• Disease
  • Cast
  • Cast Immobilisation
  • Bhaskar Bhowal

    Prominent publications by Bhaskar Bhowal

    KOL Index score: 13185

    BACKGROUND: With the proliferation of different fixation screws, there is an increasing trend to recommend early internal fixation of the broken scaphoid even if the fracture is not displaced. The benefits and risks of early fixation of scaphoid fractures have not been established. These were investigated in eighty-eight patients who were of working age with clearly defined minimally displaced or undisplaced bicortical fractures of the waist of the scaphoid.

    METHODS: Patients who ...

    Also Ranks for: Scaphoid Fracture |  grip strength |  patient evaluation measure |  articular recovery |  randomized controlled trial
    KOL Index score: 9134

    Volar locking plates are an increasingly popular treatment for distal radius fractures. We reviewed complications observed after volar locking plate fixation in a busy teaching hospital. The purpose of the study was to assess whether complication rates after volar locking plate use in general, routine trauma practice were higher than published literature from expert users. A retrospective review was carried out of patients treated with a volar locking plate between January 2009 and ...

    Also Ranks for: Distal Radius Fractures |  volar locking plate |  complication rate |  fracture fixation |  retrospective review
    KOL Index score: 8848

    PURPOSE: To investigate the effect of 4-corner fusion (4CF) or proximal row carpectomy (PRC) on wrist motion, strength, and outcome for 2 different cohorts from 2 separate institutions performing either 4CF or PRC for stage 2/3 scaphoid nonunion advanced collapse and scapholunate advanced collapse.

    METHODS: The researchers assessed 46 subjects (24 4CF and 22 PRC), mean age 54 years, with a flexible electrogoniometer to measure maximum wrist motion and circumduction and compare it with ...

    Also Ranks for: Proximal Row Carpectomy |  dynamic assessment |  wrist prc |  corner fusion |  advanced collapse
    KOL Index score: 7905

    Background: With the proliferation of different fixation screws, there is an increasing trend to recommend early internal fixation of the broken scaphoid even if the fracture is not displaced. The benefits and risks of early fixation of scaphoid fractures have not been established. These were investigated in eighty-eight patients who were of working age with clearly defined minimally displaced or undisplaced bicortical fractures of the waist of the scaphoid. Methods: Patients who ...

    Also Ranks for: Acute Scaphoid Fractures |  grip strength |  fixation scaphoid |  cast patients |  fracture union
    KOL Index score: 7309

    We randomised 79 patients (84 hands, 90 fingers) with Dupuytren's contracture of the proximal interphalangeal joint to have either a 'firebreak' skin graft (39 patients, 41 hands, 44 fingers) or a fasciectomy (40 patients, 43 hands, 46 fingers) if, after full correction, the skin over the proximal phalanx could be easily closed by a Z-plasty. Patients were reviewed after three, six, 12, 24 and 36 months to note any complications, the range of movement and recurrence. Both groups were ...

    Also Ranks for: Recurrence Contracture |  skin graft |  range movement |  bilateral disease |  metacarpophalangeal joint
    KOL Index score: 6636

    The use of journal clubs and, more recently, case-based discussions in order to stimulate debate among orthopaedic surgeons lies at the heart of orthopaedic training and education. A virtual learning environment can be used as a platform to host virtual journal clubs and case-based discussions. This has many advantages in the current climate of constrained time and diminishing trainee and consultant participation in such activities. The virtual environment model opens up ...

    Also Ranks for: Journal Clubs |  virtual learning |  orthopaedic training |  medical education |  periodicals topic
    KOL Index score: 6491

    Forty-seven patients over the age of 55 years with a displaced fracture of the ankle were entered into a prospective, randomised study in order to compare open reduction and internal fixation with closed treatment in a plaster cast; 36 were reviewed after a mean of 27 months. The outcome was assessed clinically, radiologically and functionally using the Olerud score. The results showed that anatomical reduction was significantly less reliable (p = 0.03) and loss of reduction ...

    Also Ranks for: Operative Treatment |  internal fractures |  ankle injuries casts |  plaster cast |  27 months
    KOL Index score: 6389

    PURPOSE: To study the evolution of deformity of the proximal interphalangeal joint over 5 years after good surgical correction of Dupuytren-induced contracture.

    METHODS: We assessed 63 patients (72 fingers; 69 hands) with Dupuytren disease for the degree of contracture, its correction after surgery, and the range of movement at the proximal interphalangeal joints at 3 and 6 months, and 1, 3, and 5 years after fasciectomy with or without the use of a firebreak graft. We investigated ...

    Also Ranks for: Dupuytren Disease |  5 years |  surgery patients |  3 months |  proximal interphalangeal
    KOL Index score: 6168

    BACKGROUND: Scaphoid fractures account for 90% of carpal fractures and occur predominantly in young men. The use of immediate surgical fixation to manage this type of fracture has increased, despite insufficient evidence of improved outcomes over non-surgical management. The SWIFFT trial compared the clinical effectiveness of surgical fixation with cast immobilisation and early fixation of fractures that fail to unite in adults with scaphoid waist fractures displaced by 2 mm or ...

    Also Ranks for: Scaphoid Waist |  internal fractures |  fracture fixation |  2 mm |  ununited humans
    KOL Index score: 5872

    We report the outcome at a mean of 93 months (73 to 110) of 71 patients with an acute fracture of the scaphoid who were randomised to Herbert screw fixation (35) or below-elbow plaster cast immobilisation (36). These 71 patients represent the majority of a randomised series of 88 patients whose short-term outcome has previously been reported. Those patients available for later review were similar in age, gender and hand dominance. There was no statistical difference in symptoms and ...

    Also Ranks for: Cast Immobilisation |  internal fractures |  acute scaphoid |  surgical treatment |  grip strength
    KOL Index score: 5327

    INTRODUCTION: Corrective surgery for Dupuytren's disease represents a significant proportion of a hand surgeon's workload. The decision to go ahead with surgery and the success of surgery requires measuring the degree of contracture of the diseased finger(s). This is performed in clinic with a goniometer, pre- and postoperatively. Monitoring the recurrence of the contracture can inform on surgical outcome, research and audit.

    PATIENTS AND METHODS: We compared visual and computer ...

    Also Ranks for: Computer Software |  visual estimations |  dupuytrens disease |  dupuytren contracture |  surgical outcome
    KOL Index score: 5257

    This prospective randomized double-blind control trial compared lengthening and simple division of the flexor retinaculum in carpal tunnel decompression. Twenty-six patients with bilateral carpal tunnel syndrome were randomly allocated to have the flexor retinaculum divided on one side and lengthened on the other. All 52 hands were reviewed at regular intervals up to 25 weeks. The patients, therapists and the final reviewer were unaware of treatment allocation. The Levine symptom and ...

    Also Ranks for: Flexor Retinaculum |  carpal tunnel |  decompression surgical |  simple division |  syndrome cicatrix
    KOL Index score: 4805

    This study investigated the accuracy and maintenance of reduction of intra-articular steps achieved with closed reduction and percutaneous K wires and open reduction and a volar locking plate for the treatment of intra-articular distal radius fractures. We performed a retrospective review of 359 patients with an intra-articular fracture of their distal radius. Multivariate linear regression was undertaken to investigate the influence of multiple variables such as age, gender, initial ...

    Also Ranks for: Distal Radius |  fracture reduction |  volar locking plate |  intra articular |  internal humans
    KOL Index score: 4604

    The different attributes of the Patient Evaluation Measure (PEM) questionnaire were investigated in 80 patients with a fracture of the scaphoid. Assessments were made at 2, 8, 12, 26 and 52 weeks. Reliability was assessed by measurement of the internal consistency of the different questions in 275 completed PEM forms. Cronbach's alpha, which needs to lie between 0.7 and 0.9, was 0.9 for the PEM. Pain, tenderness, swelling, wrist movement and grip strength correlated with the PEM score ...

    Also Ranks for: Grip Strength |  pem score |  scaphoid bone surveys |  internal consistency |  female fractures


    Bhaskar Bhowal: Influence Statistics

    Sample of concepts for which Bhaskar Bhowal is among the top experts in the world.
    Concept World rank
    screw operatively #2
    firebreak skin graft #2
    patients 5 hands #2
    surgery progressive recontracture #2
    recontracture surgical #2
    wrist 04 #2
    progressive recontracture contracture #2
    dupuytreninduced contracture #2
    metalwork problems #2
    evolution contracture #2
    recontracture patients #2
    contracture disease recurrence #2
    recontracture worsening #2
    abnormal scapholunate angle #2
    contracture firebreak #2
    scaphoid randomised #2
    early recontracture #2
    patterns recontracture #2
    firebreak graft #2
    contracture surgical correction #2
    90 fingers #2
    fingers correction #2
    progressive recontracture #2
    joint firebreak #2
    recontracture 5 #2
    69 hands #2
    5 hands surgery #2
    hands worsened #3
    correction dupuytren #3
    firebreak skin #3
    41 hands #4
    scaphoid waist cast #4
    visit cast #4
    outcome olerud score #4
    broken scaphoid #4
    immobilization recommend #4
    surgery dupuytren contracture #4
    weeks grip strength #4
    84 hands #4
    scaphoid methods #4
    pem questionnaire #4
    72 fingers #4
    4cf 22 #5
    circumduction surgically #5
    nonsurgical prc #5
    plane prc #5
    60 4cf #5
    score nonsurgical hand #5
    hand prc #5
    circumduction nonsurgical wrist #5

    Key People For Cast Immobilisation

    Top KOLs in the world
    Joy Christine MacDermid
    neck pain distal radius fracture rasch analysis
    Margaret M McQueen
    distal radius acute compartment syndrome radial head
    Sari Ponzer
    hip fracture internal fixation femoral neck
    Hans Törnkvist
    femoral neck internal fixation elderly patients
    Joseph J Dias
    hand surgery surgical fixation distal radius
    Nicholas Barton
    scaphoid fractures kapandji procedure radiological features

    Bhaskar Bhowal:Expert Impact

    Concepts for whichBhaskar Bhowalhas direct influence:Cast immobilisation,  Buckle fractures,  Acute scaphoid fractures,  Internal fractures,  Distal radius,  Flexor retinaculum,  Grip strength,  Radial head.

    Bhaskar Bhowal:KOL impact

    Concepts related to the work of other authors for whichfor which Bhaskar Bhowal has influence:Ankle fractures,  Distal radius,  Dupuytren disease,  Scaphoid fracture,  Internal fixation,  Surgical treatment,  Carpal tunnel syndrome.



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    Leicester General Hospital, University Hospitals of Leicester National Health Service (NHS) Trust, Leicester, UK | University Hospitals of Leicester, Leicester LE1 5WW, UK. | Leicester Royal Infirmary, Infirmary Square, Leicester, UK | Department of