Amar Rangan
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View article: Clinical and cost-effectiveness of flexor digitorum profundus (FDP) versus FDP and flexor digitorum superficialis (FDS) repair for complete zone 2 flexor tendon injuries (FLARE): protocol for a randomised controlled trial
Clinical and cost-effectiveness of flexor digitorum profundus (FDP) versus FDP and flexor digitorum superficialis (FDS) repair for complete zone 2 flexor tendon injuries (FLARE): protocol for a randomised controlled trial Open
View article: A multicentre, randomized, pragmatic, parallel group, non-inferiority trial to compare the clinical and cost-effectiveness of sling immobilization versus surgery in the management of adults with a displaced fracture of the distal clavicle
A multicentre, randomized, pragmatic, parallel group, non-inferiority trial to compare the clinical and cost-effectiveness of sling immobilization versus surgery in the management of adults with a displaced fracture of the distal clavicle Open
Aims Fractures of the clavicle primarily occur in young males and constitute 2.6% to 5% of all fractures in adults. Distal clavicle fractures, where the outer end of the collarbone breaks, account for 20% to 25% of all clavicle fractures. …
View article: Are we getting better over time? Clinical and patient-reported outcomes for reverse shoulder arthroplasty: a National Joint Registry cohort study
Are we getting better over time? Clinical and patient-reported outcomes for reverse shoulder arthroplasty: a National Joint Registry cohort study Open
Objectives This study aims to review whether both clinical and Patient Reported Outcome Measures (PROMs) of Reverse Shoulder Arthroplasty have improved over time using the National Joint Registry (NJR). Design This study is a population-ba…
View article: Is there a difference in thresholds for revision between shoulder arthroplasty types? A National Joint Registry Study
Is there a difference in thresholds for revision between shoulder arthroplasty types? A National Joint Registry Study Open
Introduction Shoulder arthroplasty procedures have increased significantly, with reverse shoulder arthroplasty (RSA) becoming more common. While RSA revision rates are reported as low, these figures may not accurately reflect implant succe…
View article: Outcomes of reverse shoulder arthroplasty as a day case procedure: a population-based cohort study using the National Joint Registry and Hospital Episode Statistics
Outcomes of reverse shoulder arthroplasty as a day case procedure: a population-based cohort study using the National Joint Registry and Hospital Episode Statistics Open
Introduction Reverse shoulder arthroplasty (RSA) is the most common shoulder replacement in the United Kingdom and has traditionally been an inpatient procedure. Advances in anaesthetic and surgical techniques have made day case RSA increa…
View article: Revision of reverse shoulder arthroplasty by indication
Revision of reverse shoulder arthroplasty by indication Open
Aims Reverse shoulder arthroplasty (RSA), initially designed for cuff tear arthropathy (CTA), is now the most common choice of shoulder arthroplasty in both elective and trauma settings in the UK. Its use has rapidly increased for several …
View article: Reverse shoulder arthroplasty for acute trauma vs. trauma sequalae following failed conservative management: a cohort study using data from the National Joint Registry and Hospital Episode Statistics for England
Reverse shoulder arthroplasty for acute trauma vs. trauma sequalae following failed conservative management: a cohort study using data from the National Joint Registry and Hospital Episode Statistics for England Open
Based on this NJR analysis, patients are twice as likely to require a revision surgery if they undergo rTSA after conservative management has failed, compared to those who receive the procedure immediately following a proximal humerus frac…
View article: Implementing evidence into practice for the management of frozen shoulder: engaging with key stakeholders and evaluating barriers and facilitators using the Consolidated Framework for Implementation Research
Implementing evidence into practice for the management of frozen shoulder: engaging with key stakeholders and evaluating barriers and facilitators using the Consolidated Framework for Implementation Research Open
View article: Re-revision following revision of a failed primary reverse total shoulder arthroplasty: an analysis of the National Joint Registry and Hospital Episode Statistics for England
Re-revision following revision of a failed primary reverse total shoulder arthroplasty: an analysis of the National Joint Registry and Hospital Episode Statistics for England Open
Re-revision rates following revision rTSA are high with independent risk factors being younger age and instability as primary revision diagnosis. Given the risk profile and low volume of revision cases performed by surgeons, centralizing r…
View article: Cost-effectiveness of total shoulder arthroplasty compared with hemiarthroplasty: a study using data from the National Joint Registry
Cost-effectiveness of total shoulder arthroplasty compared with hemiarthroplasty: a study using data from the National Joint Registry Open
Objectives The aim of this study was to compare the cost-effectiveness of total shoulder arthroplasty (TSA) and hemiarthroplasty (HA) and explore variation by age and gender. Design Cost-effectiveness analysis using a lifetime cohort Marko…
View article: The Impact of Covid-19 Pandemic on the Assessment, Management and Outcomes for Patients with Common Upper Limb Fractures in the UK: The Famous C19 Multi-Centre Cohort Study
The Impact of Covid-19 Pandemic on the Assessment, Management and Outcomes for Patients with Common Upper Limb Fractures in the UK: The Famous C19 Multi-Centre Cohort Study Open
View article: Total elbow arthroplasty in England
Total elbow arthroplasty in England Open
Aims The aim of this study was to review the provision of total elbow arthroplasties (TEAs) in England, including the incidence, the characteristics of the patients and the service providers, the types of implant, and the outcomes. Methods…
View article: A Cadaveric Biomechanical Study Of A Novel Shoulder Stabilisation Implant
A Cadaveric Biomechanical Study Of A Novel Shoulder Stabilisation Implant Open
View article: Defining a core outcome set for hypermobility spectrum disorders and hypermobile Ehlers-Danlos syndrome: A Delphi consensus study
Defining a core outcome set for hypermobility spectrum disorders and hypermobile Ehlers-Danlos syndrome: A Delphi consensus study Open
View article: Total elbow replacement in England: a protocol for analysis of National Joint Registry and Hospital Episode Statistics data
Total elbow replacement in England: a protocol for analysis of National Joint Registry and Hospital Episode Statistics data Open
View article: Physical harms associated with suprascapular nerve block interventions in the non-surgical management of acute and chronic shoulder pain: A systematic review
Physical harms associated with suprascapular nerve block interventions in the non-surgical management of acute and chronic shoulder pain: A systematic review Open
Background The utility of the suprascapular nerve block (SSNB) in the non-surgical management of shoulder pain continues to be explored, whilst its associated physical harms have not. This systematic review aims to report the physical harm…
View article: PERI-operative biologic DMARD management: Stoppage or COntinuation during orthoPaEdic operations (the PERISCOPE trial) – a study protocol for a pragmatic, UK multicentre, superiority randomised controlled trial with an internal pilot, economic evaluation and nested qualitative study
PERI-operative biologic DMARD management: Stoppage or COntinuation during orthoPaEdic operations (the PERISCOPE trial) – a study protocol for a pragmatic, UK multicentre, superiority randomised controlled trial with an internal pilot, economic evaluation and nested qualitative study Open
Introduction Biological disease-modifying antirheumatic drugs (bDMARDs) have revolutionised the treatment of inflammatory arthritis (IA). However, many people with IA still require planned orthopaedic surgery to reduce pain and improve fun…
View article: Anti-TNF (adalimumab) injection for the treatment of pain-predominant early-stage frozen shoulder: the Anti-Freaze-Feasibility randomised controlled trial
Anti-TNF (adalimumab) injection for the treatment of pain-predominant early-stage frozen shoulder: the Anti-Freaze-Feasibility randomised controlled trial Open
Objective The Anti-Freaze-F (AFF) trial assessed the feasibility of conducting a definitive trial to determine whether intra-articular injection of adalimumab can reduce pain and improve function in people with pain-predominant early-stage…
View article: Mixed Methods EvAluation of the high-volume low-complexity Surgical hUb pRogrammE (MEASURE): a mixed methods study protocol
Mixed Methods EvAluation of the high-volume low-complexity Surgical hUb pRogrammE (MEASURE): a mixed methods study protocol Open
Introduction The waiting list for elective surgery in England recently reached over 7.8 million people and waiting time targets have been missed since 2010. The high-volume low complexity (HVLC) surgical hubs programme aims to tackle the b…
View article: Total elbow replacement in England: a protocol for analysis of National Joint Registry and Hospital Episode Statistics data
Total elbow replacement in England: a protocol for analysis of National Joint Registry and Hospital Episode Statistics data Open
Introduction Primary total elbow replacement (TER) services in England are being restructured with the goal of centralising care to specialised centres. It is important to monitor the impact of this service redesign. Therefore, this study …
View article: Patient-reported outcomes following total shoulder arthroplasty and hemiarthroplasty: an analysis of data from the National Joint Registry
Patient-reported outcomes following total shoulder arthroplasty and hemiarthroplasty: an analysis of data from the National Joint Registry Open
View article: A single cell atlas of frozen shoulder capsule identifies features associated with inflammatory fibrosis resolution
A single cell atlas of frozen shoulder capsule identifies features associated with inflammatory fibrosis resolution Open
Frozen shoulder is a spontaneously self-resolving chronic inflammatory fibrotic human disease, which distinguishes the condition from most fibrotic diseases that are progressive and irreversible. Using single-cell analysis, we identify pro…
View article: Can we develop consensus on long-term follow-up and surveillance of primary shoulder arthroplasty? A study protocol using a real-time Delphi technique among expert clinicians in the UK
Can we develop consensus on long-term follow-up and surveillance of primary shoulder arthroplasty? A study protocol using a real-time Delphi technique among expert clinicians in the UK Open
Background Shoulder arthroplasty incidence is projected to continue its exponential growth and the resultant burden of monitoring patients with shoulder arthroplasty implants creates significant pressure on orthopaedic services. Surveillan…
View article: The risk of revision is higher following shoulder hemiarthroplasty compared with total shoulder arthroplasty for osteoarthritis: a matched cohort study of 11,556 patients from the National Joint Registry, UK
The risk of revision is higher following shoulder hemiarthroplasty compared with total shoulder arthroplasty for osteoarthritis: a matched cohort study of 11,556 patients from the National Joint Registry, UK Open
Background and purpose: Total shoulder arthroplasty (TSA) and hemiarthroplasty (HA) are used in the management of osteoarthritis of the glenohumeral joint. We aimed to determine whether TSA or HA resulted in a lower risk of adverse outcome…
View article: Exploring the biopsychosocial impact of hypermobility spectrum disorders and Ehlers-Danlos syndrome in an adult population: a protocol for a scoping review
Exploring the biopsychosocial impact of hypermobility spectrum disorders and Ehlers-Danlos syndrome in an adult population: a protocol for a scoping review Open
View article: From opera buffa to opera seria: anniversaries of Royal College of Surgeons of England research initiatives
From opera buffa to opera seria: anniversaries of Royal College of Surgeons of England research initiatives Open
View article: Psychological interventions to improve pain, fatigue, anxiety, depression, and quality of life in children and adults with hypermobility spectrum disorders and Ehlers-Danlos syndrome: a systematic review
Psychological interventions to improve pain, fatigue, anxiety, depression, and quality of life in children and adults with hypermobility spectrum disorders and Ehlers-Danlos syndrome: a systematic review Open
Hypermobility spectrum disorders (HSD) affect individuals across physical, psychological and social domains, making assessment and management difficult. Management for this condition primarily focuses on addressing the musculoskeletal comp…
View article: Factor structure of the Oxford Shoulder Score: secondary analyses of the UK FROST and PROFHER trial populations
Factor structure of the Oxford Shoulder Score: secondary analyses of the UK FROST and PROFHER trial populations Open
View article: Association between surgeon volume and patient outcomes after elective shoulder replacement surgery using data from the National Joint Registry and Hospital Episode Statistics for England: population based cohort study
Association between surgeon volume and patient outcomes after elective shoulder replacement surgery using data from the National Joint Registry and Hospital Episode Statistics for England: population based cohort study Open
Objective To investigate the association between surgeon volume and patient outcomes after elective shoulder replacement surgery to improve patient outcomes and inform future resource planning for joint replacement surgery. Design Prospect…
View article: Inequalities in provision of hip and knee replacement surgery for osteoarthritis by age, sex, and social deprivation in England between 2007–2017: A population-based cohort study of the National Joint Registry
Inequalities in provision of hip and knee replacement surgery for osteoarthritis by age, sex, and social deprivation in England between 2007–2017: A population-based cohort study of the National Joint Registry Open
Background While the United Kingdom National Health Service aimed to reduce social inequalities in the provision of joint replacement, it is unclear whether these gaps have reduced. We describe secular trends in the provision of primary hi…