Research Development
Staff Publications
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Staff Publications
Research Development
Find out what your colleagues have been writing. This section features articles published by staff working for St Helens and Knowsley Teaching Hospitals and Halton, Knowsley and St Helens community staff.
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Abstract Extracting a fractured stem poses a technical challenge in revision surgery. A number of techniques have been described based on method of fixation (cemented or uncemented); location of the fracture; and composition of the stem alloy. These include the drilling and cortical window techniques. We describe our surgical removal..
Published: | 23/12/2019 |
Authors: | Matar HE, |
Abstract In this systematic review of randomized controlled trials, we aimed to assess the effects of different surgical treatments for olecranon fractures in adults, especially the rate of metalwork prominence. We searched the Cochrane Bone, Joint, and Muscle Trauma Group's Specialized Register (2018), the Cochrane Central Register of Controlled Trials (CENTRAL, 2018,..
Published: | 23/12/2019 |
Authors: | Matar HE |
Purpose We sought to evaluate our consecutive series of knee-implant arthrodesis patients for failed total knee arthroplasties with medium term clinical and radiographic outcomes. Methods We conducted a retrospective review of a consecutive series of 4 patients (average age, 75 years; range, 69–79) with failed knee arthroplasties and deficient extensor mechanism who underwent..
Published: | 23/12/2019 |
Authors: | Matar HE, Stritch P, Emms N |
Abstract Constrained acetabular components are used as a salvage option for unstable total hip arthroplasties particularly in elderly low demand patients. Their indications include multiple failed revisions with abductor deficiency, neurologic or neuromuscular impairment, recurrent dislocations where the cause of instability cannot be identified despite well-aligned components. Failure of these..
Published: | 23/12/2019 |
Authors: | Matar HE, Stritch P, Emms N |
Abstract In this review, we assess the effects of negative-pressure wound therapy (NPWT) following primary hip and knee replacement surgery with a systematic review of randomized controlled trials (RCTs). We searched the Cochrane Bone, Joint, and Muscle Trauma Group's Specialized Registry on June 12, 2018; the Cochrane Central Register of Controlled Trials (..
Published: | 23/12/2019 |
Authors: | Matar HE, Emms N |
Abstract Interprosthetic femur fractures between total hip and total knee replacements are challenging injuries with rising incidence. Stability of the either implants, quality, and quantity of remaining bone as well as patients' comorbidities play an important role in operative management. Open reduction and internal fixation, advanced revision arthroplasty techniques, and..
Published: | 24/12/2018 |
Authors: | Emms N, Matar HE, Stritch P |
Matar, HE; Stritch, P; Emms, N . (2018).Calcific myonecrosis: imaging and radiographic findings. British journal of hospital medicine . 79 (11), p654
Published: | 29/11/2018 |
Authors: | Emms N, Matar HE, Stritch P |
Abstract Infection following total knee replacement surgery is a challenging and devastating complication. Clinical assessment including history, examination, radiographs, blood tests and knee aspirations helps to establish the diagnosis. Revision surgery is typically required to eradicate infection and restore function. This has traditionally been performed through two-stage revision surgery, although..
Published: | 24/09/2018 |
Authors: | Emms N, Matar HE, Stritch P |
Purpose To evaluate clinical outcomes of two-stage revision arthroplasty for managing infected knee arthroplasties in significantly compromised patients (host-C). Methods This was a prospective consecutive series of two-stage revisions of infected total knee arthroplasties in host-C-type patients with a minimum 2-year follow-up using objective and patient-reported outcome measures. Thirteen consecutive..
Published: | 20/09/2018 |
Authors: | Emms N, Matar HE, Stritch P |
The hip joint is an intrinsically stable joint as a result of the bony and labral anatomy of the acetabulum and femoral head. Hip dislocations are often associated with major trauma. Pure or simple dislocations without associated fractures are rare (Foulk and Mullis, 2010). Elderly patients tend to have hip or..
Published: | 29/08/2018 |
Authors: | Attar FG, Matar HE |
Abstract Infected total hip replacements pose a diagnostic and management challenge. Careful history, clinical examination, blood tests, plain radiographs and hip aspiration are all part of the clinical assessment. International consensus on establishing the diagnosis helps surgeons to formulate management plans. Management strategies include debridement and prosthesis retention, single-stage revision,..
Published: | 05/06/2018 |
Authors: | Emms N, Matar HE, Stritch P |
Abstract Calcific myonecrosis is a rare benign condition affecting mainly the muscles of a single leg compartment. It is thought to follow a history of trauma with a latent period of years. Patients present with a slowly growing mass. Differential diagnosis from a malignant tumour can be made from the..
Published: | 16/05/2018 |
Authors: | Connolly S, Emms N, Matar HE, Stritch P |
Abstract Reverse oblique intertrochanteric fractures have unique mechanical characteristics and are often treated with intramedullary implants. We compared the outcomes of the reconstruction trochanteric antegrade nail (TAN) with the proximal femoral nail antirotation (PFNA). Between July 2008 and February 2014, we reviewed all patients with reverse oblique intertrochanteric fractures treated at our..
Published: | 19/07/2016 |
Authors: | Matar HE, Lipscombe S, Gudena R |
Solitary skeletal Plasmacytoma is a malignant plasma cell tumour that accounts for 3–5% of all monoclonal gammopathies. It presents as a single lytic lesion with clonal plasma cells in the vertebrae, ribs or pelvis, with low or no serum or urine M-protein. Bone marrow is not consistent with multiple myeloma, however,..
Published: | 19/07/2016 |
Authors: | Matar HE, Gudena R |
Description Patients with hip fractures very rarely have hip osteoarthritis (OA), with published data suggesting an inverse relationship between hip fractures and hip OA. In fact, hip OA is found to be protective against intracapsular fractures but increases the risk for extracapsular fractures. This is related, in part, to the..
Published: | 19/07/2016 |
Authors: | Matar HE, El-Hosh S, Attar FG |
Background Pericyazine is a 3-cyano-10 (3-4'-hydroxypiperidinopropyl) phenothiazine. It is overall pharmacologically similar with chlorpromazine, though particularly sedating. Dopamine receptor subtype analysis has not been performed for pericyazine, but the drug appears to induce greater noradrenergic than dopaminergic blockade. Compared to chlorpromazine, pericyazine reportedly has more potent antiemetic, antiserotonin, and..
Published: | 19/07/2016 |
Authors: | Matar HE |
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