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Outputs (42)

Challenges to wellbeing amongst clinical academic health professionals (2023)
Presentation / Conference
Jennings, A., Galpin, K., Smith, L., Jarvis, C., & Bellaouaied, M. (2023, November). Challenges to wellbeing amongst clinical academic health professionals. Paper presented at Developing and Celebrating a Research Skilled Workforce Conference 2023, University of Plymouth

Background: The Covid-19 pandemic exacerbated the toll on the NHS of a decade of austerity and increasing demand from an aging population with talk of giving attention to staff wellbeing. In the literature, employee wellbeing is clearly recognized... Read More about Challenges to wellbeing amongst clinical academic health professionals.

Did stopping ultrasound surveillance during COVID-19 result in an increase of the dialysis access thrombosis rate? (2023)
Journal Article
Allsopp, K., & Smith, L. (in press). Did stopping ultrasound surveillance during COVID-19 result in an increase of the dialysis access thrombosis rate?. Journal of Vascular Access, https://doi.org/10.1177/11297298231180326

Purpose: The COVID-19 pandemic resulted in cessation and subsequent reduction of routine care including the outpatient ultrasound surveillance of AVF. This un-planned service disruption allowed evaluation of effectiveness of US surveillance in reduci... Read More about Did stopping ultrasound surveillance during COVID-19 result in an increase of the dialysis access thrombosis rate?.

Association between outpatient follow-up and incidence of revision after knee and hip replacements: a population-based cohort study (2023)
Journal Article
Pinedo-Villanueva, R., Kolovos, S., Burn, E., Delmestri, A., Smith, L. K., Judge, A., …Conaghan, P. G. (2023). Association between outpatient follow-up and incidence of revision after knee and hip replacements: a population-based cohort study. BMC Musculoskeletal Disorders, 24(1), 106. https://doi.org/10.1186/s12891-023-06190-7

Background: Follow-up visits 5 or 7 years after surgery were recommended for people having primary hip or knee replacement. The benefits of this practice to patients and the healthcare system, however, have not yet been specifically examined. The aim... Read More about Association between outpatient follow-up and incidence of revision after knee and hip replacements: a population-based cohort study.

Mid-to late-term follow-up of primary hip and knee arthroplasty: the UK SAFE evidence-based recommendations (2023)
Journal Article
Kingsbury, S. R., Smith, L. K. K., Pinedo-Villanueva, R., Judge, A., West, R., Wright, J. M., …Conaghan, P. G. (2023). Mid-to late-term follow-up of primary hip and knee arthroplasty: the UK SAFE evidence-based recommendations. Bone & Joint Open, 4(2), 72-78. https://doi.org/10.1302/2633-1462.42.BJO-2022-0149.R1

Aims To review the evidence and reach consensus on recommendations for follow-up after total hip and knee arthroplasty. Methods A programme of work was conducted, including: a systematic review of the clinical and cost-effectiveness literature; analy... Read More about Mid-to late-term follow-up of primary hip and knee arthroplasty: the UK SAFE evidence-based recommendations.

Experiences of people living with long-term neurological conditions and using telerehabilitation during the COVID-19 lockdown in Switzerland: explorative interviews (2022)
Journal Article
Dummermuth, M., Keller, F., & Smith, L. (2023). Experiences of people living with long-term neurological conditions and using telerehabilitation during the COVID-19 lockdown in Switzerland: explorative interviews. Physioscience, 19(1), 33-41. https://doi.org/10.1055/a-1771-4789

Background Therapy interventions were disrupted by the first lockdown during the COVID-19 pandemic in Switzerland. An instant change to telerehabilitation had to be implemented by physiotherapists. Aim Exploration of experiences of individuals living... Read More about Experiences of people living with long-term neurological conditions and using telerehabilitation during the COVID-19 lockdown in Switzerland: explorative interviews.

Safety of disinvestment in mid- to late-term follow-up post primary hip and knee replacement: The UK SAFE evidence synthesis and recommendations (2022)
Journal Article
Kingsbury, S. R., Smith, L. K., Czoski Murray, C. J., Pinedo-Villanueva, R., Judge, A., West, R., …Conaghan, P. G. (2022). Safety of disinvestment in mid- to late-term follow-up post primary hip and knee replacement: The UK SAFE evidence synthesis and recommendations. Health and Social Care Delivery Research, 10(16), 1-172. https://doi.org/10.3310/KODQ0769

Background: Joint replacement surgery has revolutionised the management of degenerative joint disease. Increasing demand for surgery and post-surgical reviews has overwhelmed orthopaedic services and, consequently, many centres have reduced or stoppe... Read More about Safety of disinvestment in mid- to late-term follow-up post primary hip and knee replacement: The UK SAFE evidence synthesis and recommendations.

UK poSt Arthroplasty Follow-up rEcommendations (UK SAFE): what does analysis of linked, routinely collected national datasets tell us about mid-late term revision risk after knee replacement? (2022)
Journal Article
Smith, L. K., Garriga, C., Kingsbury, S. R., Pinedo-Villanueva, R., Delmestri, A., Arden, N. K., …Judge, A. (2022). UK poSt Arthroplasty Follow-up rEcommendations (UK SAFE): what does analysis of linked, routinely collected national datasets tell us about mid-late term revision risk after knee replacement?. BMJ Open, 12(3), Article e046900. https://doi.org/10.1136/bmjopen-2020-046900

OBJECTIVE: To identify patients at risk of mid-late term revision of knee replacement (KR) to inform targeted follow-up. DESIGN: Analysis of linked national datasets from primary and secondary care (Clinical Practice Research Datalink (CPRD GOLD), Na... Read More about UK poSt Arthroplasty Follow-up rEcommendations (UK SAFE): what does analysis of linked, routinely collected national datasets tell us about mid-late term revision risk after knee replacement?.

UK poSt Arthroplasty Follow-up rEcommendations (UK SAFE): What does analysis of linked, routinely collected national data sets tell us about mid-late term revision risk after hip replacement? Retrospective cohort study (2022)
Journal Article
Smith, L. K., Garriga, C., Kingsbury, S. R., Pinedo-Villanueva, R., Delmestri, A., Arden, N. K., …Judge, A. (2022). UK poSt Arthroplasty Follow-up rEcommendations (UK SAFE): What does analysis of linked, routinely collected national data sets tell us about mid-late term revision risk after hip replacement? Retrospective cohort study. BMJ Open, 12(3), Article e050877. https://doi.org/10.1136/bmjopen-2021-050877

OBJECTIVE: To identify patients at risk of mid-late term revision of hip replacement to inform targeted follow-up. DESIGN: Analysis of linked national data sets from primary and secondary care (Clinical Practice Research Datalink (CPRD-GOLD); Nationa... Read More about UK poSt Arthroplasty Follow-up rEcommendations (UK SAFE): What does analysis of linked, routinely collected national data sets tell us about mid-late term revision risk after hip replacement? Retrospective cohort study.

Prioritising elective arthroplasty: A further challenge of COVID-19 Can a prioritisation scoring tool help with reducing waiting lists? (2022)
Journal Article
Smith, L., Hainsworth, L., Price, M., & Odutola, K. (2022). Prioritising elective arthroplasty: A further challenge of COVID-19 Can a prioritisation scoring tool help with reducing waiting lists?. Annals of The Royal College of Surgeons of England, 104(2), 72-75. https://doi.org/10.1308/rcsbull.2022.20

INTRODUCTION The COVID-19 pandemic has had a significant impact on the delivery of elective orthopaedic care in the UK, leading to a hugely increased number of patients on waiting lists. The focus has therefore now turned to reducing the backlog. We... Read More about Prioritising elective arthroplasty: A further challenge of COVID-19 Can a prioritisation scoring tool help with reducing waiting lists?.

A comparative study of patients presenting for planned and unplanned revision hip or knee arthroplasty (2021)
Journal Article
Kingsbury, S. R., Smith, L. K., Shuweihdi, F., West, R., Czoski Murray, C., Conaghan, P., & Stone, M. (2022). A comparative study of patients presenting for planned and unplanned revision hip or knee arthroplasty. Bone and Joint Journal, 104-B(1), 59-67. https://doi.org/10.1302/0301-620X.104B1.BJJ-2021-0032.R2

AIMS: The aim of this study was to conduct a cross-sectional, observational cohort study of patients presenting for revision of a total hip, or total or unicompartmental knee arthroplasty, to understand current routes to revision surgery and explore... Read More about A comparative study of patients presenting for planned and unplanned revision hip or knee arthroplasty.

Patient preferences for long-term follow-up after hip replacement (2021)
Journal Article
Smith, L., Turner, E., & Dures, E. (2022). Patient preferences for long-term follow-up after hip replacement. Annals of The Royal College of Surgeons of England, 104(1), 34-37

Abstract Introduction As the demand for hip replacement continues to grow and the resources for health care are in high demand, it is necessary to reconsider historical recommendations for long-term follow-up of all patients. This study explored... Read More about Patient preferences for long-term follow-up after hip replacement.

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.

E-letter: Follow-up after arthroplasty of the hip and knee: Are we over-servicing or under-caring? (2018)
Journal Article
Smith, L. K., & Stone, M. (2018). E-letter: Follow-up after arthroplasty of the hip and knee: Are we over-servicing or under-caring?. Bone and Joint Journal, 100B(1), 6-10. https://doi.org/10.1302/0301-620X.100B1.BJJ-2017-0779.R1

© 2018 The British Editorial Society of Bone & Joint Surgery. The number of arthroplasties of the hip and knee is predicted to increase rapidly during the next 20 years. Accompanying this is the dilemma of how to follow-up these patients appropriat... Read More about E-letter: Follow-up after arthroplasty of the hip and knee: Are we over-servicing or under-caring?.

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.

Protocol for follow up of hip arthroplasty in the long term: Effect on revision (WHISTLER study) (2017)
Journal Article
Smith, L. K., Lenguerrand, E., Blom, A., Powell, J., & Palmer, S. (2017). Protocol for follow up of hip arthroplasty in the long term: Effect on revision (WHISTLER study). Musculoskeletal Care, 15(4), 373-378. https://doi.org/10.1002/msc.1184

Copyright © 2017 John Wiley & Sons, Ltd. Total hip arthroplasty (THA) is highly successful for reducing pain and improving function, providing health-related quality of life benefit. Demand for THA is increasing with associated increase in revision... Read More about Protocol for follow up of hip arthroplasty in the long term: Effect on revision (WHISTLER study).

Unicompartmental knee replacement in a district general hospital (2015)
Journal Article
Smith, L. K., Wong, J., Cowie, S., Radford, M., Price, M., & Langkamer, V. (2015). Unicompartmental knee replacement in a district general hospital

Abstract Unicompartmental knee replacement has been associated with a higher revision rate than total knee replacement in all national joint registers. It has been suggested that the appropriate training of surgeons to perform this arthroplasty is... Read More about Unicompartmental knee replacement in a district general hospital.

Hip replacement: You've had a hip replacement? Great… but do you ever need an MOT? (2015)
Presentation / Conference
Smith, L. K. (2015, May). Hip replacement: You've had a hip replacement? Great… but do you ever need an MOT?. Poster presented at North Bristol Trust Science Quarter Launch, Research & Development Building, Southmead Hospital, Bristol

Traditional orthopaedic care would have provided many of the patients with a hip replacement the opportunity for some follow up beyond six months after their operation. The current economic challenge within healthcare, together with the number of hi... Read More about Hip replacement: You've had a hip replacement? Great… but do you ever need an MOT?.

Cementless acetabular cups in total hip arthroplasty: A comparison of two generations at mid-term review (2015)
Presentation / Conference
Pulido, P., Carlino, W., Smith, L. K., & Spencer, R. (2015, March). Cementless acetabular cups in total hip arthroplasty: A comparison of two generations at mid-term review. Poster presented at Annual Conference of the British Hip Society 2015, London, UK

Introduction Early versions of cementless acetabular cups in total hip arthroplasty (THA) led to peri-acetabular osteolysis from back-side wear of the polyethylene liner. This unforeseen problem contradicted benefits of using cementless components... Read More about Cementless acetabular cups in total hip arthroplasty: A comparison of two generations at mid-term review.

Management of wound infection following total joint replacement (2014)
Presentation / Conference
Pulido, P., Smith, L. K., Honeyman, C., & Langkamer, V. (2014, November). Management of wound infection following total joint replacement. Paper presented at South West Orthopaedic Club conference, Bristol 2014, Bristol, UK

Presence of superficial wound infection following total joint replacement (TJR) increases risk of deep prosthetic infection and revision surgery. Early identification and management are advocated. We conducted an audit to identify the number of suspe... Read More about Management of wound infection following total joint replacement.

A pilot study of the association between tobacco use and mid-term outcomes following total hip replacement (2014)
Presentation / Conference
Cook, W., & Smith, L. K. (2014, February). A pilot study of the association between tobacco use and mid-term outcomes following total hip replacement. Poster presented at Annual Conference of the British Hip Society 2014, Exeter

Introduction: Smoking is an important and modifiable risk factor in many disease processes. The detrimental effects of smoking are numerous and well documented with smokers being at increased risk of respiratory disease, cardiovascular disease and ma... Read More about A pilot study of the association between tobacco use and mid-term outcomes following total hip replacement.

Empirical support for radiographic review: A follow-up study of total hip arthroplasty (2013)
Journal Article
Spencer, R. F., Cramp, F., Smith, L. K., Smith, L. K., Cramp, F. (., Palmer, S., …Spencer, R. (2013). Empirical support for radiographic review: A follow-up study of total hip arthroplasty. Hip International, 23(1), 80-86. https://doi.org/10.5301/HIP.2012.9912

Routine post surgery surveillance of total hip arthroplasty (THA) is widely recommended to identify asymptomatic failure but inclusion of an x-ray adds to service costs. Evidence is needed to support orthopaedic opinion in order to identify what shou... Read More about Empirical support for radiographic review: A follow-up study of total hip arthroplasty.