Ian A. Harris

Learn More
BACKGROUND Patient specific guides (PSG) have been introduced as a tool in total knee arthroplasty (TKA) in an attempt to improve limb alignment and reduce operative time compared to other established surgical techniques. The purpose of this study was to compare the post-operative radiographic alignment and operative time in patients who underwent TKA(More)
BACKGROUND The clinimetric properties of knee goniometry are essential to appreciate in light of its extensive use in the orthopaedic and rehabilitative communities. Intra-observer reliability is thought to be satisfactory, but the validity and inter-rater reliability of knee goniometry often demonstrate unacceptable levels of variation. This study tests(More)
OBJECTIVE To explore the factors that influence recovery from serious injuries sustained in motor vehicle crashes, particularly differences between those with compensable and non-compensable injuries. DESIGN AND SETTING Qualitative study using grounded theory and focus group methods within the trauma service of a university teaching hospital. (More)
Total knee arthroplasty is a painful operation. Peri-articular local anesthetic injections reduce post-operative pain and assist recovery. It is inconclusive whether intra-operative injections of peri-articular corticosteroids are of benefit. Therefore our clinical question was: in patients with osteoarthritis who are undergoing TKA, does the addition of(More)
Hemorrhage-related mortality (HRM) associated with pelvic fractures continues to challenge trauma care. This study describes the management and outcome of hemodynamically unstable patients with a pelvic fracture, with emphasis on primary intervention for hemorrhage control and HRM. Blunt trauma patients [Injury Severity Score (ISS) ≥16] with a major pelvic(More)
BACKGROUND Haemodynamically unstable pelvic fracture patients have a high mortality, and decision-making is crucial. The present article discusses key clinical practice guidelines and options in the early management of these challenging patients. METHODS A multidisciplinary consensus committee developed guidelines following standard scientific(More)
CONTEXT Compensation, whether through workers' compensation or through litigation, has been associated with poor outcome after surgery; however, this association has not been examined by meta-analysis. OBJECTIVE To investigate the association between compensation status and outcome after surgery. DATA SOURCES We searched MEDLINE (1966-2003), EMBASE(More)
BACKGROUND The selective publication of articles based on factors, such as positive outcome, statistical significance and study size is known as publication bias. If publication bias is present, any clinical decision based on a review of the published work will also be biased. Publication bias has been shown in various specialties, based on review of(More)
OBJECTIVE To determine whether there is an association between compensation factors and health care utilisation following major trauma. DESIGN AND SETTING Retrospective cohort study within a major metropolitan trauma centre in New South Wales. PARTICIPANTS Major trauma patients aged > or = 18 years, admitted between May 1999 and April 2004. Patients(More)
BACKGROUND The aim of this study was to determine whether center-based, one-to-one physical therapy provides superior outcomes compared with group-based therapy or a simple monitored home-based program in terms of functional and physical recovery and health-related quality of life after total knee arthroplasty. METHODS Patients awaiting primary total knee(More)