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5 results on '"Jeremy J. Southgate"'

1. The 'COVID-19 Approach' to Distal Radius Fracture Management

Author

Lucy C. Walker, David O'Connor, Simon W. Richards, and Jeremy J. Southgate

Subjects
Orthopedics and Sports Medicine, Surgery
Abstract

Background In response to the coronavirus pandemic the British Orthopaedic Association Standards for Trauma and Orthopaedics (BOAST) guidelines advised treating distal radius fractures (DRFs) non-operatively where possible. Questions/Purpose The aim of this study was to assess whether the coronavirus disease 2019 (COVID-19) pandemic lockdown within the United Kingdom did alter the management of DRFs and whether there was any subsequent change in patient outcome or complication rate. Patients and Methods A retrospective cohort study was performed at a single orthopaedic center within the United Kingdom. The cohort of patients presenting with DRFs during the first lockdown was identified through the virtual fracture clinic database. The cohort of patients from the previous year was also identified for comparison. Data was collected on patient demographics, radiological features of the fractures, management, patient outcome and subsequent complications. Comparisons were then made between the cohorts for each year. Results The pre-COVID cohort had a significantly higher number of patients reviewed in face-to-face clinic appointments (p = 0.0044) and the mean number of clinic appointments for those patients was significantly higher (p = 0.0149). There was no significant difference between the cohorts regarding patient complications or any need for return to theater with a minimum 10 month follow-up period. Conclusion Despite comparative numbers and patterns of DRFs as well as no significant difference in the number of injuries requiring orthopaedic intervention, the burden on fracture clinic services was significantly reduced during the COVID pandemic. Encouragingly, this reduction in follow-up has not translated into an increased prevalence of complications or requirement for further surgery. Level of Evidence The level of evidence of the study is level III.

Published
2022
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2. What do they do with their metalwork?

Author

Andrew J Cossey, Jeremy J Southgate, and Simon J W Garrett

Subjects
Resuscitation, medicine.medical_specialty, business.industry, Orthopaedic implant, Lower limb, Surgery, medicine.anatomical_structure, Orthopedic surgery, General Earth and Planetary Sciences, Medicine, Upper limb, Implant, business, General Environmental Science
Abstract

Removal of metalwork is one of the commonest orthopaedic elective procedures with patients often requesting to keep their implants. Five hundred consecutive patients who had removal of their orthopaedic implant between April 1994 and March 2000 were contacted by post. Three hundred and seventy-two responded (response rate 74%). Two hundred and thirty-nine patients (64%) had metalwork extracted from their lower limb, whilst one hundred and thirty-three (36%) had metalwork extracted from their upper limb. Sixty-one patients (17%) had kept their metalwork upon being contacted. Of the sixty-one patients, 10 (16%) had used their implant for functional use, 22 (36%) had stored theirs and 29 (48%) did not know what had happened to theirs.

Published
2004
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3. The National Joint Registry Data Quality Audit of elbow arthroplasty.

Author

Hamoodi Z, Shapiro J, Sayers A, Whitehouse MR, Watts AC, Abbott J, Abbott S, Adebayo O, Ahmad K, Ahrens P, Akinfala M, Al-Hadithy N, Al-Najjar M, Amirfeyz R, Ankarath S, Ashton F, Aulton K, Auplish S, Austin J, Ayeko S, Azhar R, Bahia R, Baines S, Baldomir M, Barai S, Barkham B, Barrett E, Batten T, Bavan L, Baxter J, Beaumont S, Bentley J, Bhabra G, Bhat M, Bhatt A, Bhingraj M, Bhutta A, Bingham S, Blastland J, Boardman D, Boateng M, Bojarska K, Boksh K, Booker S, Borreshi S, Bould M, Boulton L, Brannan L, Breidaka Z, Brereton R, Brinsden M, Brooker J, Brookes S, Broux C, Brown E, Browne J, Bryant R, Buchanan J, Buck L, Burnett K, Burrows M, Burt J, Burton D, Butt U, Campaner B, Candal-Couto J, Carvell H, Chakravarthy J, Chatterji S, Chaudhury S, Chauhan GS, Chojnowski A, Cittambalam J, Clark D, Gosia Clarke M, Clarke B, Clelland A, Cochrane R, Colbridge K, Cook H, Cooper B, Correa E, Craven J, Crawford J, Curtis S, Cuthbert R, Dainton J, Dale L, Davies S, Davis J, Davis V, Dean B, Dehler T, Dennis S, Der Tavitian J, Desai A, Dhillon SS, Dias R, Dickinson G, Dirckx M, Dixon O, Docker C, Dodenhoff R, Domos P, Draviaraj K, Drew S, Duff C, Duffin S, Durham P, Earnshaw K, Edakalathur J, Edwards M, Elahi Z, Else S, Emara M, Eng K, Esfandiari A, Esler C, Evans J, Everall A, Eyre-Brook A, Farhan-Alanie M, Federer S, Ferdinandus S, Finch M, Fischer J, Flood C, Forde C, Forder J, Fowler L, Franklin M, Gacaferi H, Gamble D, Garg S, Gill V, Ginley J, Glancey E, Glanville G, Gmati A, Goddard K, Goel J, Goldsmith C, Gooding B, Goodwin F, Goring B, Goude W, Guyver P, Haines S, Haque A, Hardley T, Haritonow S, Harnett L, Harris J, Harris M, Harrison J, Hauffe I, Hawken A, Hawkes D, Hay S, Haywood M, Hedge S, Hickey S, Hickinson A, Higgs D, Hill R, Hill S, Hind J, Hitchcock M, Holdcroft T, Holdcroft E, Holliday A, Hudson S, Hughes H, Imtiaz R, Iqbal S, Jabr Y, Jackson C, Jameson J, Jayme O, Jennings A, Jenvey C, Jewitt E, Jimenez A, Joby J, Jones A, Jones N, Jovanovic J, Kabala V, Kang N, Kausor G, Kaynes S, Keane C, Keen L, Kelly G, Kent M, Kent J, Kerr C, Kerr J, King C, Kinnair A, Kinsley G, Konarski A, Kord J, Kumar H, Kumar S, Lafferty R, Lancaster P, Levitt W, Lewin A, Li Y, Liew I, Yizhe Lim M, Lipscombe S, Lynch E, MacInnes S, Madden P, Maddocks N, Mahajan R, Mahoney R, Malik S, Mannan S, Maris A, Markey M, Martin C, Martin R, Masunda S, Mazis G, Mcauliffe AM, McBride T, McGowan A, Mckeown N, McLauchlan G, McNally D, Melton J, Miller J, Millyard C, Mitchell C, Mohamed F, Mohamed A, Charlotte Montgomery H, Munn D, Mutimer J, Nanda R, Neen D, Newton L, Newton A, Nicholl A, Nightingale J, Ogden E, Orton P, Oswald L, Page K, Paius M, Papanna M, Patel N, Paul C, Peach C, Pegg D, Penfold S, Phillips E, Pickering G, Plakogiannis C, Platt J, Pole C, Potter R, Povall K, Pradhan R, Prasad G, Price K, Pride J, Prins A, Qazzaz L, Radhakrishnan A, Ramesh A, Rashid A, Rashid A, Rasidovic D, Ratford E, Rayner J, Rhee J, Rice-Evans M, Ricketts M, Roach D, Waters ER, Robinson S, Robinson P, Rodgers S, Rogers E, Rooney A, Rossouw D, Roy B, Sadiqi M, Sagmeister M, Samy D, Sanders P, Sanderson K, Sandher D, Sargazi N, Saunders M, Saunders N, Savage K, Sawalha S, Schouw M, Scott G, Selzer G, Sepesiova L, Shah S, Shahane S, Shaw G, Shrestha S, Shutt J, Siddiqui N, Sidharthan S, Simons A, Simpson V, Sinclair P, Siney P, Singh J, Singh B, Singh H, Sinha A, Smith C, Smith C, Smith K, Somanchi B, Soufan M, Southgate C, Southgate J, Spearpoint N, Stainer R, Stevens R, Stimler B, Stone A, Suter D, Talbot C, Tareef T, Theivendran K, Thomas B, Thomas W, Thompson A, Thompson J, Thornhill E, Titchener A, Townley M, Tozer T, Truman J, Truss A, Turner R, Van Rensburg L, Venugopal V, Vollans S, Waller L, Walsh A, Waraich A, Wei N, James White W, Wilkinson M, Williams D, Williams P, Williams N, Wilson S, Wood D, Yadu S, Yarashi T, Zeolla J, Zreik NH, and Ollivere B

Subjects
Humans, Medical Audit, England, Registries, Data Accuracy, Arthroplasty, Replacement, Elbow standards, Arthroplasty, Replacement, Elbow statistics & numerical data, Elbow Joint surgery
Abstract

Aims: The aim of this audit was to assess and improve the completeness and accuracy of the National Joint Registry (NJR) dataset for arthroplasty of the elbow., Methods: It was performed in two phases. In Phase 1, the completeness was assessed by comparing the NJR elbow dataset with the NHS England Hospital Episode Statistics (HES) data between April 2012 and April 2020. In order to assess the accuracy of the data, the components of each arthroplasty recorded in the NJR were compared to the type of arthroplasty which was recorded. In Phase 2, a national collaborative audit was undertaken to evaluate the reasons for unmatched data, add missing arthroplasties, and evaluate the reasons for the recording of inaccurate arthroplasties and correct them., Results: Phase 1 identified 5,539 arthroplasties in HES which did not match an arthroplasty on the NJR, and 448 inaccurate arthroplasties from 254 hospitals. Most mismatched procedures (3,960 procedures; 71%) were radial head arthroplasties (RHAs). In Phase 2, 142 NHS hospitals with 3,640 (66%) mismatched and 314 (69%) inaccurate arthroplasties volunteered to assess their records. A large proportion of the unmatched data (3,000 arthroplasties; 82%) were confirmed as being missing from the NJR. The overall rate of completeness of the NJR elbow dataset improved from 63% to 83% following phase 2, and the completeness of total elbow arthroplasty data improved to 93%. Missing RHAs had the biggest impact on the overall completeness, but through the audit the number of RHAs in the NJR nearly doubled and completeness increased from 35% to 70%. The accuracy of data was 94% and improved to 98% after correcting 212 of the 448 inaccurately recorded arthroplasties., Conclusion: The rate of completeness of the NJR total elbow arthroplasty dataset is currently 93% and the accuracy is 98%. This audit identified challenges of data capture with regard to RHAs. Collaboration with a trauma and orthopaedic trainees through the British Orthopaedic Trainee Association improved the completeness and accuracy of the NJR elbow dataset, which will improve the validity of the reports and of the associated research., Competing Interests: Z. Hamoodi reports research fellowship funding from Royal College of Surgeons, National Joint Registry, and The John Charnley Trust, related to this study. A. Sayers is senior statistician on the HQIP/NJR Lot 2 contract. M. R. Whitehouse is the principal investigator for the HQIP/NJR Lot 2 contract to provide statistical support, analysis and associated services to the NJR, related to this study, and reports multiple grants or contracts from the NIHR and Ceramtec, royalties or licenses from Taylor & Frances, payment or honoraria for lectures, presentations, speakers bureaus, manuscript writing or educational events from Heraeus, all of which are unrelated to this study. A. C. Watts reports royalties or licenses and patents planned, issued or pendingfrom Adler, consulting fees from Medartis, payment or honoraria for lectures, presentations, speakers bureaus, manuscript writing or educational events from Medartis, Stryker, and Arthrex, all of which are unrelated to this study, and is also a member of the editorial boards of the National Joint Registry and The Bone & Joint Journal., (© 2024 The British Editorial Society of Bone & Joint Surgery.)

Published
2024
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5. Perforated diverticulitis presenting as necrotising fasciitis of the leg.

Author

Underwood TJ, Southgate J, Talbot R, and Nash GF

Abstract

Diverticulosis of the colon is a common condition of increasing age. Complications of diverticulitis including stricture, perforation and fistula formation often require surgery. Perforated diverticulitis may rarely present with spreading superficial sepsis. We describe for the first time, to our knowledge, a case of retroperitoneal diverticula perforation presenting as necrotising fasciitis of the leg necessitating hind-quarter amputation.

Published
2008
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