Edinburgh Royal Infirmary

A 15-year evaluation of two total knee arthroplasty designs

Aims: To compare 15-year patient-reported outcomes measure (PROMs), pain characteristics, implant survivorship, and radiological findings between two total knee arthroplasty (TKA) systems to determine whether modern implant design influenced outcomes. Methods: A minimum 15-year f...

EARLY RECOGNITION OF LIMB NECROTIZING FASCIITIS AND SURGERY WITHIN SIX HOURS IS ASSOCIATED WITH A LOWER MORTALITY RISK AND IMPROVED PATIENT-REPORTED OUTCOMES

Necrotising fasciitis (NF) is a rapidly progressive surgical emergency. The effects of time from hospital presentation to theatre on short- and long-term outcomes, as well as specific modifiable aspects of the care pathway that would enable early surgery, remain poorly defined. A...

ORTHOPAEDIC TRAUMA IN NORTHERN MALAWI'S CENTRAL HOSPITAL: INJURY PATTERNS, OPERATIVE NEED, AND SERVICE CONSTRAINTS

Malawi has a high burden of traumatic injury but limited orthopaedic surgical capacity, particularly in the northern region where a single orthopaedic surgeon serves a population of over four million. This study aimed to describe the epidemiology of orthopaedic trauma in northern...

PARIS (POSTERIOR MALLEOLUS RADIOLOGICAL INVESTIGATION STUDY): STANDARDIZING MANAGEMENT OF UNSTABLE ANKLE FRACTURES WITH A POSTERIOR MALLEOLUS COMPONENT

The PARIS algorithm is used to classify posterior malleolar fractures (PMF) and guide fixation planning based on plain radiographs, with reassessment following pre-operative computed tomography (CT). This study aimed to validate and optimise the PARIS algorithm to determine which...

SURVIVORSHIP, COMPLICATIONS, AND PATIENT-REPORTED OUTCOMES FOLLOWING DISCOVERY TOTAL ELBOW ARTHROPLASTY

Total elbow replacement (TER) is an established treatment for end-stage elbow pathology; however, long-term outcome data remain limited due to relatively low procedural volumes. The Discovery Elbow system is widely used, but long-term clinical outcomes are not well described. Thi...

Radiological pattern of hip osteoarthritis is associated with one-year patient-reported outcomes but not long-term mortality or revision after total hip arthroplasty

Aims: This study aimed to determine the effect of the radiological patterns of hip osteoarthritis (OA) on patient-reported outcome measures (PROMs) at one year following total hip arthroplasty (THA) and their impact on long-term mortality and survivorship. Methods: This retrospec...

‘Waiting poorly’ for hip and knee arthroplasty – unmet needs and lack of support while waiting for surgery

Aims In socialized health systems, prolonged waiting times for hip and knee arthroplasty lead to progressive decline in patients’ health-related quality of life. This multicentre study aimed to evaluate patients’ experience of the information, advice, and support received during...

Necrotizing fasciitis

Necrotizing fasciitis is a rapidly progressive, life-threatening infection originating in a fascial plane which requires emergency surgery. Although uncommon, with an incidence of 0.63 per 100,000 per year, it affects the limbs in 40% of cases and carries a 22% 30-day mortality r...

Early recognition of limb necrotizing fasciitis and surgery within six hours is associated with a lower mortality risk and improved patient-reported outcomes

Aims Necrotizing fasciitis (NF) is a rapidly progressive surgical emergency. The effects of time from hospital presentation to theatre on short- and long-term outcomes, as well as specific modifiable aspects of the care pathway that would enable early surgery, remain poorly defin...

COFAS Grade is not Associated with Outcomes following Infinity Total Ankle Arthroplasty: A Multicenter Study with Minimum Five-Year Follow-Up

Background: Total ankle arthroplasty (TAA) is increasingly used for end-stage ankle arthritis, with modern fixed-bearing designs demonstrating improved survivorship. The Canadian Orthopaedic Foot and Ankle Society (COFAS) classification stratifies patients by intra-articular and...

Do Patients Receiving GLP-1 Receptor Agonists for Weight Loss Require Structured Dietetic Care? Lessons from Metabolic and Bariatric Surgery (MBS) Pathways

Background: Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) and dual incretin therapies have significantly advanced obesity management by facilitating clinically significant weight loss and enhancing cardiometabolic outcomes. Nevertheless, their growing application calls fo...

Consent: Doctor, can you please do my operation?

The evolution of informed consent Globally, despite extensive written guidance, landmark legal cases, and evolving clinical practices, the landscape of informed consent remains uncertain for both patients 1 and doctors. 2 The notion of informed consent was thrust upon medicine by...