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Citations since 2016
6 Research Items
I studied medicine at the University of Birmingham and during this time also completed a BSc (Anatomy) from University College London. Following this I undertook basic surgical training at University Hospital Birmingham. I completed my higher surgical training on the Birmingham Orthopaedic Training Programme and undertook post-CCT fellowships at the Pulvertaft centre in Derby and the Liverpool Upper Limb Unit. I was subsequently appointed as a consultant upper limb surgeon at Warwick Hospital.
October 2017 - March 2020
- I specialise in the treatment of conditions of the shoulder, elbow, hand and wrist. Having completed prestigious fellowships, I practice evidence based surgical treatments. I am the current upper limb MDT lead, promoting collaborative work.
August 2016 - August 2017
- As a post-CCT fellow, I worked under the expert guidance of Professor Peter Brownson (then standing president of BESS). I became proficient in current open and arthroscopic techniques in shoulder and elbow surgery.
Aims: There are reports of a marked increase in perioperative mortality in patients admitted to hospital with a fractured hip during the COVID-19 pandemic in the UK, USA, Spain, and Ita-ly. Our study aims to describe the risk of mortality among patients with a fractured neck of femur in England during the early stages of the COVID-19 pandemic. Meth...
There are reports of a marked increase in perioperative mortality in patients admitted to hospital with a fractured hip during the COVID-19 pandemic in the UK, USA, Spain, and Ita-ly. Our study aims to describe the risk of mortality among patients with a fractured neck of femur in England during the early stages of the COVID-19 pandemic. Methods We...
The appropriately anaesthetised patient is positioned supine with an arm table attached on the operative side. An above elbow tourniquet is applied. A drip stand is then attached to the table at the level of the shoulder on the surgical side. The limb is prepared and draped, such that the sterile sheets completely cover the drip stand. Chinese fing...
The shoulder is the most commonly dislocated joint; 97% of cases are anterior. The management is detailed in guidelines published by the British Elbow and Shoulder Society. This article summarises the guidelines.
Follow-up series of the Copeland resurfacing hemiarthroplasty have reported few postoperative fractures around the prosthesis. We report three cases of periprosthetic fracture around a Copeland resurfacing arthroplasty. Due to prosthetic loosening and tuberosity comminution, all cases were managed with revision shoulder arthroplasty. All patients h...
To evaluate this impact on male and female English medical graduates by estimating the total time and amount repaid on loans taken out with the UK's Student Loans Company (SLC). UK. 4286 respondents with a medical degree in the Labour Force Surveys administered by the Office for National Statistics (ONS) between 1997 and 2014. Age-salary profiles w...
Limb-salvage surgery plays a major role in the management of patients with osteosarcoma. As prognosis improves, reconstructive options have come under greater scrutiny with regard to their durability and functionality. The advent of computer navigation-guided reconstruction is discussed in detail, along with methods by which resections can be perfo...
The Ponseti technique is well established in the management of clubfoot deformity, and an Achilles tenotomy is frequently performed to facilitate dorsiflexion of the foot. This report describes the ultrasonographic phases of healing of the tendon gap created by the Achilles tenotomy and how the healing varies, if at all, with patient age. A prospec...
We compared two management strategies for the perfused but pulseless hand after stabilisation of a Gartland type III supracondylar fracture. We identified 19 patients, of whom 11 were treated conservatively after closed reduction (group 1). Four required secondary exploration, of whom three had median and/or anterior interosseus nerve palsy at pres...
Introduction: RTCs (road traffic collisions) are one of the most common preventable causes of death and disability worldwide, and a major public health problem in developing countries. We aim to investigate changes in numbers of motor vehicles, case fatality rate and crash injury rate over 10 years in the UK and Sri Lanka, and factors affecting thi...
Comparison of renal function in patients who died within 30 days of surgery for hip fractures with surviving patients matched for age, type of surgery, type of anaesthesia and clinical assessment of fitness for surgery. A retrospective case-control study of 80 patients was performed. Pre- and post-operative urea, creatinine, estimated glomerular fi...
Hynes and Giddins modified the rubber band traction device advocated by Suzuki for management of phalangeal pilon fractures and fracture-dislocations. We present here a modification of the Hynes-Giddins version of this dynamic external fixator, which allows alteration of the distracting force by a simple adjustment of the construct.
We present the case of a 31 year old British soldier who sustained a high energy gunshot injury to the neck with delayed onset tetraplegia. The bullet's transcervical track was subsequently shown to have had no direct contact with the spinal cord, but four to five minutes after injury the patient developed tetraplegia. Subsequent Magnetic Resonance...
There is still much debate on the appropriateness of taking postoperative radiographs following hip fracture surgery. In our unit, it is routine practice to request postoperative radiographs after hip hemiarthroplasty but not after internal fixation. An audit conducted in our unit highlighted the low acute implant-related complications. This prompt...
Venous thromboembolism (VTE) remains a significant cause of morbidity and mortality among trauma patients. In the UK, the Government has recently acknowledged this and, with the impending National Institute for Clinical Excellence (NICE) guidelines, is hoping to provide uniform direction of prophylactic measures for inpatients of all hospital speci...