Irrum Afzal
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View article: Efficacy of Generic 2% Chlorhexidine Gluconate in 70% Alcohol Versus ChloraPrep for Preventing Surgical Site Infections in Orthopedic Surgery: A Scoping Review
Efficacy of Generic 2% Chlorhexidine Gluconate in 70% Alcohol Versus ChloraPrep for Preventing Surgical Site Infections in Orthopedic Surgery: A Scoping Review Open
View article: Clinical Implications of Post-operative Haemoglobin Levels in Total Hip and Knee Arthroplasty
Clinical Implications of Post-operative Haemoglobin Levels in Total Hip and Knee Arthroplasty Open
Our data show that drops in haemoglobin that require intervention are rare and therefore carrying out day 1 post-operative haemoglobin levels is unnecessary for most patients. Pre-operative patient variables such as pre-existing anaemia an…
View article: An Epidemiological Review of the Impact of COVID-19 on Achilles Tendon Rupture Injuries, Experience from a Large London District General Hospital
An Epidemiological Review of the Impact of COVID-19 on Achilles Tendon Rupture Injuries, Experience from a Large London District General Hospital Open
Background: During the lockdown for COVID-19, hospitals experienced a reduction in the number of trauma admissions related to high energy, sport, and occupational injuries. As lockdown measures began to ease, hospitals experienced a high a…
View article: Preoperative peripheral nerve blocks are not independently associated with improved functional outcome, patient satisfaction, or risk of chronic pain at one year following knee arthroplasty
Preoperative peripheral nerve blocks are not independently associated with improved functional outcome, patient satisfaction, or risk of chronic pain at one year following knee arthroplasty Open
Aims Control of acute pain following knee arthroplasty (KA) with a perioperative peripheral nerve block (PNB) may improve functional outcomes and reduce the risk of chronic postoperative knee pain (CPKP). The aims of this study were to ass…
View article: Spectrum of parathyroid disorders in Pakistan: a review article
Spectrum of parathyroid disorders in Pakistan: a review article Open
Parathyroid abnormalities and gland diseases are classified as hyperparathyroidism and hypoparathyroidism. These conditions are often discovered incidentally during screenings for abnormal serum calcium levels, typically conducted for rena…
View article: Syncopal Episodes in a Patient With a Large Hiatal Hernia: Exploring a Rare Cause-and-Effect Relationship Between Two Common Pathologies
Syncopal Episodes in a Patient With a Large Hiatal Hernia: Exploring a Rare Cause-and-Effect Relationship Between Two Common Pathologies Open
View article: Prevalence and Clinical Characteristics of Post-COVID-19 Syndrome in Non-Hospitalized Patients: A Study from Khyber Pakhtunkhwa, Pakistan
Prevalence and Clinical Characteristics of Post-COVID-19 Syndrome in Non-Hospitalized Patients: A Study from Khyber Pakhtunkhwa, Pakistan Open
View article: The digital divide between primary and secondary care: An analysis using SARS-CoV-2 hospital admissions
The digital divide between primary and secondary care: An analysis using SARS-CoV-2 hospital admissions Open
Using data from two ED. departments of 773 patients admitted with SARS-CoV-2, ICD-10 codes derived from the General Practitioner - Summary Care Record (GP-SCR) and Emergency Department (ED.) records were analysed for code discrepancies and…
View article: A Simple Technique to Remove an Incarcerated Ceramic Liner in Revision Hip Arthroplasty
A Simple Technique to Remove an Incarcerated Ceramic Liner in Revision Hip Arthroplasty Open
View article: Factors associated with a clinically significant improvement in health-related quality of life after total knee arthroplasty
Factors associated with a clinically significant improvement in health-related quality of life after total knee arthroplasty Open
View article: The Oxford Knee Score is a reliable predictor of patients in a health state worse than death and awaiting total knee arthroplasty
The Oxford Knee Score is a reliable predictor of patients in a health state worse than death and awaiting total knee arthroplasty Open
View article: Assessment of attitude and hesitancy toward vaccine against COVID-19 in a Pakistani population: A mix methods survey
Assessment of attitude and hesitancy toward vaccine against COVID-19 in a Pakistani population: A mix methods survey Open
View article: Environmental sustainability in orthopaedic surgery
Environmental sustainability in orthopaedic surgery Open
Aims In the UK, the NHS generates an estimated 25 megatonnes of carbon dioxide equivalents (4% to 5% of the nation’s total carbon emissions) and produces over 500,000 tonnes of waste annually. There is limited evidence demonstrating the pr…
View article: Mapping analysis to predict the associated EuroQol five-dimension three-level utility values from the Oxford Knee Score
Mapping analysis to predict the associated EuroQol five-dimension three-level utility values from the Oxford Knee Score Open
Aims The aims of this study were to assess mapping models to predict the three-level version of EuroQoL five-dimension utility index (EQ-5D-3L) from the Oxford Knee Score (OKS) and validate these before and after total knee arthroplasty (T…
View article: Clinical and functional outcomes of displaced proximal humerus fractures treated with PHILOS plate system and autologous bone graft
Clinical and functional outcomes of displaced proximal humerus fractures treated with PHILOS plate system and autologous bone graft Open
This retrospective case series analyses the clinical and radiological outcomes of displaced proximal humerus fractures treated with PHILOS plate system and iliac crest bone autograft. Twenty-six patients with displaced fractures of proxima…
View article: The composition of cell‐based therapies obtained from point‐of‐care devices/systems which mechanically dissociate lipoaspirate: a scoping review of the literature
The composition of cell‐based therapies obtained from point‐of‐care devices/systems which mechanically dissociate lipoaspirate: a scoping review of the literature Open
Purpose Cell‐based therapies using lipoaspirate are gaining popularity in orthopaedics due to their hypothesised regenerative potential. Several ‘point‐of‐care’ lipoaspirate‐processing devices/systems have become available to isolate cells…
View article: The safe resumption of elective orthopaedic services following the first wave of the COVID-19 pandemic : a review of 2,316 consecutive cases and implications for recovery following further waves.
The safe resumption of elective orthopaedic services following the first wave of the COVID-19 pandemic : a review of 2,316 consecutive cases and implications for recovery following further waves. Open
Elective surgery was safely resumed following the cessation of operating during the COVID-19 pandemic in 2020. Strict adherence to protocols resulted in 2,316 elective surgical procedures being performed with lower complications, readmissi…
View article: The safe resumption of elective orthopaedic services following the first wave of the COVID-19 pandemic
The safe resumption of elective orthopaedic services following the first wave of the COVID-19 pandemic Open
Aims There is little published on the outcomes after restarting elective orthopaedic procedures following cessation of surgery due to the COVID-19 pandemic. During the pandemic, the reported perioperative mortality in patients who acquired…
View article: Assessment of attitude and hesitancy toward vaccine against COVID-19 in a Pakistani population: A mix methods survey
Assessment of attitude and hesitancy toward vaccine against COVID-19 in a Pakistani population: A mix methods survey Open
View article: The impact of the COVID-19 pandemic on the length of stay following total hip and knee arthroplasty in a high volume elective orthopaedic unit
The impact of the COVID-19 pandemic on the length of stay following total hip and knee arthroplasty in a high volume elective orthopaedic unit Open
Aims Elective orthopaedic services have had to adapt to significant system-wide pressures since the emergence of COVID-19 in December 2019. Length of stay is often recognized as a key marker of quality of care in patients undergoing arthro…
View article: Functional Outcomes of Clavicular Fractures Fixation in Adolescent Children
Functional Outcomes of Clavicular Fractures Fixation in Adolescent Children Open
Background: Fractures of the clavicle are common in both adults and children. Recent studies in the treatment of adult fractures have indicated that improved outcomes are achieved after open reduction and internal fixation. The aim of thi…
View article: Evidence Based Suggestions for the Return to Elective Urology Surgery Following the COVID-19 Pandemic
Evidence Based Suggestions for the Return to Elective Urology Surgery Following the COVID-19 Pandemic Open
The COVID-19 pandemic has presented the world with increased challenges. The response to this pandemic has led to a sudden disruption of routine medical and elective surgical care. Most hospitals across the globe have had to change the way…
View article: The Timeline of a Pandemic: Have We Learned Anything in 102 Years?
The Timeline of a Pandemic: Have We Learned Anything in 102 Years? Open
George Satayana stated that “those who do not learn from history are doomed to repeat it”. As our UK “good outcome” death toll of 20,000 from coronavirus (SARS CoV -2/ COVID -19) in 2020 has sadly been surpassed; ne…
View article: Cohort profile: Preliminary experience of 500 COVID-19 postive cases at a South West London District General Hospital
Cohort profile: Preliminary experience of 500 COVID-19 postive cases at a South West London District General Hospital Open
This retrospective cohort analysis, reports the demographic data and early outcome of the first 500 patients who were admitted to a District General Hospital in South West London, UK and tested positive to COVID-19. The patients were admit…
View article: A systematic review of imageless hand-held robotic-assisted knee arthroplasty: learning curve, accuracy, functional outcome and survivorship
A systematic review of imageless hand-held robotic-assisted knee arthroplasty: learning curve, accuracy, functional outcome and survivorship Open
The aim of this systematic review was to present and assess the quality of evidence for learning curve, component positioning, functional outcomes and implant survivorship for image-free hand-held robotic-assisted knee arthroplasty. Search…
View article: Effective leadership strategies improve length of stay and patient outcomes in total arthroplasty surgery
Effective leadership strategies improve length of stay and patient outcomes in total arthroplasty surgery Open
Prolonged length of stay (LOS) leads to increased costs and reduced income for the hospital, as well as increased costs to the patient.This, in turn, leads to provision of poor quality of care by healthcare organization due to lack of reso…
View article: Functional Outcomes of Clavicular Fractures Fixation in Adolescent Children
Functional Outcomes of Clavicular Fractures Fixation in Adolescent Children Open
Background: Fractures of the clavicle are common in both adults and children. Recent studies in the treatment of adult fractures have indicated that improved outcomes are achieved after open reduction and internal fixation. The aim of this…
View article: Validation of revision data for total hip and knee replacements undertaken at a high volume orthopaedic centre against data held on the National Joint Registry
Validation of revision data for total hip and knee replacements undertaken at a high volume orthopaedic centre against data held on the National Joint Registry Open