watch the big boss (with his beard still intact) paint this close contact cast onto a leg 😆😆 vimeo.com/390486762

Great webinar once more by the orthohub.xyz team. Learnt some new concepts, thanks to Alex Vris Nima Heidari Ben Ollivere and Peter D Bates! #OrthoTwitter #COVID19 #lockdownteaching

Excellent initiative from our colleagues in Mersey! Let’s support in our respective units.. Chris Bretherton Borna Guevel Foad Mohamed Tom Lloyd Tom Lewis Will Wynell-Mayow Andreas Fontalis Jonathan T Evans JonEvans BOTA #COVID19

Study from Naomi Gibbs @pauladhiman Antony Palmer suggests surgeons treating periprosthetic hip #fractures should consider increasing constraint to prevent dislocation & early multidisciplinary involvement to reduce incidence of hospital-acquired #pneumonia ow.ly/EDKJ50ztY0W

Should open fractures in children be managed the same as in adults? Our review suggests there may be a difference in operative and non operative outcomes.. qrgo.page.link/RsEK3 Deborah Eastwood Justin Wormald William Bierrum @ELSORTHOPAEDICS British Society for Children’s Orthopaedic Surgery POSNA EPOS BOTA

Operating on open fractures in children DOES NOT reduce risk of infection based on current #evidence - check out our #systematicreview and #metaanalysis of >1000 #paediatric open fractures in #InjuryJournal by Abhinav Raj, William Bierrum, Deborah Eastwood: bit.ly/2zLfd3p

NEW PAPER: Global, regional and national burden of osteoarthritis 1990-2017: a systematic analysis of the Global Burden of Disease Study 2017 (ard.bmj.com/content/early/…) Centre for Statistics in Medicine Oxford NDORMS Medical Sciences

What is the risk of knee osteoarthritis after different types of knee injuries in young adults? #OpenAccess ow.ly/FqdP50zWmIk

Tranexamic acid use in lower limb arthroplasty: onlinelibrary.wiley.com/doi/full/10.11… 1g IV used most commonly; very low rate of topical administration #ortho #collaborative NDORMS @OxSCAR2016 BOTA Antony Palmer Chris Bretherton Harryclax Greg Neal-Smith Prof Mike Murphy British Hip Society @baskonline

#Collaborative Study of UKR/TKR/THR 1701 patients, 56 NHS Hospitals *90% patients receive TXA (69% receive 1g IV) *Prevalence anaemia: pre-op 34%, postop 82% *Transfusion rate 3.1% (6.5% if pre-op anaemia) NDORMS @OxSCAR2016 Tom Lloyd Mike Reed onlinelibrary.wiley.com/doi/full/10.11…

Calling all patients, carers, relatives and healthcare professionals - please complete the Complex Fractures JLA PSP survey. Your views will help improve the care for patients who suffer complex fractures. 👇👇👇

📰 New paper alert! Great work led by Tom Lloyd and all collaborators investigating tranexamic acid use in lower limb arthroplasty. Full article below 👇

NICE recommends combined iv/topical TXA for THR/TKR nice.org.uk/guidance/NG157 Only 2% surgeons use topical TXA in recent study onlinelibrary.wiley.com/doi/full/10.11… Optimal TXA dose/route/time explored in ongoing Cochrane review cochrane.org/CD013295/INJ_p… Tom Lloyd Naomi Gibbs BOA

#ortho #collaborative study shows substantial increase in TXA use in THR & TKR compared to NHSBT National Comparative Audit in 2016 2016: 63% THR; 51% TKR 2018: 90% THR; 89% TKR onlinelibrary.wiley.com/doi/full/10.11… Prof Mike Murphy NHS Blood+Transplant @SRI Antony Palmer @OxSCAR2016 Ortho Collaborative

This is a great trainee led study showing that the transfusion rate is over 4 times higher in anaemic patients having joint replacement compared to non anaemic. Over 33% were anaemic pre-op. Let's push pre-op diagnosis and treatment of anaemia QIST Anaemia BOA

🔐This new multicentre, prospective study demonstrates good compliance with NICE standards on tranexamic acid administration for patients undergoing lower limb arthroplasty. Tom Lloyd Greg Neal-Smith Harryclax Chris Bretherton Prof Mike Murphy Antony Palmer 🔗onlinelibrary.wiley.com/doi/10.1111/an…

🔐"Out of the 1701 patients, 571 (33.6%) and 1386 (81.5%) patients undergoing lower limb arthroplasty were anaemic in the pre- and postoperative period, respectively." Tom Lloyd Greg Neal-Smith Harryclax Chris Bretherton Prof Mike Murphy Antony Palmer 🔗onlinelibrary.wiley.com/doi/10.1111/an…

🔐Peri‐operative administration of tranexamic acid in lower limb arthroplasty: a multicentre, prospective cohort study. This great new paper from Tom Lloyd, Greg Neal-Smith, Harryclax, Chris Bretherton, Prof Mike Murphy and Antony Palmer is now #FreeForADay! 🔗onlinelibrary.wiley.com/doi/10.1111/an…

Great summary from Antony Palmer in J Bone & Joint Surg today: Blood Management for Elective Orthopaedic Surgery journals.lww.com/jbjsjournal/Ab…

The *1st* collaborative project to emerge from the new BOTA/RCS decision tree! DQA-Elbows BOTA The Royal College of Surgeons of England Dan Perry Kartik Logishetty Jonathan T Evans Michalis Panteli Supported by NJR British Elbow & Shoulder Society BESS BOA Check out the links below! 👇👇👇