Simon W. Young
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View article: Predicting Outcomes of Early and Late Acute Periprosthetic Joint Infections Treated With Debridement, Irrigation, and Implant Retention: An External Validation of the CRIME80 (COPD, C-Reactive Protein, Rheumatoid Arthritis, Index Surgery, Male, Exchange of Mobile Components, Age Greater than 80 years) Score
Predicting Outcomes of Early and Late Acute Periprosthetic Joint Infections Treated With Debridement, Irrigation, and Implant Retention: An External Validation of the CRIME80 (COPD, C-Reactive Protein, Rheumatoid Arthritis, Index Surgery, Male, Exchange of Mobile Components, Age Greater than 80 years) Score Open
Our study found that the CRIME80 tool had limited predictive performance. This finding was consistent across patients who had PJI of the hip or knee and early or late acute infection. Given these findings, the benefit of implementing the C…
View article: Predicting Outcomes of Periprosthetic Joint Infection Treated With Debridement, Antibiotics, and Implant Retention: An External Validation of the KLIC (Kidney, Liver, Index Surgery, Cemented Prosthesis, C-Reactive Protein) Score
Predicting Outcomes of Periprosthetic Joint Infection Treated With Debridement, Antibiotics, and Implant Retention: An External Validation of the KLIC (Kidney, Liver, Index Surgery, Cemented Prosthesis, C-Reactive Protein) Score Open
The KLIC score has a limited ability to discriminate between patients who fail treatment with DAIR and those who do not. This was consistent across patients who had early and late acute infections. Further work is needed to improve its per…
View article: Acceptability and feasibility of a cognitive-behavioural intervention for pain management before total knee arthroplasty: a pilot trial
Acceptability and feasibility of a cognitive-behavioural intervention for pain management before total knee arthroplasty: a pilot trial Open
A psychological intervention is acceptable to patients awaiting TKA and may lead to small improvements in pain-relevant outcomes. An RCT aimed at reducing persistent post-surgical pain by combining cognitive behavioural therapy with physic…
View article: Delayed reconstruction is associated with higher rates of medial meniscus and chondral injury following ACL injury: A New Zealand ACL Registry Study
Delayed reconstruction is associated with higher rates of medial meniscus and chondral injury following ACL injury: A New Zealand ACL Registry Study Open
Purpose Early reconstruction for anterior cruciate ligament (ACL) rupture may be controversial, with some clinicians opting for a trial of non‐operative management first. The impact of delayed surgery on outcomes is unclear, but it may be …
View article: Evaluating the mySugr diabetes app: A randomised controlled trial exploring changes in HbA1c and psychological outcomes in adults with type 1 diabetes
Evaluating the mySugr diabetes app: A randomised controlled trial exploring changes in HbA1c and psychological outcomes in adults with type 1 diabetes Open
Results suggest that mySugr is an engaging diabetes app. Preliminary findings suggest that the mySugr app may assist users in improving glycaemic levels over 12 weeks, but the trends found in the present study did not reach statistical sig…
View article: The John N. Insall Award: Functional Versus Mechanical Alignment in Total Knee Arthroplasty: A Randomized Controlled Trial
The John N. Insall Award: Functional Versus Mechanical Alignment in Total Knee Arthroplasty: A Randomized Controlled Trial Open
While FA required fewer soft-tissue releases compared to mechanical alignment, at 2 years patient-reported and clinical outcomes were similar. The use of FA may provide improved outcomes for a specific subgroup of patients based on their p…
View article: Magnetic resonance imaging provides additional utility in the preoperative cartilage assessment of patients undergoing medial unicompartmental knee arthroplasty
Magnetic resonance imaging provides additional utility in the preoperative cartilage assessment of patients undergoing medial unicompartmental knee arthroplasty Open
Purpose For unicompartmental knee arthroplasty (UKA), patient selection using correct indications can optimise postsurgical outcomes. The current gold standard for assessing eligibility is with radiographs; however, magnetic resonance imag…
View article: Intraosseous antibiotic prophylaxis for elective total knee arthroplasty
Intraosseous antibiotic prophylaxis for elective total knee arthroplasty Open
Background: Prosthetic joint infection (PJI) is a serious complication that can occur after total knee arthroplasty (TKA), therefore effective intraoperative antibiotic prophylaxis during the procedure is essential. Intraosseous regional a…
View article: Adrenal Vein Sampling for Primary Aldosteronism: Recommendations From the Australian and New Zealand Working Group
Adrenal Vein Sampling for Primary Aldosteronism: Recommendations From the Australian and New Zealand Working Group Open
Adrenal vein sampling (AVS) is the current recommended procedure for identifying unilateral subtypes of primary aldosteronism (PA), which are amenable to surgery with the potential for cure. AVS is a technically challenging procedure usual…
View article: Validating the capture rate of revisions by the New Zealand ACL Registry: An analysis of all‐cause reoperation following primary ACL reconstruction
Validating the capture rate of revisions by the New Zealand ACL Registry: An analysis of all‐cause reoperation following primary ACL reconstruction Open
Purpose To validate the New Zealand Anterior Cruciate Ligament (ACL) Registry's capture rate of revisions by cross‐referencing Registry data with reoperations data recorded by the Accident Compensation Corporation (ACC) and identify risk f…
View article: The Orthopaedic Device Infection Network: Building an Evidence Base for the Treatment of Periprosthetic Joint Infection Through International Collaboration
The Orthopaedic Device Infection Network: Building an Evidence Base for the Treatment of Periprosthetic Joint Infection Through International Collaboration Open
View article: Risk factors for reoperation for arthrofibrosis following primary anterior cruciate ligament reconstruction
Risk factors for reoperation for arthrofibrosis following primary anterior cruciate ligament reconstruction Open
Purpose The purpose of this study is to identify the rate and risk factors for a reoperation for arthrofibrosis following primary anterior cruciate ligament (ACL) reconstruction. Methods Prospective data recorded in the New Zealand ACL Reg…
View article: Pilot study to test the safety, tolerability and feasibility of dulaglutide during a low-energy diet for weight loss and improved glycaemic control
Pilot study to test the safety, tolerability and feasibility of dulaglutide during a low-energy diet for weight loss and improved glycaemic control Open
Introduction Diabetes and obesity are significant public health concerns. Previous studies have demonstrated that low energy diets are effective in promoting weight loss and inducing diabetes remission. However, hunger is a potential barri…
View article: Comparison of Knee Pain and Difficulty With Kneeling Between Patellar Tendon and Hamstring Tendon Autografts After Anterior Cruciate Ligament Reconstruction: A Study From the New Zealand ACL Registry
Comparison of Knee Pain and Difficulty With Kneeling Between Patellar Tendon and Hamstring Tendon Autografts After Anterior Cruciate Ligament Reconstruction: A Study From the New Zealand ACL Registry Open
Background: The bone–patellar tendon–bone (BTB) autograft is associated with difficulty with kneeling after anterior cruciate ligament (ACL) reconstruction; however, it is unclear whether it results in a more painful or symptomatic knee co…
View article: Better post‐operative outcomes at 1‐year follow‐up are associated with lower levels of pre‐operative synovitis and higher levels of IL‐6 and VEGFA in unicompartmental knee arthroplasty patients
Better post‐operative outcomes at 1‐year follow‐up are associated with lower levels of pre‐operative synovitis and higher levels of IL‐6 and VEGFA in unicompartmental knee arthroplasty patients Open
Purpose Osteoarthritis (OA) is associated with inflammation, and residual inflammation may influence outcomes following knee arthroplasty. This may be more relevant for patients undergoing unicompartmental knee arthroplasty (UKA) due to la…
View article: Meniscal repair failure following concurrent primary anterior cruciate ligament reconstruction: results from the New Zealand ACL Registry
Meniscal repair failure following concurrent primary anterior cruciate ligament reconstruction: results from the New Zealand ACL Registry Open
Purpose This study aimed to identify the risk factors for meniscal repair failure following concurrent primary anterior cruciate ligament (ACL) reconstruction. Methods Prospective data recorded by the New Zealand ACL Registry and the Accid…
View article: Success of Debridement, Antibiotics, and Implant Retention in Prosthetic Joint Infection Following Primary Total Knee Arthroplasty: Results From a Prospective Multicenter Study of 189 Cases
Success of Debridement, Antibiotics, and Implant Retention in Prosthetic Joint Infection Following Primary Total Knee Arthroplasty: Results From a Prospective Multicenter Study of 189 Cases Open
View article: The Effect of Minor Adjustments to Tibial and Femoral Component Position on Soft Tissue Balance in Robotic Total Knee Arthroplasty
The Effect of Minor Adjustments to Tibial and Femoral Component Position on Soft Tissue Balance in Robotic Total Knee Arthroplasty Open
View article: Associations of the Oxford Knee Score and knee arthroplasty revision at long‐term follow‐up
Associations of the Oxford Knee Score and knee arthroplasty revision at long‐term follow‐up Open
Background Self‐reported outcome measures are increasingly being collected for healthcare evaluation therefore it is prudent to understand their associations with patient outcomes. Our aims were to investigate: (1) if Oxford Knee Score (OK…
View article: The Knee-Fix study: study protocol for a randomised controlled trial evaluating cemented and cementless components in total knee arthroplasty
The Knee-Fix study: study protocol for a randomised controlled trial evaluating cemented and cementless components in total knee arthroplasty Open
Background Total knee arthroplasty (TKA) is an effective procedure for patients with a variety of knee conditions. The main cause of aseptic TKA failure is implant loosening, which has been linked to poor cement mantle quality. Cementless …
View article: A desirability of outcome ranking (DOOR) for periprosthetic joint infection – a Delphi analysis
A desirability of outcome ranking (DOOR) for periprosthetic joint infection – a Delphi analysis Open
Background: Treatment outcomes in studies on prosthetic joint infection are generally assessed using a dichotomous outcome relating to treatment success or failure. These outcome measures neither include patient-centred outcome measures in…
View article: The Impact of Sex on the Outcomes of Prosthetic Joint Infection Treatment with Debridement, Antibiotics and Implant Retention: A Systematic Review and Individual Patient Data Meta-analysis
The Impact of Sex on the Outcomes of Prosthetic Joint Infection Treatment with Debridement, Antibiotics and Implant Retention: A Systematic Review and Individual Patient Data Meta-analysis Open
Background: The influence of sex on the failure of débridement antibiotics and implant retention (DAIR) for treating prosthetic joint infection (PJI) is important for decision-making, patient counseling, and equitable health care. However,…
View article: Early manipulation under anaesthesia for stiffness following total knee arthroplasty is associated with a greater gain in knee flexion
Early manipulation under anaesthesia for stiffness following total knee arthroplasty is associated with a greater gain in knee flexion Open
Purpose This study aimed to identify the risk factors for manipulation under anaesthesia (MUA) following total knee arthroplasty (TKA) and whether performing an ‘early’ MUA within 3 months leads to a greater improvement in range of motion.…
View article: Robotic‐arm assisted total knee arthroplasty has a learning curve of 16 cases and increased operative time of 12 min
Robotic‐arm assisted total knee arthroplasty has a learning curve of 16 cases and increased operative time of 12 min Open
Background Robotic‐arm assisted systems are increasingly used for knee arthroplasty, however introduction of new systems can involve a learning curve. We aimed to define the learning curve in terms of operative time and component placement…
View article: Do Age, Demographics, and Tear Characteristics Affect Outcomes After Rotator Cuff Repair? Results of Over 2000 Rotator Cuff Repairs at 5-Year Follow-up
Do Age, Demographics, and Tear Characteristics Affect Outcomes After Rotator Cuff Repair? Results of Over 2000 Rotator Cuff Repairs at 5-Year Follow-up Open
Background: The New Zealand Rotator Cuff Registry represents the largest prospective cohort of rotator cuff repairs. Despite this, there are limited medium- to long-term data of rotator cuff repair outcomes. Purpose: To (1) analyze the pai…
View article: A prospective randomised controlled trial of mechanical axis with soft tissue release balancing vs functional alignment with bony resection balancing in total knee replacement—a study using Stryker Mako robotic arm-assisted technology
A prospective randomised controlled trial of mechanical axis with soft tissue release balancing vs functional alignment with bony resection balancing in total knee replacement—a study using Stryker Mako robotic arm-assisted technology Open
View article: Optimal Graft Choice in Athletic Patients with Anterior Cruciate Ligament Injuries: Review and Clinical Insights
Optimal Graft Choice in Athletic Patients with Anterior Cruciate Ligament Injuries: Review and Clinical Insights Open
Anterior cruciate ligament (ACL) rupture is a common sporting-related knee injury with a potentially detrimental impact on the athlete's career, yet there is no formal consensus on the optimal graft choice for reconstructing the ruptured A…
View article: Disease progression, aseptic loosening and bearing dislocations are the main revision indications after lateral unicompartmental knee arthroplasty: a systematic review
Disease progression, aseptic loosening and bearing dislocations are the main revision indications after lateral unicompartmental knee arthroplasty: a systematic review Open
Level III systematic review.
View article: Intraosseous Regional Administration of Prophylactic Antibiotics in Total Knee Arthroplasty
Intraosseous Regional Administration of Prophylactic Antibiotics in Total Knee Arthroplasty Open
Prosthetic joint infection (PJI) after total knee arthroplasty is a devastating complication. With the development of antibiotic resistance, a safe and effective means of delivering antibiotic prophylaxis is needed. Intraosseous regional a…
View article: In situ gelling system for sustained intraarticular delivery of bupivacaine and ketorolac in sheep
In situ gelling system for sustained intraarticular delivery of bupivacaine and ketorolac in sheep Open
Suboptimal control of postoperative pain following knee arthroplasty can slow recovery and reduce patient satisfaction. Intraarticular (IA) administration of bupivacaine and ketorolac offers efficient pain control and minimizes opioid cons…