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The archives of bone and joint surgery, 2018
Background The importance of the syndesmosis in ankle stability is well recognized. Numerous mean... more Background The importance of the syndesmosis in ankle stability is well recognized. Numerous means of fixation have been described for syndesmotic injuries including the suture button technique. Significant cost limits the use the commercially available options. We, therefore, designed a cheap and readily available alternative construct. We aim to assess the results of using a novel suture-button construct in treatment of syndesmotic ankle injuries. Methods Fifty-two patients (34 males and 18 females) fulfilled our inclusion/exclusion criteria. Five patients were lost to follow-up. The remaining 47 patients were successfully followed up for a minimum of 24 months. The pre and post-surgery American Orthopedic Foot and Ankle Society scores (AOFAS) together with reported complications and post-operative radiological analysis were assessed. In this innovative construct, we utilized polyester braided surgical sutures jointly with double mini two- holed plates, a No.2 polygalactin 910 sut...
European Journal of Orthopaedic Surgery & Traumatology, 2015
Journal of Orthopaedics and Trauma, 2016
Journal of Orthopaedics and Trauma, 2017
The NCATE Standards for accreditation are designed to provide quality assurance of Teacher Prepar... more The NCATE Standards for accreditation are designed to provide quality assurance of Teacher Preparation Programs and to promote reform in teacher education (NCATE Professional Standards, 2002 Edition; pg. 1). While these Standards were created for use in the United ...
2008 Third International Conference on Availability, Reliability and Security, 2008
The dynamic and cooperative nature of ad hoc networks presents substantial challenges in securing... more The dynamic and cooperative nature of ad hoc networks presents substantial challenges in securing and detecting attacks in these networks. A particularly severe security attack, called the wormhole attack, has been introduced in the context of ad-hoc networks. During the attack, a malicious node captures packets from one location in the network, and tunnels them to another malicious node at
European Journal of Orthopaedic Surgery & Traumatology, 2015
Commonly used total knee arthroplasty (TKA) systems utilising measured resection techniques defau... more Commonly used total knee arthroplasty (TKA) systems utilising measured resection techniques default to 5°-7° valgus for the distal cut relative to the anatomical axis and 3° external rotation of the femoral component relative to posterior condylar axis (PCA). Rotational errors of the femoral component are associated with pain, patella maltracking and a poorer outcome. We analysed MRI scans from patients undergoing TKA using patient-specific instrumentation to assess coronal and rotational alignment from landmarks identified on the scans. One hundred and eight scans in 59 males and 49 females were studied with age range 35-93 years (mean 67.9 years). We found 91 % of patients had a femoral valgus angle between 5° and 7° (mean angles 5.9°), while only 24 % had an external rotation angle between 2.5° and 3.5° relative to PCA. There was no statistical significance in rotation between males and females although outliers tended to be female. Mean Whiteside's angle was 92.9° (87.8-98). This study highlights the variations in external rotation between patients undergoing TKA using the PCA as a reference for rotation. This may be a contributing factor in implant malalignment and patient dissatisfaction.
The archives of bone and joint surgery, 2018
Background The importance of the syndesmosis in ankle stability is well recognized. Numerous mean... more Background The importance of the syndesmosis in ankle stability is well recognized. Numerous means of fixation have been described for syndesmotic injuries including the suture button technique. Significant cost limits the use the commercially available options. We, therefore, designed a cheap and readily available alternative construct. We aim to assess the results of using a novel suture-button construct in treatment of syndesmotic ankle injuries. Methods Fifty-two patients (34 males and 18 females) fulfilled our inclusion/exclusion criteria. Five patients were lost to follow-up. The remaining 47 patients were successfully followed up for a minimum of 24 months. The pre and post-surgery American Orthopedic Foot and Ankle Society scores (AOFAS) together with reported complications and post-operative radiological analysis were assessed. In this innovative construct, we utilized polyester braided surgical sutures jointly with double mini two- holed plates, a No.2 polygalactin 910 sut...
European Journal of Orthopaedic Surgery & Traumatology, 2015
Journal of Orthopaedics and Trauma, 2016
Journal of Orthopaedics and Trauma, 2017
The NCATE Standards for accreditation are designed to provide quality assurance of Teacher Prepar... more The NCATE Standards for accreditation are designed to provide quality assurance of Teacher Preparation Programs and to promote reform in teacher education (NCATE Professional Standards, 2002 Edition; pg. 1). While these Standards were created for use in the United ...
2008 Third International Conference on Availability, Reliability and Security, 2008
The dynamic and cooperative nature of ad hoc networks presents substantial challenges in securing... more The dynamic and cooperative nature of ad hoc networks presents substantial challenges in securing and detecting attacks in these networks. A particularly severe security attack, called the wormhole attack, has been introduced in the context of ad-hoc networks. During the attack, a malicious node captures packets from one location in the network, and tunnels them to another malicious node at
European Journal of Orthopaedic Surgery & Traumatology, 2015
Commonly used total knee arthroplasty (TKA) systems utilising measured resection techniques defau... more Commonly used total knee arthroplasty (TKA) systems utilising measured resection techniques default to 5°-7° valgus for the distal cut relative to the anatomical axis and 3° external rotation of the femoral component relative to posterior condylar axis (PCA). Rotational errors of the femoral component are associated with pain, patella maltracking and a poorer outcome. We analysed MRI scans from patients undergoing TKA using patient-specific instrumentation to assess coronal and rotational alignment from landmarks identified on the scans. One hundred and eight scans in 59 males and 49 females were studied with age range 35-93 years (mean 67.9 years). We found 91 % of patients had a femoral valgus angle between 5° and 7° (mean angles 5.9°), while only 24 % had an external rotation angle between 2.5° and 3.5° relative to PCA. There was no statistical significance in rotation between males and females although outliers tended to be female. Mean Whiteside's angle was 92.9° (87.8-98). This study highlights the variations in external rotation between patients undergoing TKA using the PCA as a reference for rotation. This may be a contributing factor in implant malalignment and patient dissatisfaction.