SP Morapudi, R Zhou, K Barnes: Bone and Joint Journal of Orthopaedics: 2014

Another publication from the Orthopaedics Dept, this time in The Bone and Joint Journal of Orthopaedics


SP Morapudi, R Zhou, K Barnes – Bone & Joint Journal Orthopaedic Proceedings …, 2014

Abstract. Summary There is little knowledge in surgeons about the guidelines for prophylactic antibiotics in patients with prosthetic joints when undergoing a dental procedure. read more 

RJ Macfarlan, TD Donnelly, Y Khan, S Morapundi, M Waseem, J Fischer: Biomed Research 2014

Congratulations to the staff of the Dept of Trauma and Orthopaedics for having the following article published.

Clinical Outcome and Wound Healing following Carpal Tunnel Decompression: A Comparison of Two Common Suture Materials

RJ MacFarlane, TD Donnelly, Y Khan, S Morapudi… – BioMed Research …, 2014

Department of Trauma and Orthopaedics, Macclesfield District General Hospital,
East Cheshire NHS Trust, Victoria Road, Macclesfield SK10 3BL, UK.

Published 7 August 2014


Donnelly TD; Macfarlane RJ; Nagy MT; Ralte P; Waseem M; The Open Orthopaedics Journal 2013

Fractures of the clavicle: an overview.

Citation: The open orthopaedics journal, 2013, vol./is. 7/(329-33), 1874-3250 (2013)
Author(s):  Donnelly TD; Macfarlane RJ; Nagy MT; Ralte P; Waseem M

Abstract: Fractures of the clavicle are a common injury and most often occur in younger individuals. For the most part, they have been historically treated conservatively with acceptable results. However, over recent years, more and more research is showing that operative treatment may decrease the rates of fracture complications and increase functional outcomes. This article first describes the classification of clavicle fractures and then reviews the literature over the past decades to form a conclusion regarding the
appropriate management. A thorough literature review was performed on assessment of fractures of the clavicle, their classification and the outcomes following conservative treatment. Further literature was gathered regarding the surgical treatment of these fractures, including the methods of fixation and the surgical approaches used. Both conservative and surgical treatments were then compared and contrasted. The majority of recent data suggests that operative treatment may be more appropriate as it improves
functional outcome and reduces the risk of complications such as non-union. This is particularly evident in mid shaft fractures, although more high grade evidence is needed to fully recommend this, especially regarding certain fractures of the medial and lateral clavicle.

Full Text: Available from National Library of Medicine, The  Open Orthopaedics Journal


Ahsan Akhtar*, Robert J. MacFarlane and Mohammad Waseem; The Open Orthopaedics Journal, 2013

Pre-Operative Assessment and Post-Operative Care in Elective Shoulder
The Open Orthopaedics Journal, 2013, 7, (Suppl 3: M4) 316-322
East Cheshire NHS Trust, Victoria Rd, Macclesfield, SK10 3BL, UK

Abstract: Pre-operative assessment is required prior to the majority of elective surgical procedures, primarily to ensure that the patient is fit to undergo surgery, whilst identifying issues that may need to be dealt with by the surgical or anaesthetic teams. The post-operative management of elective surgical patients begins during the peri-operative period and involves several health professionals. Appropriate monitoring and repeated clinical assessments are required in order for the signs of surgical complications to be recognised swiftly and adequately.

This article examines the literature regarding pre-operative assessment in elective orthopaedic surgery and shoulder surgery, whilst also reviewing the essentials of peri- and post-operative care. The need to recognise common postoperative complications early and promptly is also evaluated, along with discussing thromboprophylaxis and postoperative analgesia following shoulder surgery.


Health Matters – 2 July 2013

The latest ‘Health Matters’ talk will be looking at the Rapid Recovery Joint Replacement Programme the trust adopted earlier this year. The talk, ‘Knee and Hip Replacements, working together for a quicker, better and happier recovery’, will be led by Mr Graham Keys, Consultant Orthopaedic Surgeon & Project Lead.

Other speakers at the lecture include Dr Mick Rothwell, Consultant Anaesthetist and the author of the Anaesthesia and Analgesic Protocol; Christine Jackson, Occupational Therapist; Shirley Jones, Perioperative Specialist Practitioner; Selena King, Ward Six Manager; Sarah Clubley, Physiotherapist and Dot Pearson, Acute Pain Nurse and Project Co-ordinator. Several patients who have already been through the programme will also be on hand at the event.

For further information on ‘Health Matters’ and to book your place at the 2 July lecture, from 7-8pm, in the Lecture Theatre, Macclesfield District General Hospital, please contact The Communications and Engagement Department on 01625 661560 or email ecntstaff.comms@nhs.net

Arthroplasty: critical review.

Provisional PDF file published in Open Access Orthopaedics


[PDF] arthroplasty: A critical review. OA Orthopaedics 2013 Jun 01; 1 (1): 4.

SG Kini, SS Sathappan
Unicompartmental knee arthroplasty (UKA) is an effective surgical treatment for unicompartmental arthritis. Although results can be optimized with careful patient selection and use of a sound implant design, the most important determinants of success of UKA is