Danny Acton

199 posts

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Danny Acton

Danny Acton

@ActonDanny

Katılım Ekim 2011
165 Takip Edilen178 Takipçiler
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Ginga Bonito 🇧🇷
Ginga Bonito 🇧🇷@GingaBonitoHub·
This was the COLDEST moment of the penalty shootout today. Thiaguinho simply HUMILIATED Paraguay’s goalkeeper after he kept taunting him Ice in his veins 🥶
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Lord Lieutenant Co Borough of Londonderry
Lord Lieutenant Co Borough of Londonderry@lord_Lieut_cbld·
HM Lord Lieutenant Mr Ian Crowe MBE offers congratulations to those named in NY24 Honours list for Co Borough of Londonderry. Mr Neil Guckian OBE Mr Michael Allen DL MBE Dr Manav Bhavsar MBE Mr Robert Buchanan BEM Ms Bronagh Hegarty BEM Mr Donald Hill BEM Ms Lesley Porter BEM
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BladeoftheSun
BladeoftheSun@BladeoftheS·
When Junior Doctors are on £16 an hour and MP's are on £46 an hour. And raising the Junior Doctors pay by £4 an hour is unaffordable, even though they just raised MP's pay by £5 an hour. It's hard not to see the lie. RT if Junior Doctors NEED paying.
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oxfordkneegroup
oxfordkneegroup@oxfordkneegroup·
Are knee surgeons going to start offering this option across the U.K. still only 13% of knee replacements and it could be a viable and better option for up to 50%. Danes already getting there with 30% utilisation across the whole country.
OrthoEvidence@OrthoEvidence

Total vs. Partial Knee Replacement for Medial Compartment Osteoarthritis: The TOPKAT Trial Published in @TheLancet (2019) Millions of knee replacements are performed every year. Surgeons have two main options: partial knee replacement (PKR; or unicompartmental knee replacement) or total knee replacement (TKR). Despite TKR being the dominant choice, there is limited high-quality evidence comparing the two. A large, multicentered RCT was needed to assess the clinical and cost-effectiveness of TKR vs. PKR. 🏗️METHODS This multicentre, pragmatic randomized controlled trial recruited 528 patients with isolated knee osteoarthritis of the medial compartment from 27 sites in the 🇬🇧 Patients were randomly allocated to receive: 1⃣ Total Knee Replacement (n=264) 2⃣ Partial Knee Replacement (n=264) Surgeons were free to use the implant of their choice. The primary outcome of interest was knee pain and function measured with the Oxford Knee Score (OKS). As secondary outcomes, activity scores, knee scores, quality of life, satisfaction, complications, and health economic data were assessed! Follow-up was performed for 5 years post-operation. 🔎RESULTS At 5 years, no differences in OKS scores were observed between the two groups. However, quality of life scores (EQ-VAS) were significantly better in the PKR group, & patients who received a PKR also had a lower risk of complications than TKR patients! More patients in the PKR group said they felt better after surgery and would have the operation again vs. the TKR group. The number of reoperations and revisions were similar between groups. The cost-effectiveness analysis found that PKR was more effective and less expensive than TKR! ✅INTERPRETATION Both interventions improved clinical outcomes substantially. But PKR provided superiority over TKR with respect to quality of life, risk of complications, and the cost of surgery! PKR patients also showed greater satisfaction with the procedure. With several centres across the UK participating and surgeons using their preferred implants, this study has high generalizability!

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Danny Acton
Danny Acton@ActonDanny·
@JArthroplasty Patient selection is simply a case of looking at the X-ray Nothing else is relevant
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Neil Prendeville
Neil Prendeville@NeilRedFM·
BUILDER TEARS DOWN EXTENSION A builder took a chainsaw to an extension he built after the property owner allegedly refused to pay him. Footage shows him firing up the chainsaw before hacking away at the roof. He also erected signs in the area naming & shaming the house address.
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Alistair Mayne
Alistair Mayne@MayneAlistair·
Great to work with @johngNI and Co to highlight the significantly increased mortality and worse functional outcomes in hip hemiarthroplasty patients who require early return to theatre. Vital to minimise complications in this group #orthotwitter #GIRFT shorturl.at/mAS09
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Danny Acton
Danny Acton@ActonDanny·
@shah_punwar What’s the slope on the tibia like? Is that why the ACL has gone?
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SP Orthopaedics
SP Orthopaedics@shah_punwar·
Sudden injury and likely ACL rupture following previously well functioning Oxford uni. Patient feels unstable. Excuse one handed anterior drawer. Could revise or maybe…. ???reconstruct 🧐, suggesting for interests sake only! Will share X-rays when I can (shared with permission)
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Brian Chalmers
Brian Chalmers@BrianChalmersMD·
I routinely use 40 mm heads in patients at higher risk of dislocation in posterior approaches in lieu of dual mobility, with modern XLPE wear rates .02-.04 mm a year I feel very comfortable doing a thinner liner and bigger head in these @AAHKS_YAG @CenterRotation @NaanDerthaal
The Journal of Arthroplasty@JArthroplasty

From 2017-2021, large femoral heads (≥ 40 mm) were used in more than half of all posterior #THAs which correlated with a 0.7% dislocation rate. Read more for free here: authors.elsevier.com/a/1gizM38vD36E…

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Keşfet

@JArthroplasty @diamondo77 @torcni @ISHASociety @BritishHip @RCSI_Irl @BelfastTrust @SCTSUK