David L Shaw

Orthopaedic questions & observations from current literature, conference proceedings & clinical cases to stimulate enquiry and promote reflective learning.

[J Bone & Joint Surg @jbjs]

"Migration of Spinal Hardware Into the Popliteal Vein" by Eiel et al.

Read online at: https://t.co/mxJofninUt

[David L Shaw @MrDLShaw]

PRP, a therapy still in search of overwhelming evidence of an indication. #PRP @ArthroscopyJ

[David L Shaw @MrDLShaw]

PRP - some early benefit from PRP in #NOF but not longer term. It does something but not enough.

[David L Shaw @MrDLShaw]

Straightforward review of current practice and evidence: Surgical management of meniscus tears: update on indications and techniques for repair
Knapik etal,JAAOS- 33 (13), 711-719, 2025 @OfficialJAAOS #meniscus #arthroscopy #meniscaltear

[David L Shaw @MrDLShaw]

Expert witness qualifications warning; In relation to notching & despite 3.5k TKRs expert was criticised because he had never inserted a Triathlon! #TKR #notching #medicolegal #englishlaw @NHSResolution https://t.co/B2TpHZNQg2

[David L Shaw @MrDLShaw]

The Burch-Schneider Reinforcement Ring
200 cases 40y f/u [mean 11y] Out of fashion maybe but still working! Bone Joint J 2025;107-B(6 Supple B):23–30 @BoneJointJ #THA #RevisionTHA

[David L Shaw @MrDLShaw]

Correction of LLD after THR mostly successful but 26% comp rate in mostly uncemented hips. Bone Joint J 2025;107-B(6 Supple B):31–41 #THA #LLD @BoneJointJ

[David L Shaw @MrDLShaw]

Improve Integration of In Vitro Biofilm Body of Knowledge... : JAAOS Global Research & Reviews #Periprosthetic_Infection #Biofilms https://t.co/9jfuSvHw1p

[Arthroplasty Today @ArthroToday]

Do you have cutoffs/criteria for hip resurfacing?
@EdwinSuMD @hipresurfacing1 @Ian_Kennedy13

While often reserved for young, male patients, this study found improved outcomes with HRA in a matched group of patients >65 years-old.

VA: @raineyvb

https://t.co/qbaxIJUE6k

[Bone & Joint 360 @BoneJoint360]

The impact of diabetes mellitus on the management and outcome of ankle fractures & drains and infection after operative fixation of high-risk tibial plateau and pilon fractures: fact or fiction?

Find out more in the June #BJ360 Trauma Roundup!

#Ortho

https://t.co/slJTQevhHL

[Jake Tuura @jake_tuura]

Patellar Tendinopathy.

Image 1: Stress shielding. The pathological “hole” gets compressed from dynamic movement.

Image 2: Stress relaxation. The pathological “hole” gets linear stress as strong collagens weaken and crimp from a sustained hold.

Images from study: https://t.co/uZ2FZSzrO0

[David L Shaw @MrDLShaw]

Pt's estimate of Surgeons' Operating Time
Worldwide, the median time spent on elective surgery is 2 days/week. UK surgeons average just 1 day/wk. 47.5% of of pts want surgeons to operate 5-7 days/wk!
DOI: 10.1016/j.surge.2023.09.001
@SurgeryJournal #Surgery #Healthcare #Surgeons

[David L Shaw @MrDLShaw]

Cost-Effectiveness of Soft Bandage for Torus #
Soft bandage and immediate disch' saves £12.55/pt vs rigid immobilization in children with distal radius torus fractures.
DOI: 10.1302/0301-620X.106B6.BJJ-2023-1211.R1
@BoneJointJ #Pediatrics #FractureCare #CostEffectiveness

[David L Shaw @MrDLShaw]

5yrs Long-Term Recovery After Tibial Plateau #
102 pts shows sig imp in patient-reported outcomes over 5yrs post-fracture repair, with knee pain stabilizing after one year.
DOI: 10.1302/0301-620X.102B5.BJJ-2019-1385.R1
@BoneJointJ #Orthopedics #TibialPlateau #FractureRecovery

[David L Shaw @MrDLShaw]

Critical Limits in Lower-Extremity Lengthening During THA. Intraoperative study; safe limit of limb lengthening is 14.9 mm, while the critical limit is 22.4 mm or 5% of femoral length.
DOI: 10.2106/JBJS.19.00988
@JBJS #Orthopedics #THA #Surgery

[David L Shaw @MrDLShaw]

Age & Periprosthetic Joint Infection Outcomes : No significant differences in complications or success for octogenarians vs. younger patients undergoing revision THA for PJI. rates were found.
DOI: 10.1302/0301-620X.106B8.BJJ-2023-1326.R1
@BoneJointJ #Orthopedics #PJI #HipSurgery

[David L Shaw @MrDLShaw]

Ageing changes in Hip-Spine Parameters-
15,830 THA patients with age, spinopelvic parameters change, showing decreased spinal mobility & increased pelvic mobility.
DOI: 10.1302/0301-620X.106B8.BJJ-2023-1197.R1
@BoneJointJ #Orthopedics #THA #Aging

[David L Shaw @MrDLShaw]

Identifying Periprosthetic Joint Infection in HHA
A study of 98 patients reveals key diagnostic markers for PJI post-hip hemiarthroplasty, supporting evidence for & optimal cutoffs for synovial fluid tests.
DOI: 10.5435/JAAOS-D-23-00305
@JAAOS #Orthopedics #PJI #Hemiarthroplasty

[David L Shaw @MrDLShaw]

Short vs. Standard-Length Exeter Stems in THA
A systematic review shows short Exeter stems have a 95.4% survival rate in primary total hip arthroplasty, with no increased fracture risk.
DOI: 10.1302/0301-620X.107B1.BJJ-2024-0305.R1
@BoneJointJ #Orthopedics #HipSurgery #THA

[David L Shaw @MrDLShaw]

Modular Dual-Mobility v . Lg Fem Hd. 299 rev'n THAs, modular dual-mobility constructs 99% survival free of re-revision for dislocation at 10 years, large femoral heads (91%).
DOI: 10.1302/0301-620X.107B1.BJJ-2024-0170.R1
@BoneJointJ #Orthopedics #HipSurgery #THA