Alan J. Johnstone
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View article: Intramuscular pH monitoring before and during exercise in individuals with intermittent claudication compared to healthy controls: A feasibility study
Intramuscular pH monitoring before and during exercise in individuals with intermittent claudication compared to healthy controls: A feasibility study Open
Objective In this feasibility study, firstly, we aimed to assess whether intramuscular pH (IMpH) could be measured with a glass-tipped electrode. Secondly, we aimed to explore whether we could monitor changes in skeletal muscle pH before a…
View article: A Modified Surgical Approach to the Distal Humerus: The Triceps Bundle Technique
A Modified Surgical Approach to the Distal Humerus: The Triceps Bundle Technique Open
Rankin IA, Dixon J, Goffin J, et al. A Modified Surgical Approach to the Distal Humerus: The Triceps Bundle Technique. Strategies Trauma Limb Reconstr 2024;19(2):99-103.
View article: Intramedullary Plating of Complex Proximal Humerus Fractures: A Case Series.
Intramedullary Plating of Complex Proximal Humerus Fractures: A Case Series. Open
This novel technique addresses the established biomechanical propensity of proximal humerus fractures to fail in varus collapse and screw cut-out. This method provides an alternative to arthroplasty in the most severe proximal humerus frac…
View article: In reply to the letter to the editor regarding “Comparison of a twin interlocking derotation and compression screw cephalomedullary nail (InterTAN) with a single screw derotation cephalomedullary nail (proximal femoral nail antirotation): a systematic review and meta-analysis for intertrochanteric fractures”
In reply to the letter to the editor regarding “Comparison of a twin interlocking derotation and compression screw cephalomedullary nail (InterTAN) with a single screw derotation cephalomedullary nail (proximal femoral nail antirotation): a systematic review and meta-analysis for intertrochanteric fractures” Open
Background Intertrochanteric hip fractures are common and devastating injuries, especially for the elderly. Surgical treatment is the optimal strategy for managing intertrochanteric fractures as it allows early rehabilitation and functiona…
View article: A review of trauma and orthopaedic randomised clinical trials published in high-impact general medical journals
A review of trauma and orthopaedic randomised clinical trials published in high-impact general medical journals Open
Introduction The recent past has seen a significant increase in the number of trauma and orthopaedic randomised clinical trials published in “the big five” general medical journals. The quality of this research has, however, not yet been e…
View article: Real time measurement of intramuscular pH during routine knee arthroscopy using a tourniquet
Real time measurement of intramuscular pH during routine knee arthroscopy using a tourniquet Open
Aims Tourniquets have potential adverse effects including postoperative thigh pain, likely caused by their ischaemic and possible compressive effects. The aims of this preliminary study were to determine if it is possible to directly measu…
View article: Determining Ischaemic Thresholds Through Our Understanding of Cellular Metabolism
Determining Ischaemic Thresholds Through Our Understanding of Cellular Metabolism Open
Background to the Chapter• Synopsis of clinical issues associated with the complexity of compartment syndromes and current diagnostic limitations • Comprehending the metabolic capacity of active skeletal muscle and its constant need for en…
View article: Uniting the un-united: should established non-unions of femoral shaft fractures initially treated with IM nails be treated by plate augmentation instead of exchange IM nailing? A systematic review
Uniting the un-united: should established non-unions of femoral shaft fractures initially treated with IM nails be treated by plate augmentation instead of exchange IM nailing? A systematic review Open
The majority of femoral fractures are surgically treated with intramedullary nails. Non-union rate is low but challenging and costly if it occurs. There have been encouraging results from the use of augmentative plating as a treatment for …
View article: The Aberdeen Weight-Bearing Test (Knee): a new objective test for anterior knee discomfort
The Aberdeen Weight-Bearing Test (Knee): a new objective test for anterior knee discomfort Open
The Aberdeen Weight-Bearing Test (Knee) is an objective, easily reproducible, specific test for anterior knee discomfort. It produces different results in individuals who have undergone anterograde tibial nailing compared to individuals wi…
View article: Combined Volar and Dorsal Approach for Fixation of Comminuted Intra-Articular Distal Radial Fractures
Combined Volar and Dorsal Approach for Fixation of Comminuted Intra-Articular Distal Radial Fractures Open
Purpose Multifragmentary intra-articular fractures displaced in multiple planes are a challenge. We use a reproducible technique of fracture and articular reduction using an initial volar approach targeting reduction in the volar lunate fa…
View article: Defining the fracture population in a pragmatic multicentre randomised controlled trial
Defining the fracture population in a pragmatic multicentre randomised controlled trial Open
Objectives Accurate characterisation of fractures is essential in fracture management trials. However, this is often hampered by poor inter-observer agreement. This article describes the practicalities of defining the fracture population, …