Dynamic functional outcome assessment in navigated TKR using gait analysis

Performing Total Knee Replacement (TKR) surgery using computer assisted navigation systems results in more reproducibly accurate component alignment. Navigation allows real time evaluation of passive knee behaviour throughout flexion. These kinematic measurements reflect tibial rotation about the femoral condyles, patellar tracking and soft tissue balance throughout surgery. In this study, we aim to study dynamic knee function in navigated and standard instrumentation TKR patients performing a range of everyday activities using gait analysis.A prospective randomised controlled trial evaluated the functional outcome using gait analysis with 20 patients in each of three groups – Standard, Navigated and Control. The same implant (Scorpio) and navigation system (Strykervision) was used for each patient. The control group were subjects with no history of knee pathology or gait abnormality. Using an 8-camera Vicon motion analysis system set at 120Hz (real-time motion), we assessed the following functional activies: walking, rising from/sitting in chair, ascending/descending stairs. One functional outcome measure we have analysed so far is the maximum flexion angle.The maximum flexion angle was recorded for each activity in standard, navigated and control groups respectively. ANOVA was performed, with significance set at p<0.05

Prevalence and treatment of Carpal Tunnel Syndrome in Renal Haemodialysis

The purpose of this study was to investigate the prevalence and aetiology of carpal tunnel syndrome (CTS) and the effect of open carpal tunnel decompression (CTD) in a group of patients on renal haemodialysis. In 91 patients attending a Renal Unit who were assessed only by clinical means, the prevalence of CTS was 7.1%. CTS development was not significantly correlated with known risk factors, in particular duration of dialysis and presence of an artero-venous fistula on the symptomatic limb. CTD led to a mean symptom-free period of 12 years. In summary, CTS is a frequent and serious disease affecting renal dialysis patients, but its aetiology remains uncertain. Nevertheless, CTD is an effective and lasting treatment for this condition