Ashley Costin-Brown

• MBChB (Hons) FRCS (T&O)
• Consultant at University Hospitals of North Midlands NHS Trust

Aims: Trochlear dysplasia is a significant risk factor for patellofemoral instability. The Dejour classification is currently considered the standard for classifying trochlear dysplasia, but numerous studies have reported poor reliability on both plain radiography and MRI. The severity of trochlear dysplasia is important to establish in order to g...

Autologous chondrocyte implantation (ACI) has been used to treat cartilage defects for >20 years, with promising clinical outcomes. Here, we report two first-in-man cases (patient A and B) treated with combined autologous chondrocyte and bone marrow mesenchymal stromal cell implantation (CACAMI), with 8-year follow up. Two patients with Internation...

Purpose The purpose of this study was to measure the improvement in quality of life (QoL) following isolated anatomical double-bundle medial patellofemoral ligament reconstruction. Methods This is a single-centre, prospective study of 56 consecutive patients (57 knees) who underwent isolated MPFL reconstruction between 2014 and 2017. Functional ou...

We present a case of severe heterotopic ossification following a primary total knee replacement, which was complicated by a severe intraoperative anaphylactic reaction, and the successful treatment by revision to a rotating platform hinged implant, 32 months following the index procedure.

Chronic groin pain in young athletic patients poses a difficult diagnostic and therapeutic challenge, especially with such a wide variety of potential causes. Sports hernias were first described in the early 1980s, and are an increasingly recognised cause of chronic groin pain. Injury to a number of high profile athletes has raised the public awar...

Osteonecrosis of femoral head remains a major complication of femoral neck fractures. It has been postulated that early internal fixation drastically reduces the incidence of osteonecrosis of the femoral head. However, there is a paucity of literature looking at the effect of time delay to internal fixation on the development of this late complicat...

Hip arthroscopy remains a useful surgical intervention for labral injuries. The literature has predominantly focused on structural and vascular considerations of the hip joint, with few studies examining the neurohistology of the surrounding periarticular tissues. We mapped and identified the periarticular neural anatomy, to identify the presence o...