RNSH Surgery & Anaesthesia Research Activity Report 21-22

CURRENT RESEARCH ACTIVITY

SHOULDER AND ELBOW

• Biomechanical comparison of shoulder materials • Precision and accuracy of pumps used in shoulder arthroplasty • TXA Study (Systemic Tranexamic Acid in Shoulder Arthroplasty) • Review of the use of the Rota-Lok system for massive rotator cuff repairs • Comparative study of physician applied and patient reported constant scores using bathroom scales to derive force measurements • Validation of patient completed constant shoulder score • Fitness band use in shoulder evaluation • TXA 2 Study (Systemic Tranexamic Acid in Shoulder Arthroscopy and Rotator Cuff Repair) • Arthroscopic RCR with muscle advancement for massive tears • Supraspinatus and infraspinatus muscle advancement in irreparable rotator cuff tears: A cadaveric study quantifying the muscle slide • Supraspinatus and infraspinatus muscle advancement in irreparable rotator cuff tears: A cadaveric study examining the effect on the suprascapular nerve • Total shoulder replacement long term follow up with the constant score • Reverse total shoulder replacement long term follow up with the constant score • The ReShape study HAND • Hand surgery research projects, including biomechanics and case-based studies on tendon surgery and nerve surgery, including nerve transfers HIP • Hip resurfacing with ceramic-on-ceramic bearing • Spino-pelvic parameters in hip replacement • Pre-operative planning for total hip replacement • Enabling technologies in hip replacement • Psoas tendon irritation after total hip replacement • Clexane vs aspirin for the prevention of DVT and PE after hip and knee replacement • Use of dual mobility bearings in hip replacement for the treatment of femoral neck fractures KNEE • Cognitive behavioural therapy in managing dissatisfaction following total knee replacement • Assessment of outcomes and readiness for return to sport after anterior cruciate ligament reconstruction • Study of muti-alignment in knee injuries • Case controlled studies of bilateral vs unilateral total knee arthroplasty • Knee biomechanics of patients after total knee replacement • Predominantly prospective clinical trials in knee and elbow, retrospective, case series, radiological review, cadaveric and biomechanical: 90% independent investigator-initiated studies and two industry associated studies • Clinical trials comparing unicompartmental knee replacement and osteotomy, measurement of satisfaction following total knee replacement, studies on knee biomechanics and techniques for revision knee replacement • Stability of total knee replacements • Biomechanics of the patella-femoral joint after total knee replacement FOOT AND ANKLE • Studies on the management of trauma of the foot and ankle and lower limb, ankle arthroscopy and ankle replacement

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