Fergal Monsell
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View article: Paediatric type I open tibia fractures: are antibiotics alone sufficient?
Paediatric type I open tibia fractures: are antibiotics alone sufficient? Open
Aims The conventional management of the soft-tissue component of an open fracture involves emergent debridement. There is, however, evidence that questions this approach in the management of Gustilo-Anderson type I open fractures in paedia…
View article: An International Consensus on Evaluation and Management of Idiopathic Genu Valgum: A Modified Delphi Survey
An International Consensus on Evaluation and Management of Idiopathic Genu Valgum: A Modified Delphi Survey Open
Background: Idiopathic genu valgum beyond physiological limits may require treatment, which is based on age, growth remaining, and the magnitude of the deformity. There is no consensus on clinical, or radiologic evaluation, indications, an…
View article: Initial management of pediatric Gustilo–Anderson type I upper limb open fractures: Are antibiotics enough?
Initial management of pediatric Gustilo–Anderson type I upper limb open fractures: Are antibiotics enough? Open
Purpose: The British Orthopaedic Association Standards for Trauma-4 includes pediatric Gustilo–Anderson type I upper limb open fractures and recommends surgical debridement as the preferred method of treatment. The reported incidence of fr…
View article: Who develops chronic pain after an acute lower limb injury? A longitudinal study of children and adolescents
Who develops chronic pain after an acute lower limb injury? A longitudinal study of children and adolescents Open
Prevention of chronic pain is a major challenge in this area of clinical practice. To do this, we must be able to understand who is most at risk of developing chronic pain after an injury. In this study, we aimed to identify risk factors o…
View article: Virtual Trauma Meeting as a Component of Undergraduate Orthopaedic Education
Virtual Trauma Meeting as a Component of Undergraduate Orthopaedic Education Open
VTM could be a useful resource to enhance undergraduate trauma and orthopaedic (T&O) education by providing student-focused material in an open learning environment.
View article: Immobilisation of torus fractures of the wrist in children (FORCE): a randomised controlled equivalence trial in the UK
Immobilisation of torus fractures of the wrist in children (FORCE): a randomised controlled equivalence trial in the UK Open
UK National Institute for Health and Care Research.
View article: The British Orthopaedic Surgery Surveillance study: slipped capital femoral epiphysis
The British Orthopaedic Surgery Surveillance study: slipped capital femoral epiphysis Open
Aims The aim of this study was to inform the epidemiology and treatment of slipped capital femoral epiphysis (SCFE). Methods This was an anonymized comprehensive cohort study, with a nested consented cohort, following the the Idea, Develop…
View article: The British Orthopaedic Surgery Surveillance study: Perthes’ disease
The British Orthopaedic Surgery Surveillance study: Perthes’ disease Open
Aims The aim of this study was to evaluate the epidemiology and treatment of Perthes’ disease of the hip. Methods This was an anonymized comprehensive cohort study of Perthes’ disease, with a nested consented cohort. A total of 143 of 144 …
View article: Abstracts from the Quality Improvement South West virtual conference, 26 September 2020
Abstracts from the Quality Improvement South West virtual conference, 26 September 2020 Open
BACKGROUND:People with mental health problems are at an increased risk of poor physical health outcomes and on average die 15-20 years earlier than the general population.OBJECTIVE: To achieve an increase in self-reported knowledge on phys…
View article: Correction to: The clinical features, management options and complications of paediatric femoral fractures
Correction to: The clinical features, management options and complications of paediatric femoral fractures Open
A correction to this paper has been published: https://doi.org/10.1007/s00590-021-02998-y
View article: 192 An Audit of The Delivery of Paediatric Orthopaedic Services at The Bristol Royal Children’s Hospital in Response to The British Orthopaedic Association Standards for Trauma (BOAST) COVID-19 Guidance
192 An Audit of The Delivery of Paediatric Orthopaedic Services at The Bristol Royal Children’s Hospital in Response to The British Orthopaedic Association Standards for Trauma (BOAST) COVID-19 Guidance Open
Introduction Guidance from the BOAST helped structure our paediatric orthopaedic service n response to COVID-19. We assessed our compliance with 'BOAST COVID-19 standards', whether it is possible to run a safe and effective paediatric orth…
View article: The clinical features, management options and complications of paediatric femoral fractures
The clinical features, management options and complications of paediatric femoral fractures Open
This article discusses the incidence, applied anatomy and classification of paediatric femoral fractures based on critical appraisal of the available evidence. The aim is to identify techniques that are relevant to contemporary practice wh…
View article: P18 An audit on the delivery of Bristol Royal Children's Hospital paediatric orthopaedic services in response to BOAST COVID-19 guidance
P18 An audit on the delivery of Bristol Royal Children's Hospital paediatric orthopaedic services in response to BOAST COVID-19 guidance Open
Introduction The COVID-19 pandemic raised concerns regarding the spread of infection by asymptomatic children. Guidance from the British Orthopaedic Association Standards for Trauma (BOAST) for the ‘management of patients with urgent ortho…
View article: Overview of the contemporary management of supracondylar humeral fractures in children
Overview of the contemporary management of supracondylar humeral fractures in children Open
Purpose Supracondylar fractures are common injuries accounting for approximately 15% of all fractures in children with a large body of literature on this subject. Methods This article critically appraises the available evidence to provide …
View article: The challenges of a comprehensive surgical approach to Blount's disease
The challenges of a comprehensive surgical approach to Blount's disease Open
Purpose The purpose of this study is to evaluate a surgical technique that aims to address the multi-planar deformities occurring in early onset Blount's disease. Methods Seven patients (eight lower limbs) with early onset Blount's disease…
View article: Analysis of a paediatric orthopaedic network: A six-year experience in the South West of the United Kingdom
Analysis of a paediatric orthopaedic network: A six-year experience in the South West of the United Kingdom Open
Purpose We report our experience of a paediatric orthopaedic network, based on a ‘hub and spoke’ model, covering the South West of the United Kingdom. We identify the areas of most clinical concern, the effect of the network on stream-lini…
View article: The Orthopaedic Consequences of Childhood Meningococcal Septicaemia
The Orthopaedic Consequences of Childhood Meningococcal Septicaemia Open
The aim of this study is to use a defined population of patients with meningococcal septicaemia to calculate the incidence of orthopaedic complications. Medical records and radiographs were analyzed retrospectively for all patients admitt…
View article: Predicting translational deformity following opening-wedge osteotomy for lower limb realignment
Predicting translational deformity following opening-wedge osteotomy for lower limb realignment Open
An opening-wedge osteotomy is well recognised for the management of limb deformity and requires an understanding of the principles of geometry. Translation at the osteotomy is needed when the osteotomy is performed away from the centre of …
View article: The programmable hexapod
The programmable hexapod Open
Bone & Joint 360Vol. 4, No. 4 FeatureFree AccessThe programmable hexapod Historical perspective, theoretical basis and relevance to orthopaedic practiceA. McBride, S. Nicol, F. MonsellA. McBrideConsultant Orthopaedic Surgeon, Bristol Limb …
View article: An accurate method of determining a single-plane osteotomy to correct a combined rotational and angular deformity
An accurate method of determining a single-plane osteotomy to correct a combined rotational and angular deformity Open
Conventional osteotomy used for the correction of deformity is performed out of the plane of deformity creating a wedge either opening or closing when the deformity is corrected. Deformity that is a combination of rotation and angulation e…