medicine & Science in Sports, Vol: 25, Pages: e176-e183, ISSN: 0905-7188
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Journal articleBayona S, Akhtar K, Gupte C, et al., 2014, , Journal of Bone and Joint Surgery: American Volume, Vol: 96A, ISSN: 0021-9355
Background: Surgical training is undergoing major changes with reduced resident work hours and an increasing focus on patient safety and surgical aptitude. The aim of this study was to create a valid, reliable method for an assessment of arthroscopic skills that is independent of time and place and is designed for both real and simulated settings. The validity of the scale was tested using a virtual reality shoulder arthroscopy simulator.Methods: The study consisted of two parts. In the first part, an ImperiaGlobal Arthroscopy Rating Scale for assessing technical performance was developed using a Delphi method. Application of this scale required installing a dual-camera system to synchronously record the simulator screen and body movements of trainees to allow an assessment that is independent of time and place. The scale includes aspects such as efficient portal positioning, angles of instrument insertion, proficiency in handling the arthroscope and adequately manipulating the camera, and triangulation skills. In the second part of the study, a validation study was conducted. Two experienced arthroscopic surgeons, blinded to the identities and experience of the participants, each assessed forty-nine subjects performing three different tests using the ImperiaGlobal Arthroscopy Rating Scale. Results were analyzed using two-way analysis of variance with measures of absolute agreement. The intraclass correlation coefficient was calculated for each test to assess inter-rater reliability.Results: The scale demonstrated high internal consistency (Cronbach alpha, 0.918). The intraclass correlation coefficient demonstrated high agreement between the assessors: 0.91 (p < 0.001). Construct validity was evaluated using Kruskal-Wallis one-way analysis of variance (chi-square test, 29.826; p < 0.001), demonstrating that the ImperiaGlobal Arthroscopy Rating Scale distinguishes significantly between subjects with different levels of experience utilizing a virtual reali
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Journal articleChiou SY, Shih YF, Chou LW, et al., 2014, , European Journal of Pain, Vol: 18, Pages: 794-802, ISSN: 1090-3801
BackgroundControl of trunk movement relies on the integration between central neuronal circuits and peripheral skeletomuscular activities and it can be altered by pain. There is increasing evidence that there are deficits within the central nervous system controlling the trunk muscles in people with low back pain (LBP). However, it is unclear how LBP impacts upon neural drive to back muscles at different levels of voluntary contraction. Therefore, the purpose of this study was to investigate if neural drive is impaired in these patients.MethodsSeventeen patients with LBP and 11 healthy controls were recruited. Bilateral electromyographic (EMG) recordings were obtained from the erector spinae (ES) muscles at two vertebral levels (T12 and L4). Participants performed a series of brief isometric back extensions (50–100% maximum voluntary contraction – MVC), during which transcranial magnetic stimulation was delivered. The size of the evoked (superimposed) twitch was measured using dynamometry.ResultsThe size of the superimposed twitch decreased linearly with increasing contraction strength in the controls; however, this linear relationship was not observed in the patients. Additionally, patients had larger superimposed twitches and longer time鈥恡o鈥恜eak amplitudes during MVCs than those observed in controls. Furthermore, patients had lower MVC and root鈥恗ean鈥恠quare EMG activity of ES muscles during MVCs.ConclusionsA decline of central neural drive to the back muscles at high level of voluntary contraction was observed in patients with LBP. These results suggest that it might be pertinent to include neuromuscular facilitation programmes and therapeutic exercise utilizing high voluntary contractions for patients with LBP.
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Journal articleMcGregor AH, Probyn K, Cro S, et al., 2014, , SPINE, Vol: 39, Pages: 1044-1054, ISSN: 0362-2436
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- Citations: 33
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Journal articleAkhtar KSN, Chen A, Standfield NJ, et al., 2014, , Curr Rev Musculoskelet Med, Vol: 7, Pages: 155-160, ISSN: 1935-973X
Surgical training has followed the master-apprentice model for centuries but is currently undergoing a paradigm shift. The traditional model is inefficient with no guarantee of case mix, quality, or quantity. There is a growing focus on competency-based medical education in response to restrictions on doctors' working hours and the traditional mantra of "see one, do one, teach one" is being increasingly questioned. The medical profession is subject to more scrutiny than ever before and is facing mounting financial, clinical, and political pressures. Simulation may be a means of addressing these challenges. It provides a way for trainees to practice technical tasks in a protected environment without putting patients at risk and helps to shorten the learning curve. The evidence for simulation-based training in orthopedic surgery using synthetic models, cadavers, and virtual reality simulators is constantly developing, though further work is needed to ensure the transfer of skills to the operating theatre.
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Book chapterFletcher A, Pearson J, Molleson T, et al., 2014,
Beneath the surface: imaging techniques and the Jericho Skull
, Regarding the Dead Human Remains in the British Museum, Editors: Fletcher, Antoine, Hill, Publisher: British Museum Publications Limited, ISBN: 9780861591978A key publication on the British Museum's approach to the ethical issues surrounding the inclusion of human remains in museum collections and possible solutions to the dilemmas relating to their curation, storage, access management and ...
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