1. Trans-olecranon debridement arthroplasty for osteoarthritis of the elbow.
Sloan R.D., Pimpalnerkar A., Thomas A.M.C.
Journal of Bone and Joint Surgery (British) 84bsupp2:1712002
Royal Orthopaedic Hospital, Birmingham.
Follow-up of patients outcomes based on Mayo clinic score of the elbow for the above procedure for osteoarthritic elbows.
Approach using modified trans-olecranon as per Outerbridge-Kashiwagi.
Good initial outcomes as per review by myself March 2001.
Comparable results with less morbidity as per direct open procedure for anterior osteophyte. Much earlier mobilization.
- GDC Coiling of basilar tip aneurysms- the Birmingham Experience.
Gan YC, Sloan R, Wasserberg J, Walsh AR, West R, Yates D
Surg Neurol. 2002; 58: 77 - 101.
Queen Elizabeth Hospital, Birmingham
6 Year Review of outcomes for the management of Basilar Artery Aneurysm
Object was to review immediate and delayed complications and outcome of GDC
coiling with basilar tip aneurysms treated in the above unit.
Retrospective review of 55 patients dating back to 1996 with Basilar aneurysms.
Assessment of grade of subarachnoid haemorrhage, Glasgow Outcome Scale at 3
and 6 months, appearance of post-operative cerebral angiography. Revealed a high
morbidity rate of 37% with moderate to severe disability at 3 months and 26% at 6
months. Also a high mortality rate of 6.5% but less than with surgical intervention.Of
concern is the high rate of aneurysmal neck recurrence – 26.3%.
- Compression Fracture or Butterfly Vertebrae: Diagnostic importance in a trauma
setting.
Sloan R, Satpathy A, Bhoora I
Ann R Coll Surg Engl. 2004 Nov;86(6):W41-3.
Staffordshire General Hospital
Case study describing a patient presenting with head injury and agitation and
radiography suggestive of a compression/burst vertebral fracture. We describe the
appearance and imaging in this case which revealed to be the congenital anomaly
butterfly vertebrae. Short discussion on aetiology, association and classical
appearance.
- Pseudoaneurysm of the profunda femoris artery following intertrochanteric fracture
of the hip
Maheshwari R, Sloan R, Pemmaraju K, Hamlet M
European Journal of Orthopaedics and Traumatology Sept 04 Vol.14 No. 3 P192-194
Queen’s Hospital, Burton
Case report of a pseudoaneurysm of the profunda femoris presenting 3 months following
DHS fixation of an intertrochanteric hip fracture. The diagnosis was made with
conventional arteriography and the aneurysm treated by trans-catheter embolisation with
coil and fibrin
- The outcome of repair of acute distal biceps rupture using the intramedullary
endobutton® technique (EJT-07-0028)
Deans, Arbuthnott, Morgan, Walley, Sloan, Selvey, Colville
Eur J Orthop Surg Traumatol 2009 April;19(3):155-7
Alexandra Hospital, Redditch
Case series review of acute biceps rupture treated with novel technique using endobutton
and bunnell suture. Excellent outcomes seen particularly with no complications, and minimal
power and work (endurance strength) discrepancy with contralateral arm as tested by
dynametry.
- Clinical Scaphoid Fracture: Early CT as a Practical Approach
Sloan, Chaudry, Nguyen, Bhoora, Willard
Ann R Coll Surg Engl. 2008 Sep;90(6):488-91
Staffordshire Hospital
Retrospective review of 125 CT’s performed over a 2.5 year period for clinically suspected scaphoid injury. Significant positive finding on CT with normal radiographs of 27%. Proportion of positive findings as acute scaphoid fracture was extremely high at 64% (n=23). Outcomes of normal, miscellaneous injuries and scaphoid injuries where assessed. 80% of CT’s where performed within two weeks of injury. Of the scaphoid fractures one went on to non-union (proximal pole). Audit showed excellent facilities for early CT, high pick-up rate for scaphoid injury and CT recommended as first line investigation in wrist injury in early fracture clinic review.
- Protective Lead Gowns: An Infection Risk In Orthopaedic Surgery?
Sloan, Young, Gill, Smith, Goswami
Journal Of Infection Prevention: submitted April 2009
Heart Of England NHS Trust
Audit of samples showing significant growth of bacterium from lead gowns
used in trauma theatre. No protocol exists for cleaning these gowns despite no growth seen
following simple cleaning methods.
- Early To Medium Term Results For The Sulzer Anatomical Shoulder Arthroplasty
Sloan, Young, Parker, Nwachukwu
Internet Journal Of Orthopaedic Surgery – accepted August 2009
South Warwickshire Hospitals
Retrospective review of case series assessing outcomes for this implant using DASH, VAP scoring and radiographic analysis at a mean follow-up of 37 months. 70% showed satisfactory or excellent modified Neer ratings with poorer results in post-traumatic cases . There were no revisions with overall outcomes acceptable at the time of follow-up.
- Glenoid And Coracoid Morphology With Reference To The Cape Town Modification Of The Latarjet Procedure
Cresswell TR, Sloan R, Gooding B, Du Toit D, de Beer JF
Derbyshire Royal Infirmary
Submitted to Clinical Anatomy after revision May 2009
Correlation of the arc of radius of the undersurface of the coracoid with the arc of radius of the concave surface of the glenoid was assessed. Purpose was to show that they matched well with reference to the modified Latarjet procedure in which the coracoid is mobilized and fixed to the anterior glenoid in cases of shoulder instability with bone loss. 210 cadaveric and then a further 20 3d CT reconstructed images of living scapulae where assessed. Both showed a good match statistically supporting congruity of the graft with respect to the glenohumeral joint.
- Outcomes for Intrasubstance coracoid bone graft in patients with antero-inferior shoulder instability and glenohumeral bone loss.
Sloan R, Prasthofer A, Old J, Coghlan J, Bell S
Melbourne Shoulder And Elbow Centre
Submitted to American Journal Of Sports Medicine April 2009
Prospective assessment of 30 cases of patients with recurrent shoulder instability in high risk sport with boney loss using a specific technique. Pre- and post-op Rowe, ASES and Oxford instability scoring was used as was CT imaging and return to sport. CT showed union of graft in all cases and there was overall failure rate(recurrent instability) 3%. 90% of those wishing to return to sport did so without any restriction.
Also accepted for presentation and thus publication for forthcoming:
SECEC/ESSSE - Madrid, September 2009
BOA – Manchester, September 2009
