Xavier L. Griffin

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OBJECTIVES  To determine whether the use of total hip arthroplasty (THA) among individuals with a displaced intracapsular fracture of the femoral neck is based on national guidelines or if there are systematic inequalities. DESIGN  Observational cohort study using the National Hip Fracture Database (NHFD). SETTING  All hospitals that treat adults with(More)
Fractures of the proximal femur are one of the greatest challenges facing the medical community, constituting a heavy socioeconomic burden worldwide. Controversy exists regarding the optimal treatment for independent patients with displaced intracapsular fractures of the proximal femur. The recognised alternatives are hemiarthroplasty and total hip(More)
Fractures of the proximal femur are one of the greatest challenges facing the medical community, constituting a heavy socioeconomic burden worldwide. Controversy exists regarding the optimal treatment for patients with unstable trochanteric proximal femoral fractures. The recognised treatment alternatives are extramedullary fixation usually with a sliding(More)
The surgical community is plagued with a reputation for both failing to engage and to deliver on clinical research. This is in part due to the absence of a strong research culture, however it is also due to a multitude of barriers encountered in clinical research; particularly those involving surgical interventions. 'Trauma' amplifies these barriers, owing(More)
OBJECTIVE To quantify and draw inferences on the clinical effectiveness of platelet-rich therapy in the management of patients with a typical osteoporotic fracture of the hip. DESIGN Single centre, parallel group, participant-blinded, randomised controlled trial. SETTING UK Major Trauma Centre. PARTICIPANTS 200 of 315 eligible patients aged 65 years(More)
Freely available online open Access BJR Article focus „ Provision of an abridged protocol for the WHiTE 3: HEMI study. „ Allow transparency of study methods and design. „ Rigorous design. „ Optimal primary outcome measure for this patient cohort (EQ-5D). Introduction Proximal femoral (hip) fractures are one of the greatest challenges facing the medical(More)
BACKGROUND External fixation is commonly used as a means of definitive fixation of pelvic fractures. Pin site infection is common, with some cases of osteomyelitis and inpatient nursing can be challenging. The aim of this study is to report the outcomes and complications of an alternative minimally invasive technique, known as INFIX, utilising spinal(More)
INTRODUCTION Osteoporotic hip fractures present a significant global challenge to patients, clinicians and healthcare systems. It is estimated that hip fracture accounts for 1.4% of total social and healthcare costs in the established market economies. METHODS AND ANALYSIS The World Hip Trauma Evaluation (WHiTE) was set up to measure outcome in a(More)
bJr „ the National Institute for Health and clinical excellence states that research into the clinical and cost effectiveness of total hip arthroplasty as a treatment for hip fracture is a research priority. „ can a suitable trial investigating total hip arthroplasty for hip fracture currently be delivered in the NHS? „ A mixed methods approach to situate a(More)