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The use of tissue adhesive as an adjunct to wound closure in knee arthroplasty does not reduce wound ooze (2020)
Journal Article
Khalefa, M. A., Smith, L. K., & Ahmad, R. (2020). The use of tissue adhesive as an adjunct to wound closure in knee arthroplasty does not reduce wound ooze. Knee Surgery & Related Research, 32(1), Article 57. https://doi.org/10.1186/s43019-020-00073-0

Introduction Persistent wound ooze has been associated with prolonged length of hospital stay and increased risk of infection. Recently, the use of tissue adhesive after hip and knee arthroplasty has been described. We believe that knee arthroplasty... Read More about The use of tissue adhesive as an adjunct to wound closure in knee arthroplasty does not reduce wound ooze.

Pilot study: Is a long‐term follow‐up service beneficial for patients undergoing revision hip replacement surgery? (2020)
Journal Article
Smith, L. K., Turner, E., Lenguerrand, E., Powell, J., & Palmer, S. (2021). Pilot study: Is a long‐term follow‐up service beneficial for patients undergoing revision hip replacement surgery?. Musculoskeletal Care, 19(3), 259-268. https://doi.org/10.1002/msc.1521

Purpose Total hip arthroplasty (THA) is highly successful but some patients will require later revision surgery. This pilot study evaluates the effects of long‐term follow‐up for patients undergoing revision hip replacement. Methods Consecutive... Read More about Pilot study: Is a long‐term follow‐up service beneficial for patients undergoing revision hip replacement surgery?.

Predictors of mid-late term revision of total hip replacement: A nation-wide retrospective cohort study (UK SAFE)  (2020)
Conference Proceeding
Judge, A., Garriga-Fuentes, C., Kingsbury, S., Smith, L., Porter, M., Pinedo-Villanueva, R., …Conaghan, P. (2020). Predictors of mid-late term revision of total hip replacement: A nation-wide retrospective cohort study (UK SAFE) . In BOA Annual Congress 2020

Objective: Identify which patients are most likely to require mid-late revision surgery to inform targeted follow-up. Methods: Setting: Primary care using Clinical Practice Research Datalink (CPRD) data and secondary care using National Joint Regi... Read More about Predictors of mid-late term revision of total hip replacement: A nation-wide retrospective cohort study (UK SAFE) .

A comparative study of patients presenting for revision of hip or knee replacements, based on whether they were or were not under long term follow-up (2020)
Conference Proceeding
Kingsbury, S., Smith, L., Shuweilkhi, F., West, R., Czoski-Murray, C., Vernon, L., …Stone, M. (2020). A comparative study of patients presenting for revision of hip or knee replacements, based on whether they were or were not under long term follow-up

Background: This prospective cohort study explored differences in symptoms, healthcare use, reason for revision, and the revision surgery (surgical time, components, length-of-stay) between patients having regular follow-up and those without. Meth... Read More about A comparative study of patients presenting for revision of hip or knee replacements, based on whether they were or were not under long term follow-up.

Predictors of mid-late term revision of knee replacement: A nation-wide retrospective cohort study (UK SAFE) (2020)
Conference Proceeding
Judge, A., Garriga-Fuentes, C., Smith, L., Porter, M., Pinedo-Villanueva, R., Arden, N., & Conaghan, P. (2020). Predictors of mid-late term revision of knee replacement: A nation-wide retrospective cohort study (UK SAFE).

Objective: Identify patients likely to require mid-late revision of knee replacement (KR) to inform targeted follow-up. Methods: Setting: Primary care using Clinical Practice Research Datalink (CPRD) data and secondary care using National Joint Re... Read More about Predictors of mid-late term revision of knee replacement: A nation-wide retrospective cohort study (UK SAFE).

Patients self-present for revision arthroplasty: Results from the UK SAFE study (2020)
Presentation / Conference
Smith, L., Czoski-Murray, C., Kingsbury, S., Shuweildi, F., West, R., Conaghan, P., & Stone, M. (2020, September). Patients self-present for revision arthroplasty: Results from the UK SAFE study. Poster presented at British Orthopaedic Association Virtual Congress 2020, Online

Background A group of patients with hip or knee joint replacements was studied to assess whether they might self-present for revision surgery if they were not under long term follow-up. In an observational cohort study of patients undergoing revisi... Read More about Patients self-present for revision arthroplasty: Results from the UK SAFE study.

Evidence-based follow-up recommendations following primary hip and knee replacement (UK SAFE) (2020)
Presentation / Conference
Smith, L., Stone, M., Kingsbury, S., Czoski-Murray, C., Judge, A., Pinedo-Villanueva, R., …Conaghan, P. (2020, September). Evidence-based follow-up recommendations following primary hip and knee replacement (UK SAFE). Paper presented at British Orthopaedic Association Virtual Congress 2020, Online

Background: Follow-up of arthroplasty varies widely across the UK. The aim of this NIHR-funded study was to employ a mixed-methods approach to examine the requirements for arthroplasty follow-up and produce evidence-based and consensus-based recomme... Read More about Evidence-based follow-up recommendations following primary hip and knee replacement (UK SAFE).

Virtual clinics: Descriptive survey of a sample of models used within orthopedics in the United Kingdom (2020)
Journal Article
Smith, L., Duncan, R., & Watcyns, C. (2020). Virtual clinics: Descriptive survey of a sample of models used within orthopedics in the United Kingdom. Archives of Rheumatology and Arthritis Research, 1(3), 1-3. https://doi.org/10.33552/ARAR.2020.01.000511

Objectives: To gain a snapshot of the models of virtual orthopedic clinics currently in use within the United Kingdom through data collected from non-medical healthcare professionals. Information collected included types of patients referred, staff m... Read More about Virtual clinics: Descriptive survey of a sample of models used within orthopedics in the United Kingdom.

Hip and knee replacements: Should we follow them up? A survey of orthopaedic health professionals (2020)
Journal Article
Rose, A., Dures, E., & Smith, L. K. (2020). Hip and knee replacements: Should we follow them up? A survey of orthopaedic health professionals. Musculoskeletal Care, 18(1), 74-80. https://doi.org/10.1002/msc.1427

The aim of this study was to collect evidence on the current view of orthopaedic health professionals on follow-up services after hip or knee replacement. It consisted of a short survey that was distributed, following ethical approval, at the British... Read More about Hip and knee replacements: Should we follow them up? A survey of orthopaedic health professionals.

Setting up an arthroplasty care practitioner-led virtual clinic for follow-up of orthopaedic patients (2019)
Journal Article
Stone, M. H., Ferdinandus, S., Smith, L. K., & Pandit, H. (2019). Setting up an arthroplasty care practitioner-led virtual clinic for follow-up of orthopaedic patients. British Journal of Nursing, 28(20), 1326-1330. https://doi.org/10.12968/bjon.2019.28.20.1326

Abstract This article provides an overview of the set up for an arthroplasty care practitioner (ACP)-led virtual orthopaedic clinic (VOC). Suitable patients attend a local hospital for an X-ray and complete a questionnaire, but do not physically att... Read More about Setting up an arthroplasty care practitioner-led virtual clinic for follow-up of orthopaedic patients.

Mid inter-epicondyle trochlea intersection (MIELTI): Proposal of a new index for identifying the deepest part of the trochlea (2019)
Journal Article
Smith, L., Keehan, R., Gill, A., Ahmad, R., & Eldridge, J. (2019). Mid inter-epicondyle trochlea intersection (MIELTI): Proposal of a new index for identifying the deepest part of the trochlea. Knee, 26(6), 1204-1209. https://doi.org/10.1016/j.knee.2019.10.011

Background: Tibial tuberosity trochlear groove distance (TT-TG) is an important radiological measurement in patellofemoral instability (PFI). Where instability is recurrent, a value ≥ 20 mm is considered an indication for tubercle medialisation. Troc... Read More about Mid inter-epicondyle trochlea intersection (MIELTI): Proposal of a new index for identifying the deepest part of the trochlea.

Hip arthroplasty surveillance: Is it really needed? (2019)
Conference Proceeding
Smith, L., Powell, J., Dures, E., Palmer, S., Lenguerrand, E., Beswick, A., & Blom, A. (2019). Hip arthroplasty surveillance: Is it really needed?

Abstract for BOA 2019 Although long-term follow up of joint replacement is advocated, in a national audit of 42 orthopaedic units, only 43% were continuing follow up beyond 5 years. Four studies were conducted using mixed methods research to address... Read More about Hip arthroplasty surveillance: Is it really needed?.

Is radial slab better than a dorsal slab in maintaining initial reduction in distal radius fractures? (2019)
Journal Article
Butt, U., Hussain, S., Ahmad, R., George, A., & Smith, L. (2019). Is radial slab better than a dorsal slab in maintaining initial reduction in distal radius fractures?. Journal of Orthoplastic Surgery, 3(1), 69-73

Background: Displaced extra-articular fractures with dorsal comminution of distal radius are initially immobilised in a radial or a dorsal plaster slab after manipulation. The theoretical advantage of the radial slab is that it allows three point mou... Read More about Is radial slab better than a dorsal slab in maintaining initial reduction in distal radius fractures?.

Systematic review of the clinical effectiveness for long-term follow-up of total hip arthroplasty (2019)
Journal Article
Smith, L. K., Dures, E., & Beswick, A. (2019). Systematic review of the clinical effectiveness for long-term follow-up of total hip arthroplasty. Orthopedic Research and Reviews, 11, 69-78. https://doi.org/10.2147/ORR.S199183

Objectives Total hip arthroplasty (THA) is highly successful but national registries indicate that average age has lowered and that younger patients are at higher risk of revision. Long-term follow-up of THA was historically recommended to identify... Read More about Systematic review of the clinical effectiveness for long-term follow-up of total hip arthroplasty.

Towards UK poSt Arthroplasty Follow-up rEcommendations (UK SAFE): Protocol for an evaluation of the requirements for arthroplasty follow-up, and the production of consensus-based recommendations (2019)
Journal Article
Czoski Murray, C., Kingsbury, S., Arden, N. K., Hewison, J., Judge, A., Matu, J., …Stone, M. (2019). Towards UK poSt Arthroplasty Follow-up rEcommendations (UK SAFE): Protocol for an evaluation of the requirements for arthroplasty follow-up, and the production of consensus-based recommendations. BMJ Open, 9, Article e031351. https://doi.org/10.1136/bmjopen-2019-031351

Introduction Hip and knee arthroplasties have revolutionised the management of degenerative joint diseases and, due to an ageing population, are becoming increasingly common. Follow-up of joint prostheses is to identify problems in symptomatic or as... Read More about Towards UK poSt Arthroplasty Follow-up rEcommendations (UK SAFE): Protocol for an evaluation of the requirements for arthroplasty follow-up, and the production of consensus-based recommendations.

Assessment of the tibial tuberosity-trochlear groove distance in trochlear dysplasia- a new radiographic method (2017)
Presentation / Conference
Keehan, R., Gill, A., Smith, L. K., Ahmad, R., & Eldridge, J. (2017, September). Assessment of the tibial tuberosity-trochlear groove distance in trochlear dysplasia- a new radiographic method. Poster presented at BOA Annual Congress 2017, Liverpool, England

The tibial tuberosity - trochlea groove distance (TT-TG) is an important radiological measurement in the assessment of patellofemoral instability, and the planning of its surgical treatment. This poster describes the testing of a new method of radio... Read More about Assessment of the tibial tuberosity-trochlear groove distance in trochlear dysplasia- a new radiographic method.

Towards UK poSt Arthroplasty Follow-up rEcommendations: UK SAFE (2017)
Presentation / Conference
Czoski Murray, C., Kingsbury, S., Smith, L. K., Wright, J., Stone, M., & Conaghan, P. (2017, July). Towards UK poSt Arthroplasty Follow-up rEcommendations: UK SAFE. Poster presented at Health Services Research UK (HSRUK) Symposium 2017, Nottingham Conference Centre

In the current economic climate there is increasing pressure to identify cost-saving measures across the NHS. Our recent work suggests that many centres are curtailing primary hip and knee arthroplasty follow-up services to deal with the growing pres... Read More about Towards UK poSt Arthroplasty Follow-up rEcommendations: UK SAFE.