Thomas W. Wainwright
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View article: Hyponatraemia After Hip and Knee Replacement: Incidence, Risk Factors, Clinical Consequences and Management in the Era of Enhanced Recovery
Hyponatraemia After Hip and Knee Replacement: Incidence, Risk Factors, Clinical Consequences and Management in the Era of Enhanced Recovery Open
Introduction: Total hip replacements and total knee replacements are among the most frequently performed operations worldwide, and the demand for such procedures is ever-growing. It is essential to focus on preventable medical complication…
View article: Postoperative physiotherapy in enhanced recovery pathways: A general surgery evidence update, dominated by colorectal studies
Postoperative physiotherapy in enhanced recovery pathways: A general surgery evidence update, dominated by colorectal studies Open
This review supports the feasibility and potential benefits of a structured physiotherapy interventions within enhanced recovery protocols. These results highlight the potential for structured mobilisation interventions to enhance recovery…
View article: Impact of obesity on outcomes after total hip and knee replacement: A study on hospital length of stay and readmission rates in NHS Scotland
Impact of obesity on outcomes after total hip and knee replacement: A study on hospital length of stay and readmission rates in NHS Scotland Open
Higher BMI, especially in the morbidly and super obese ranges, is associated with extended hospital stays and increased 30-day readmission rates following THR and TKR.
View article: Clinical and cost-effectiveness of a cycling and education intervention versus usual physiotherapy care for the treatment of hip osteoarthritis in the UK (CLEAT): a pragmatic, randomised, controlled trial
Clinical and cost-effectiveness of a cycling and education intervention versus usual physiotherapy care for the treatment of hip osteoarthritis in the UK (CLEAT): a pragmatic, randomised, controlled trial Open
The National Institute for Health and Care Research for Patient Benefit Programme.
View article: Influence of Preoperative Diagnosis of Nutritional Disorders on Short-Term Outcomes After Hip Arthroplasty: A Cohort Study of Older Adults
Influence of Preoperative Diagnosis of Nutritional Disorders on Short-Term Outcomes After Hip Arthroplasty: A Cohort Study of Older Adults Open
Background: Nutritional disorders may affect short-term recovery after major orthopaedic surgery, but evidence is lacking. This study assessed whether and how different nutritional disorders diagnosed at admission could influence early rec…
View article: Young Hip: an exploration into young patients’ (aged <u><</u> 50 years) expectations following primary total hip arthroplasty
Young Hip: an exploration into young patients’ (aged < 50 years) expectations following primary total hip arthroplasty Open
Aims Total hip arthroplasties (THAs) are common operations performed in orthopaedics. Though initially developed to address hip conditions in older patients, demand in younger patients is increasing. Research in older populations informs c…
View article: Inspiratory muscle training: A theoretical framework for its selected application in orthopaedic enhancing recovery pathways
Inspiratory muscle training: A theoretical framework for its selected application in orthopaedic enhancing recovery pathways Open
This paper explores a theoretical framework for integrating Inspiratory Muscle Training (IMT) into enhanced recovery pathways, emphasising its potential role in mitigating respiratory decline, reducing hospital stays, and improving functio…
View article: Anthropometric Measurements from a 3D Photogrammetry-Based Digital Avatar: A Non-Experimental Cross-Sectional Study to Assess Reliability and Agreement
Anthropometric Measurements from a 3D Photogrammetry-Based Digital Avatar: A Non-Experimental Cross-Sectional Study to Assess Reliability and Agreement Open
Photogrammetry captures and stitches multiple images together to generate a digital model of the human body, called an avatar, making it potentially useful in healthcare. Its validity for anthropometry remains to be established. We evaluat…
View article: Malnutrition and Disability: A Retrospective Study on 2258 Adult Patients Undergoing Elective Spine Surgery
Malnutrition and Disability: A Retrospective Study on 2258 Adult Patients Undergoing Elective Spine Surgery Open
Background and Objectives: Malnutrition’s prevalence and its relationship with functional ability in patients with end-stage spine pathologies, i.e., any disease of the vertebral bodies, intervertebral discs, and associated joints requirin…
View article: Towards Personalised Nutrition in Major Orthopaedic Surgery: Elements of Care Process
Towards Personalised Nutrition in Major Orthopaedic Surgery: Elements of Care Process Open
With the spread of enhanced recovery protocols, the management of the perioperative pathway of patients undergoing major orthopaedic surgery has been harmonised to these international standards. A natural evolution of the enhanced recovery…
View article: An Economic Analysis of Metal-on-Metal Versus Ceramic-on-Ceramic Hip Resurfacing: Costs and Clinical Implications
An Economic Analysis of Metal-on-Metal Versus Ceramic-on-Ceramic Hip Resurfacing: Costs and Clinical Implications Open
Background: Ceramic may be an alternative bearing surface that could be used to deal with the negative sequalae associated with the use of metal-on-metal (MoM) hip resurfacing implants, keeping the benefits of hip resurfacing without the r…
View article: Bridging the gap: enhancing orthopaedic outcomes through qualitative research integration
Bridging the gap: enhancing orthopaedic outcomes through qualitative research integration Open
Aims The evidence base within trauma and orthopaedics has traditionally favoured quantitative research methodologies. Qualitative research can provide unique insights which illuminate patient experiences and perceptions of care. Qualitativ…
View article: Undernutrition, Sarcopenia, Sarcopenic Obesity, and Sarcopenic Undernutrition
Undernutrition, Sarcopenia, Sarcopenic Obesity, and Sarcopenic Undernutrition Open
Diagnostic criteria of malnutrition phenotypes have been recently updated. Uncovering the prevalence of these conditions in patients undergoing hip replacement may be crucial in order to apply the most appropriate diagnostic-therapeutic pa…
View article: A Proposal for a Multidisciplinary Integrated Oral Health Network for Patients Undergoing Major Orthopaedic Surgery (IOHN-OS)
A Proposal for a Multidisciplinary Integrated Oral Health Network for Patients Undergoing Major Orthopaedic Surgery (IOHN-OS) Open
The passing of the years of life physiologically leads to the accumulation of changes in tissues in the oral cavity, influencing dentition, chewing and swallowing mechanisms, and the oral microbiota. Some diseases and medications can aggra…
View article: How Do Older Patients with End-Stage Osteoarthritis of the Hip Eat Prior to Hip Replacement? A Preliminary Snapshot That Highlights a Poor Diet
How Do Older Patients with End-Stage Osteoarthritis of the Hip Eat Prior to Hip Replacement? A Preliminary Snapshot That Highlights a Poor Diet Open
Diet quantity and quality in older adults is critical for the proper functioning of the musculoskeletal system. In view of hip surgery, old patients should consume 1.2–1.5 g of proteins and 27–30 kcal per kilo of body weight daily, and adh…
View article: Definition of malnutrition from routinely-collected data for orthopedic surgery research: the global leadership initiative on malnutrition (GLIM) tool and others
Definition of malnutrition from routinely-collected data for orthopedic surgery research: the global leadership initiative on malnutrition (GLIM) tool and others Open
The correct identification of malnourished patients in the context of hip, knee, or spine surgery research would enhance the quality of analytical studies investigating the prediction potential of preoperative nutritional disorders on post…
View article: Why Treat Patients with a Major Orthopaedic Surgery Only to Send Them Back to the Vulnerable Conditions That Made Them Sick in the First Place? A Conceptual Scenario to Improve Patient’s Journey
Why Treat Patients with a Major Orthopaedic Surgery Only to Send Them Back to the Vulnerable Conditions That Made Them Sick in the First Place? A Conceptual Scenario to Improve Patient’s Journey Open
Individuals with severe cartilage degeneration of the hip or knee or collapsed vertebrae that cause spine deformities can suffer from joint and neuropathic pain in the back, disuse of the affected limb, and restriction of movements. Surgic…
View article: Understanding the Patient Perspective When Designing Future Rehabilitation Interventions after Hip or Knee Replacement Surgery—A Patient and Public Involvement Exercise
Understanding the Patient Perspective When Designing Future Rehabilitation Interventions after Hip or Knee Replacement Surgery—A Patient and Public Involvement Exercise Open
Background and Objectives: Following discharge from hospital, there can be variability in the rehabilitation of patients who have undergone total hip or knee replacement surgery. We invited patients who had had hip or knee replacement surg…
View article: The potential link between dietary factors and patient recovery in orthopedic surgery research
The potential link between dietary factors and patient recovery in orthopedic surgery research Open
OPINION article Front. Nutr., 17 July 2023Sec. Clinical Nutrition Volume 10 - 2023 | https://doi.org/10.3389/fnut.2023.1195399
View article: What Is Important to the Younger Person (≤50 Years) When Having a Total Hip Arthroplasty
What Is Important to the Younger Person (≤50 Years) When Having a Total Hip Arthroplasty Open
Total hip arthroplasties (THAs) are usually performed in older patients. Despite a growing number of THAs in younger adults, it is unclear whether they have similar priorities in recovery compared with their older counterparts. The purpose…
View article: Healthy Eating for Elective Major Orthopedic Surgery: Quality, Quantity, and Timing
Healthy Eating for Elective Major Orthopedic Surgery: Quality, Quantity, and Timing Open
Improvements to enhanced recovery pathways in orthopedic surgery are reducing the time that patients spend in the hospital, giving an increasingly vital role to prehabilitation and/or rehabilitation after surgery. Nutritional support is an…
View article: CycLing and EducATion (CLEAT): protocol for a single centre randomised controlled trial of a cycling and education intervention versus standard physiotherapy care for the treatment of hip osteoarthritis
CycLing and EducATion (CLEAT): protocol for a single centre randomised controlled trial of a cycling and education intervention versus standard physiotherapy care for the treatment of hip osteoarthritis Open
Background Osteoarthritis (OA) is a chronic degenerative joint disorder for which there is no known cure. Non-surgical management for people with mild-to-moderate hip OA focuses mainly on alleviating pain and maximising function via the Na…
View article: A 1RM Strengthening and Exercise Programme for the Treatment of Knee Osteoarthritis: A Quality-Improvement Study
A 1RM Strengthening and Exercise Programme for the Treatment of Knee Osteoarthritis: A Quality-Improvement Study Open
Background: The Kneefit programme is a 12-week strengthening and exercise programme, personalised using body-weight ratios, for people with knee osteoarthritis. Objectives and Design: This quality-improvement study was conducted to evaluat…
View article: CycLing and EducATion (CLEAT): protocol for a single centre randomised controlled trial of a cycling and education intervention versus standard physiotherapy care for the treatment of Hip Osteoarthritis
CycLing and EducATion (CLEAT): protocol for a single centre randomised controlled trial of a cycling and education intervention versus standard physiotherapy care for the treatment of Hip Osteoarthritis Open
Background Osteoarthritis (OA) is a chronic degenerative joint disorder for which there is no known cure. Non-surgical management for people with mild-to-moderate hip OA focuses mainly on alleviating pain and maximising function via the Na…