Excision arthroplasty of the shoulder is a rarely performed procedure used in cases where replace... more Excision arthroplasty of the shoulder is a rarely performed procedure used in cases where replacement of a failed arthroplasty is not feasible. We report four cases of excision arthroplasty following a shoulder replacement, one performed for infection and three for instability. Excision arthroplasty resulted in very poor function with pain improvement in only two cases.
Arthroscopic anterior cruciate ligament reconstruction is a commonly performed procedure which is... more Arthroscopic anterior cruciate ligament reconstruction is a commonly performed procedure which is technically demanding and involves multiple surgical steps with the potential for a wide range of intraoperative complications. In this article, we review these potential complications and give algorithms for dealing with them based on our experience and published evidence. We discuss the use of both bone-patellar tendon-bone and hamstring grafts and examine complications associated with suspensory button and interference screw fixation.
BackgroundPosterior dislocation is a rare complication of total shoulder arthroplasty usually occ... more BackgroundPosterior dislocation is a rare complication of total shoulder arthroplasty usually occurring as a result of mal-positioning of the humeral or glenoid components, or due to soft tissue imbalance or deficiency.MethodsWe used the database of a tertiary referral centre in the UK to identify three patients who had revision surgery following a total shoulder arthroplasty for posterior instability.ResultsWe report three cases of fixed posterior dislocation of the shoulder following total shoulder arthroplasty.DiscussionRevision surgery resolved instability and pain in two cases, but was associated with poor function.
The Annals of The Royal College of Surgeons of England, 2007
INTRODUCTION The aim of this study was to evaluate the intra- and inter-observer variation of the... more INTRODUCTION The aim of this study was to evaluate the intra- and inter-observer variation of the Schatzker and AO/OTA classifications in assessing tibial plateau fractures, using plain radiographs. PATIENTS AND METHODS Fifty tibial plateau fractures were classified independently by six observers as per the Schatzker and AO/OTA classifications, using antero-posterior and lateral plain radiographs. Assessment was done on two occasions, 8 weeks apart. RESULTS We found that both the Schatzker and AO/OTA classifications have a high intra-observer (κ = 0.57 and 0.53, respectively), and inter-observer (κ = 0.41 and 0.43, respectively) variation. Classification of tibial plateau fractures into unicondylar versus bicondylar and pure splits versus articular depression ± split conferred improved inter- and intra-observer variation. CONCLUSIONS The high inter-observer variation found for the Schatzker and AO/OTA classifications must be taken into consideration when these are used as a guidance...
Background Arthroscopic subacromial decompression and acromio-clavicular joint excision are two o... more Background Arthroscopic subacromial decompression and acromio-clavicular joint excision are two of the most commonly performed arthroscopic shoulder procedures. Methods In the present study, we prospectively evaluated the timing of return to work and driving following these procedures in a British population. Results Median time of returning to work was 22 days (range 2 days to 72 days). Median time of returning to driving was 14 days (range 2 days to 70 days). Ninety percent of patients returned to work by 6 weeks and to driving by 4 weeks. Discussion The results obtained suggest that most patients having arthroscopic subacromial decompression or acromio-clavicular joint excision will return to work and driving by 6 weeks post surgery.
Excision arthroplasty of the shoulder is a rarely performed procedure used in cases where replace... more Excision arthroplasty of the shoulder is a rarely performed procedure used in cases where replacement of a failed arthroplasty is not feasible. We report four cases of excision arthroplasty following a shoulder replacement, one performed for infection and three for instability. Excision arthroplasty resulted in very poor function with pain improvement in only two cases.
Arthroscopic anterior cruciate ligament reconstruction is a commonly performed procedure which is... more Arthroscopic anterior cruciate ligament reconstruction is a commonly performed procedure which is technically demanding and involves multiple surgical steps with the potential for a wide range of intraoperative complications. In this article, we review these potential complications and give algorithms for dealing with them based on our experience and published evidence. We discuss the use of both bone-patellar tendon-bone and hamstring grafts and examine complications associated with suspensory button and interference screw fixation.
BackgroundPosterior dislocation is a rare complication of total shoulder arthroplasty usually occ... more BackgroundPosterior dislocation is a rare complication of total shoulder arthroplasty usually occurring as a result of mal-positioning of the humeral or glenoid components, or due to soft tissue imbalance or deficiency.MethodsWe used the database of a tertiary referral centre in the UK to identify three patients who had revision surgery following a total shoulder arthroplasty for posterior instability.ResultsWe report three cases of fixed posterior dislocation of the shoulder following total shoulder arthroplasty.DiscussionRevision surgery resolved instability and pain in two cases, but was associated with poor function.
The Annals of The Royal College of Surgeons of England, 2007
INTRODUCTION The aim of this study was to evaluate the intra- and inter-observer variation of the... more INTRODUCTION The aim of this study was to evaluate the intra- and inter-observer variation of the Schatzker and AO/OTA classifications in assessing tibial plateau fractures, using plain radiographs. PATIENTS AND METHODS Fifty tibial plateau fractures were classified independently by six observers as per the Schatzker and AO/OTA classifications, using antero-posterior and lateral plain radiographs. Assessment was done on two occasions, 8 weeks apart. RESULTS We found that both the Schatzker and AO/OTA classifications have a high intra-observer (κ = 0.57 and 0.53, respectively), and inter-observer (κ = 0.41 and 0.43, respectively) variation. Classification of tibial plateau fractures into unicondylar versus bicondylar and pure splits versus articular depression ± split conferred improved inter- and intra-observer variation. CONCLUSIONS The high inter-observer variation found for the Schatzker and AO/OTA classifications must be taken into consideration when these are used as a guidance...
Background Arthroscopic subacromial decompression and acromio-clavicular joint excision are two o... more Background Arthroscopic subacromial decompression and acromio-clavicular joint excision are two of the most commonly performed arthroscopic shoulder procedures. Methods In the present study, we prospectively evaluated the timing of return to work and driving following these procedures in a British population. Results Median time of returning to work was 22 days (range 2 days to 72 days). Median time of returning to driving was 14 days (range 2 days to 70 days). Ninety percent of patients returned to work by 6 weeks and to driving by 4 weeks. Discussion The results obtained suggest that most patients having arthroscopic subacromial decompression or acromio-clavicular joint excision will return to work and driving by 6 weeks post surgery.
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Papers by Farhan Alvi