Dev Mahadevan

Royal Berkshire NHS Foundation Trust | Royal Berkshire Hospital · Department of Orthopaedics

Background A wide range of patient-reported outcome measures have been developed to assess the impact of foot and ankle pathology on patients’ function. In this study, Manchester-Oxford Foot Questionnaire (MOXFQ), Foot and Ankle Ability Measure (FAAM), and Revised-Foot Function Index (R-FFI) scores were assessed independently of their developers fo...

Musculoskeletal injections for joint or tendon problems are performed commonly and their use is on the rise. This book helps doctors from various disciplines including orthopaedics, sports medicine, rheumatology radiology and primary care as well as allied health care professionals understand the indications and local anatomy to safely perform inje...

We undertook a comparison evaluation of outcomes after 2 different high-volume image-guided injection (HVIGI) procedures performed under direct ultrasound guidance in patients with chronic noninsertional Achilles tendinopathy. In group A, the HVIGI involved high-volume (10 mL of 1% lidocaine combined with 40 mL of saline) and no dry needling. In gr...

Background The aim of this systematic review was to perform a qualitative synthesis of the current literature to determine the union frequencies for first metatarsophalangeal joint arthrodesis as well as the influence of pathology, joint preparation and fixation methods on union. Methods MEDLINE and EMBASE were searched to identify relevant studie...

Aims: The objective of this double-blind randomised controlled trial was to assess whether ultrasound guidance improved the efficacy of corticosteroid injections for Morton's neuroma (MN). Patients and methods: In all, 50 feet (40 patients) were recruited for this study but five feet were excluded due to the patients declining further participat...

Background: The purpose of this RCT was to compare the extended plantar limb (modified) chevron osteotomy with the scarf osteotomy in correcting hallux valgus deformity and improving functional scores and patient satisfaction. Methods: Patients were randomly assigned and kept blind to surgical allocation. Cases requiring additional procedures in...

The purpose of this study was to investigate the influence of joint configuration and preparation on first metatarsophalangeal (MTPJ) union rates. We performed a retrospective analysis of first MTPJ arthrodeses undertaken in our institution. Clinical notes, radiographs and postal questionnaires were used to determine outcome. Two hundred first MTPJ...

Background: This study investigated factors that may predict the need for Morton's neuroma (MN) to undergo further treatment within 2 years of a single ultrasound-guided corticosteroid injection. Methods: A retrospective study was undertaken over a three-year period. The data was stratified into two groups: Group A - did not receive further inte...

The aim of the present study was to assess the diagnostic accuracy of 7 clinical tests for Morton's neuroma (MN) compared with ultrasonography (US). Forty patients (54 feet) were diagnosed with MN using predetermined clinical criteria. These patients were subsequently referred for US, which was performed by a single, experienced musculoskeletal rad...

Poster

Poster

Emergency department (ED) and general practitioner (GP) referrals to orthopaedic fracture clinics are increasing. As a consequence, these clinics regularly operate at or beyond full capacity. In many institutions, all ED referrals are booked into and seen in the fracture clinic within 24 hours of presentation to the ED. A proportion of these appoin...

The purpose of this review was to appraise the use of computer-assisted navigation in total knee arthroplasty and to assess whether this technology has improved clinical outcomes. Studies were identified through searches in MEDLINE, Embase, and PubMed. Numerous studies have shown improved leg and component alignment using navigation systems. Howeve...

This study tests the null hypothesis that there is no difference between sciatic nerve block (SNB) and periarticular anesthetic infiltration (PI) as adjuncts to femoral nerve blockade (FNB) in total knee arthroplasty in terms of postoperative opioid requirements. Fifty-two patients undergoing total knee arthroplasty were randomized to receive eithe...

Differentiating supination external rotation (SER) type II and IV ankle injuries is challenging in the absence of a medial malleolar fracture or talar shift on radiographs. The accurate differentiation between a stable SER-II from an unstable SER-IV injury would allow implementation of the appropriate management plan from diagnosis. The aim of this...

Effective utilisation of blood products is fundamental. The introduction of maximum surgical blood ordering schedules (MSBOS) for operations has been shown to improve transfusion services. A retrospective analysis was undertaken to establish an evidence-based MSBOS for revision total hip replacement (THR) and total knee revision (TKR). The impact o...

Revision total hip replacement (THR) is associated with increased blood loss and extended hospitalization. We reviewed 146 patients who underwent revision THR to identify predictors of blood loss, transfusion requirements, and length of hospitalization. Blood loss was greater with increasing age and in men. Femoral and dual-component revision and r...

Maria Juarez and colleagues ask, “What do patients really think?”

Purpose – The purpose of this paper is to present the results of an audit undertaken to assess patients’ understanding of orthopaedic terminology in consent forms. Design/methodology/approach – Participants were asked to complete a questionnaire enquiring about their understanding of selected terms written routinely in orthopaedic consent forms....

https://ispub.com/IJOS/13/1/7695

BACKGROUND Weber B ankle fractures1 associated with deltoid ligament rupture are unstable fractures. Signs of this injury are fibula fractures at the level of the syndesmosis with medial ankle tenderness and/or talar shift.2 Failure to achieve anatomical reduction in these injuries significantly increases the risk of osteoarthritis.3 Occasionally,...

Cement extrusion during total hip arthroplasty is a common finding and is usually harmless. A rare case of obturator nerve impingement causing pain and atrophy of the adductor muscles of the hip is described. The computed tomographic images revealed an atrophied thigh adductor compartment. Injection of local anesthetic/steroid around the cement mas...

A case of iatrogenic full-thickness chemical burns from monochloroacetic acid (MCA) crystal application is described, followed by a brief review of the relevant literature and discussion of both local and systemic problems that may be encountered with absorption of this chemical. We believe this to be the first reported case of full-thickness burns...