Xavier Luke Griffin

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OBJECTIVES To study the measurement properties of a joint specific patient reported outcome measure, a measure of capability and a general health-related quality of life (HRQOL) tool in a large cohort of patients with a hip fracture. METHODS Responsiveness and associations between the Oxford Hip Score (a hip specific measure: OHS), ICEpop CAPability (a(More)
Fractures of the proximal femur are one of the greatest challenges facing the medical community, constituting a heavy socioeconomic burden worldwide. The National Hip Fracture Audit currently provides a framework for service evaluation. This evaluation is based upon the assessment of process rather than assessment of patient-centred outcome and therefore it(More)
BACKGROUND Controversy exists regarding the optimal treatment for patients with displaced intracapsular fractures of the proximal femur. The recognised treatment alternatives are arthroplasty and internal fixation. The principal criticism of internal fixation is the high rate of non-union; up to 30% of patients will have a failure of the fixation leading to(More)
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 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 independent patients with displaced intracapsular fractures of the proximal femur. The recognised alternatives are hemiarthroplasty and total hip(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)
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)
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)