Matthew Barry

Matthew Barry
University Hospital Southampton NHS Foundation Trust

MBBS MS FRCS(Orth)
Consultant Paediatric Orthopaedic Surgeon

About

58
Publications
4,052
Reads
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704
Citations
Additional affiliations
April 1998 - October 2017
Barts Health NHS Trust
Position
  • Consultant
Description
  • Consultant Orthopaedic Surgeon - 50% paediatric orthopaedics and 50% adult trauma and limb reconstruction
August 1996 - July 1997
Women`s and Children`s Hospital Adelaide
Position
  • Fellow
Description
  • Fellowship training in paediatric orthopaedics
Education
September 1980 - July 1985
The London Hospital Medical School
Field of study
  • Medical degree

Publications

Publications (58)
Article
Aims: The aim of this retrospective review was to identify all children that presented to our institution with a pelvic or acetabular fracture and to compare these children to a previous cohort of paediatric pelvic fractures that we have reported. Patients: 53 children under the age of 16 were identified over a ten year period. Methods: We rev...
Chapter
Spinal problems in children are uncommon and this chapter aims to outline the conditions that can affect the paediatric spine and to highlight the rare but serious differentials.
Chapter
Foot and ankle problems in children are a common cause of parental anxiety. It is important to distinguish a true deformity from a normal variant and to begin appropriate treatment promptly. The problem may be isolated or exist as part of an underlying condition. It is therefore important to consider this when performing your initial assessment. Th...
Chapter
Leg length discrepancy can be true or apparent and can occur above or below the knee. The body can compensate if the deformity is less than 2 cm. Limb deformities can occur in all planes and persistence of an angular deformity beyond the age of 6 should be treated with suspicion. Causes of limb shortening can be congenital or acquired. It is import...
Chapter
This chapter is divided into four sections.1. Shoulder: (a) Obstetric brachial plexus injuries are usually secondary to traction, about 90 % recover. The function of biceps brachii is the best indicator of recovery. Differential diagnoses should always be considered. (b) Pseudoarthrosis of the clavicle occurs due to a failure of fusion of the secon...
Chapter
Congential talipes equinovarus (CTEV) is a congenital disorder affecting the foot which presents at birth with the hindfoot in equinus and varus, the midfoot in adduction and often cavus and the forefoot adducted.
Book
This book provides orthopaedic surgeons in training with concise and relevant core knowledge on all aspects of children’s orthopaedics. Content includes the common orthopaedic conditions that affect children, and key management points in each chapter are highlighted for readers to quickly access this information. The aim of this resource is to off...
Article
Full-text available
We report a retrospective review of all paediatric trauma patients managed with an external fixator admitted to our institution over a 7-year period. We identified 30 fractures in 28 children. The fractures included 20 tibiae, 5 femurs, 2 humerii, 2 radii and 1 phalanx. The indications were 23 open fractures, 4 comminuted fractures and 3 closed fra...
Article
The management of children's fractures has evolved as a result of better health education, changes in lifestyle, improved implant technology and the changing expectations of society. This review focuses on the changes seen in paediatric fractures, including epidemiology, the increasing problems of obesity, the mechanisms of injury, non-accidental i...
Chapter
Fractures of the distal radius account for approximately 23 % of all paediatric fractures with shaft fractures accounting for 5 % of all fractures. Proximal forearm fractures are less common and account for only 1 % of all fractures. Considering both bone forearm fractures, distal third fractures are the most common site and account for 75 % of fra...
Chapter
Clavicle fractures in children are common and represent 8–15 % of all paediatric fractures and 90 % of obstetric fractures. This is due to its subcutaneous position and the transfer of any force applied to the upper limb passing through this supporting strut. The majority are diaphyseal and can occur through indirect or direct force e.g. during a f...
Chapter
Tibial fractures are among the most common injury encountered in paediatric trauma. These include a spectrum from low energy toddler’s (diaphyseal) fractures to high-energy open tibial fractures. In addition to this, there are rarer tibial injuries with potential significant complications. This chapter utilises an anatomic approach (proximal, diaph...
Chapter
Femur fractures are the third most common paediatric fracture requiring admission (after tibia and forearm); the incidence is reported as between 20 and 50 per 100,000 children, per year. There is a bimodal distribution - early childhood and mid-adolescence, with an equal sex distribution during the early childhood peak where the common mechanism i...
Chapter
Paediatric spinal injuries are less common than adult spinal injuries and involve different injury patterns. The evaluation and treatment requires knowledge of the embryology, anatomy, and types of injuries unique to the age of the child. A working knowledge of paediatric spinal ossification centres, as well as the normal findings of the paediatric...
Chapter
The paediatric trauma patient differs in important ways from the adult, particularly with the nutritional requirements and protein catabolism. The response to trauma is classically described as two phases and this is largely the same for children. The initial ebb phase is characterised by decreased cardiac output, temperature, blood pressure and ox...
Book
This book provides trainee orthopaedic surgeons, paediatricians, primary care and accident & emergency doctors with the all the relevant knowledge required to treat common paediatric orthopaedic traumatic pathologies. The information is presented in a structured format, which includes ‘red boxes’ that highlight the most important and pertinent poin...
Article
Full-text available
Ankle dislocation without associated malleolar fracture(s) remains a rare presentation, especially in adolescence. Identified and treated promptly, these injuries can result in good to excellent outcome. We present an anterior ankle dislocation in a 14 year old, missed for approximately 12 months, necessitating multiple surgical interventions to pr...
Article
Zinc was incorporated in silicate glasses designed as coatings for orthopaedic stainless steel. The glass dissolution behaviour was investigated at physiological (pH 7.35) and acidic pH. Zinc release was low (<10%) at physiological pH, but increased dramatically under acidic conditions (about 90%) and was proportional to the zinc oxide content in t...
Article
Full-text available
The Monteggia fracture is relatively rare. We present an unreported configuration of a traumatic olecranon fracture with a concomitant medial radial head dislocation in a 3-year-old male. This injury was initially missed and required a subsequent operative intervention. Following surgery, there was evident fracture union, articular congruency, and...
Article
A career in orthopedic surgery in the United Kingdom is highly competitive. Great residents are trainees who understand that ultimately, they are responsible for their own training. They need to work with their Training Program Director to plan their career, to develop as surgeons, to reflect on their performance and any feedback they receive, be f...
Chapter
The distal radius is the most common childhood fracture and accounts for 23 % of all fractures. Fractures of the shaft of the radius and ulna account for 5 % of all fractures and proximal forearm fractures are less common and account for about 1 % of all fractures. For most fractures, conservative management with a plaster cast, after a closed mani...
Article
Attempts have been made to refine techniques involved in distraction osteogenesis in order to improve patient compliance and reduce complications. The prolonged use of external fixators for limb lengthening is associated with a number of problems and in addition, patient satisfaction with a cumbersome external fixator may be low. To reduce the comp...
Article
We present the case of a 12 year old boy who had bilateral inferior pole fragment (Saupe type 1) bipartite patellae, and who sustained a traumatic separation through the right patella while playing basket ball, the left remaining asymptomatic. We have reviewed and discussed the previously published literature and case reports.
Poster
Full-text available
Keywords (max 5): Deformities, Knee, Upper Extremity Summary (max 200 characters): Deformity correction on 18 children (32 physes) using guided growth with tension band plating technique. All cases were non-idiopathic. Retrospective, clinical study on outcome and complications Research type: Clinical Science Abstract (max 2900 characters): Intro...
Article
That Orchard and Kountouris’s article was a clinical review1 might …
Article
Full-text available
Subacute haematogenous osteomyelitis of the talus in children is a rare condition. All previously reported cases have been managed by hospital admission with surgical debridement and antibiotics or by intravenous antibiotic therapy followed by oral antibiotics. This case series documents the management of the condition at our institution and review...
Article
The surgical management of osteofibrous dysplasia (OFD), a rare developmental tumour-like condition of childhood that has a predilection for the tibia, ranges from curettage or subperiosteal resection to extraperiosteal wide resection followed by reconstruction. En-bloc excision followed by distraction osteogenesis has been described earlier for OF...
Article
Full-text available
We present the results of 90 consecutive children with displaced fractures of the forearm treated by elastic stable intramedullary nailing with a mean follow-up of 6.6 months (2.0 to 17.6). Eight (9%) had open fractures and 77 (86%) had sustained a fracture of both bones. The operations were performed by orthopaedic trainees in 78 patients (86%). A...
Article
The databases of the Picture Archiving and Communication Systems of two hospitals were searched and all children who had a lateral radiograph of the ankle during their attendance at the emergency department were identified. In 227 radiographs, Bohler’s and Gissane’s angles were measured on two separate occasions and by two separate authors to allow...
Article
Non-accidental injury (NAI) in children includes orthopaedic trauma throughout the skeleton. Fractures with soft-tissue injuries constitute the majority of manifestations of physical abuse in children. Fracture and injury patterns vary with age and development, and NAI is intrinsically related to the mobility of the child. No fracture in isolation...
Article
Over the past 20 years, there has been an increasing interest in surgery for the anterior cruciate ligament (ACL) deficient knee. With this increase, there has been the concomitant development of surgical technique, in particular, the minimally invasive arthroscopically-assisted procedure. As an alternative, we have developed a technique that does...
Article
Technicians from one hundred and eighteen Human Tissue Authority (HTA) approved mortuaries licensed to perform post-mortems in England completed a telephone interview. All were questioned on whether they had contact with reusable external fixators, who was responsible for the removal, the number removed annually, and the destination of the fixator...
Article
Fractures of the skeletally immature pelvis are relatively rare. We performed a retrospective analysis of 10 years experience of paediatric pelvic fractures in patients admitted a Level 1 Trauma Centre in London. All patients evacuated to the Royal London Hospital by the Helicopter Emergency Medical Service (HEMS) were entered on a comprehensive tr...
Article
The wire-bolt interface in an Ilizarov frame has been mechanically tested. The optimal torque to be applied to the frame locking-bolts during physiological loading has been defined. The set-up configuration was as is used clinically except a copper tube was used to simulate bone. The force-displacement curves of the Ilizarov wires are not altered b...
Article
Congenital talipes equinovarus (CTEV) and other skeletal abnormalities can be diagnosed prenatally by ultrasound scan. If diagnosed, clinicians should be cautiously optimistic with the parents, particularly if the talipes diagnosed is isolated and not associated with other foetal abnormalities. There is no correlation between the prenatal appearanc...
Article
Compartment syndrome is a serious condition which leads to chronic morbidity unless an urgent decompression of the affected area is performed. An increased intra compartmental pressure commonly occurs after a physical insult though rarer causes have been identified. We report an atypical presentation of compartment syndrome and subsequent delayed i...
Article
Intramedullary fixation of children's diaphyseal forearm fractures is becoming the surgical technique of choice, in those cases that warrant surgical intervention. This method offers both technical advantages and patient benefits over alternative techniques and implants that have been used in the past. We present a two-centre study assessing the ou...
Article
To investigate and compare two specific methods of Ilizarov wire tensioning and hold. This study utilised the vertical Hounsfield test machine H25KS, a stress/strain device with a load-cell linked to a computer program. Firstly, the department's present mechanical tensioners were assessed. Secondly, the method of twisting the three designs of wire...
Article
The purpose of this study was to establish the optimal fixation of tensioned wires to the frame construct in the Ilizarov system. The usual torque to which the fixation bolts were tightened in clinical practice was established by serial testing of orthopaedic surgeons' work in our unit. The force required to produce wire slippage from the different...
Article
The treatment of any open fracture should follow a logical sequence extending from injury to final rehabilitation. In the past, open fractures were usually sustained in armed conflicts and treated by military surgeons. Currently, the majority of open fractures are sustained as the result of motor vehicle accidents, but the management principles dev...
Article
Impingement lesions and rupture in autologous reconstruction of the cruciate deficient knee have been found to be closely correlated with an anterior tibial tunnel placement. Thirty-three retrieved, ruptured prosthetic scaffold type implants have been subjected to scanning electron microscopy in the Department of Textiles at Manchester University....
Article
With CT imaging, the lumbar facet joints are well visualised and enlargement secondary to degeneration may be noted. We measured the cross-sectional area of the superior articular process of the L5 facet joint in 100 consecutive CT scans and in 71 patients, the L4 process was also measured. We found that the mean cross-sectional area was significan...
Article
During anterior cruciate ligament reconstruction most experienced knee surgeons site the tibial tunnel by reference to tibial landmarks alone, without any reference to the apex and roof of the intercondylar notch. Clearly in most instances, a satisfactory siting of this tunnel will be produced which will avoid implant impingement. However, even in...
Article
‘Second look’ arthroscopy was performed in 129 patients after anterior cruciate ligament reconstruction. Meniscal or chondral lesions noted at the time of reconstruction were subsequently reviewed at the second arthroscopy and any new lesions were also noted. Stabilization of the knee resulted in a significant reduction in the incidence of meniscal...
Article
To investigate the histopathological features of the synovial lining of the knee following implantation of an artificial cruciate ligament. Eighty two patients underwent anterior cruciate ligament reconstruction for chronic, symptomatic instability of the knee. The cruciate ligament was reconstructed with a scaffold type prosthetic ligament. All pa...
Article
Cremation takes place in two chambers. The primary chamber is heated to about 700°C; the coffin containing the body is placed inside, and spontaneous combustion occurs. The temperature increases to 900-1100°C during combustion, which lasts 60-90 minutes if the body is obese or up to 120 minutes if the body is thin or cachectic. The remains are rake...
Article
Full-text available
Following surgical exploration, a swelling on the back of a boy's hand was thought to be a tuberculous granuloma and was treated as such. Eleven months later, when the lump was re-explored, a plant thorn was retrieved from the middle of a foreign body granuloma. Even though a definite history of trauma is not given, an organic foreign body lesion s...

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