#MUNvULS Just out of interest should an ex Munster player and cork native be allowed to ref a Munster interpro? @URCOfficial
Gavin McLean retweeted
The NHS is completely BROKEN😢
WASNT broken by COVID/Strikes/inflation (*delete excuse)
but by deliberate CHOICES to break it
RT if you want this/next government to make CHOICES to properly fund the NHS, #reward staff & provide better healthcare than 👇 for the UK population
Amazing George!!! Keep up the good work!!
instagram.com/p/C5gnhgkISJp/…
Always great to learn of achievements of our patients after surgery! Jim underwent a partial knee replacement 9 months ago. Congratulations!
“Topped Mt Kilimanjaro at 6am Saturday morning, please send onto Mr McLean as a testament to his professionalism”
Wow Niall!!! Brilliant to see. Looking forward to seeing your amazing progress face to face soon. And thanks to @cann_seana for your hard work.
9 weeks of hard rehab post chondral grafting. Focusing on fine tuning technique building more strength now that full range in the knee is achieved. Niall is doing brilliant! Thanks to @gmcl79 at @BelfastKnee
What brilliant feedback!!! Niall had chondral grafting using @JO_SaveTheJoint chondrogide. A fantastic option for chondral defects of the knee. Just one of the many options for our patients at @BelfastKnee. Thank you for sending this @cann_seana !
A Solid 5 weeks of rehab in the net! Here is my brother Niall working hard on a Saturday night!🌟Massive thanks to Mr Gavin Mc Lean for carrying out my brothers knee surgery!The best in the business. Niall will be back giving out the black cards in no time 🤣@gmcl79 @BelfastKnee
Is this a young @robert_herring2 ??
Bone loss in shoulder instability can lead to more instability episodes and can be more difficult to fix. Read more here...Bone Loss In Shoulder Instability bit.ly/3Zp4wL8
Brilliant club and thrilled to be a sponsor @BelfastKnee
The Belfast Knee Clinic is very proud to sponsor @lisburnrugby this season. A fantastic club with a huge minis section introducing young people to rugby.
My son Finn delighted with his new @BelfastKnee @lisburnrugby sponsored jersey!!
Wow!!! @mickwhughes what an incredible resource and a huge amount of work! Thank you
I've found 25 recent ACL papers that will significantly help your clinical practice in managing ACL injuries.
Better yet, all of these 25 papers are free, full text papers.
What are you waiting for? Click on the link below and dive right in!
Blog link: mickhughes.physio/single-pos…
A fabulous option when clinically and radiologically indicated.
Total vs. Partial Knee Replacement for Medial Compartment Osteoarthritis: The TOPKAT Trial
Published in @TheLancet (2019)
Millions of knee replacements are performed every year.
Surgeons have two main options: partial knee replacement (PKR; or unicompartmental knee replacement) or total knee replacement (TKR).
Despite TKR being the dominant choice, there is limited high-quality evidence comparing the two.
A large, multicentered RCT was needed to assess the clinical and cost-effectiveness of TKR vs. PKR.
🏗️METHODS
This multicentre, pragmatic randomized controlled trial recruited 528 patients with isolated knee osteoarthritis of the medial compartment from 27 sites in the 🇬🇧
Patients were randomly allocated to receive:
1⃣ Total Knee Replacement (n=264)
2⃣ Partial Knee Replacement (n=264)
Surgeons were free to use the implant of their choice.
The primary outcome of interest was knee pain and function measured with the Oxford Knee Score (OKS).
As secondary outcomes, activity scores, knee scores, quality of life, satisfaction, complications, and health economic data were assessed!
Follow-up was performed for 5 years post-operation.
🔎RESULTS
At 5 years, no differences in OKS scores were observed between the two groups.
However, quality of life scores (EQ-VAS) were significantly better in the PKR group, & patients who received a PKR also had a lower risk of complications than TKR patients!
More patients in the PKR group said they felt better after surgery and would have the operation again vs. the TKR group.
The number of reoperations and revisions were similar between groups.
The cost-effectiveness analysis found that PKR was more effective and less expensive than TKR!
✅INTERPRETATION
Both interventions improved clinical outcomes substantially. But PKR provided superiority over TKR with respect to quality of life, risk of complications, and the cost of surgery!
PKR patients also showed greater satisfaction with the procedure.
With several centres across the UK participating and surgeons using their preferred implants, this study has high generalizability!
Gavin McLean retweeted
Rugby Union!! Don’t know how the Guy Who Decides does it 😱!!! Jason Jason Jason!! #rugbyworldcup2023 #rugbyunion #rugby
Can’t wait!!! Should be a fascinating and insightful evening. Thank you @ElitePhysio1 for allowing us to be a part of it.
Looking Forward to this one! 😊
An evening dedicated to sharing insights, experiences and advice on "What Next...?" after a significant injury - How to deal with the aftermath from both a physical and mental POV
Tickets: bookwhen.com/elitephysiocook…




























