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Toby Smith Profile
Toby Smith

@TobyOSmith

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Professor @warwickCTU & @UEA_Health - Interests: clinical trials of older people with bone, joint & muscle diseases (views my own). Cycles around London alot.

Coventry & Norwich (UK)
Joined November 2010
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@TobyOSmith
Toby Smith
4 years
Fatigue & reduced exercise tolerance appear major post-inpatient consequences to COVID-19. Our advice early-on about pacing & behaviour modification in largely self-managed rehab will be valuable.
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@TobyOSmith
Toby Smith
4 years
Very excited to announce that I will be Director of Postgraduate Research @UEA_Health - looking forward to working with everyone to continue the great PGR successes within the @uniofeastanglia @UEAHSCP & globally.
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@TobyOSmith
Toby Smith
7 years
New study on people’s beliefs about what causes low back pain - more mechanical rather than biopsychosocial beliefs.
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@TobyOSmith
Toby Smith
2 years
IT IS OUT! @CochraneMSK update of surgical vs. non-surgical treatment for patellar dislocation. Well done @GaukrogerAndrew @cb_hing & @AndyMetOrtho - perfect timing for the start of the @RepportTrial with @WarwickCTU
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@TobyOSmith
Toby Smith
2 years
UK physiotherapists who treat patients following neck dissection for head & neck cancer. Would you like to join the largest trial investigating rehab for these patients? If so, get in touch as we are planning 'Big @GRRAND_F '
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@TobyOSmith
Toby Smith
2 years
Updated osteoarthritis management @NICEComms guidelines released today. Some changes in terms & medication management but core remains similar. Make sure you're updated too 😃. Well done all involved.
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@TobyOSmith
Toby Smith
7 years
'Little and often' walks rather than 'longer rambles' are better for knee pain for those with osteoarthritis -
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@TobyOSmith
Toby Smith
4 years
Last night we received ethical approval for 2 studies exploring musculoskeletal pain experiences during COVID lock down. Looking forward to opening Monday-Tuesday so watch this space guys @NOAR_UK @UeaMed @uniofeastanglia @UEA_Health @UEAHSCP
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@TobyOSmith
Toby Smith
6 years
What I learnt today = NICE Guideline Committees really think hard & deeply consider all recommendations they make. Really impressed with the NICE processes today for NHS patient care.
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@TobyOSmith
Toby Smith
3 years
I have kindly received funding from @NIHRresearch for a study to investigate a treatment programme to support caregivers who support people with chronic bone, joint & muscle pain. If you're an @NHSuk service who treats these patients & you're interested, please reach out.
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@TobyOSmith
Toby Smith
3 years
Many many congratulations to Prof @cb_hing today who is officially appointed Professor. Very well done and a total credit to @StGeorgesUni @StGeorgesTrust @BritOrthopaedic & @BASKtrainees
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@TobyOSmith
Toby Smith
4 years
This week, I taught loads of physio students @UEA_Physio the importance of looking at patient problems & not at labels we place on diagnoses. Many looked at me with disbelief (please disagree @UEA_Physio guys) but ultimately I encourage patient-person centred care/research.
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@TobyOSmith
Toby Smith
7 years
Today was my last day @UEA_Health after 7 happy years. Thanks for all the memories, opportunities & looking forward to the next adventure with @ndorms
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@TobyOSmith
Toby Smith
4 years
Very pleased to be joining the Quality Standards Committee for the @NICEComms Hip, Knee & Shoulder Joint Replacement Guidelines. Excited to help put the guidelines into practice.
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@TobyOSmith
Toby Smith
4 years
It's out: @cochranecollab Enhanced Rehabilitation For People With Dementia After Hip Fracture Surgery. Thank you Team @UEA_Health @UeaMed @ndorms @Oxford_Trauma @RNOHnhs @UniofNottingham
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@TobyOSmith
Toby Smith
2 years
Good luck everyone submitting @NIHRresearch PCAF applications today. Never a small feat to develop, write, manage & submit these fellowship applications. Always a learning experience & such a fantastic gateway for another generation of UK clinical academics.
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@TobyOSmith
Toby Smith
10 months
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@TobyOSmith
Toby Smith
6 years
If you haven't already checked it out, read up on the EULAR recommendations on physical activity for people with arthritis.
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@TobyOSmith
Toby Smith
3 years
Very pleased to record my session for @cb_hing & the panLondon @NIHRresearch Musculoskeletal Trainees on the importance of @NIHRinvolvement & patient, public & service user involvement in research design, conduct, reporting...and...well everything.
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@TobyOSmith
Toby Smith
4 years
Hoping to generate some smiles today for both @NNUH patients & staff with my less that conventional physio socks @NNUHphysio
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@TobyOSmith
Toby Smith
4 years
Really pleased to see the first @NICEComms guidelines on Hip, Knee & Shoulder Replacement Surgery are now out. Hoping they can support best care for people who undergo arthroplasty.
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@TobyOSmith
Toby Smith
7 years
Physical activity intervention recommendations for people with musculoskeletal disorders just out from @ArthritisRUK
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@TobyOSmith
Toby Smith
2 years
Absolutely overjoyed to announce @RNOHnhs & @BartsBoneJoint @NHSBartsHealth are open for the @JOINT_SUPPORT study for @NIHRresearch . Well done all involved especially @NorwichCTU & @Reema_Khoury for making this happen. @ROHNHSFT & @MidYorkshireNHS coming soon!
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@TobyOSmith
Toby Smith
4 years
The @PEP_TALK_Trial protocol paper is now out. Thanks to the @ndorms Team & all patients & sites who have contribute so far on this exciting trial.
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@TobyOSmith
Toby Smith
4 years
NEW PAPER: Interventions for hospital-associated deconditioning led by me & @walkingresearch from @UEA_Health
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@TobyOSmith
Toby Smith
8 years
Another paper adding to the evidence that knee structural pathology doesn't always correspond with pain & disability
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@TobyOSmith
Toby Smith
3 years
Tomorrow is International Clinical Trials Day - can I thank all the hard-working people in @OCTRUctu @NorwichCTU @NIHRCRNEastern & all clinical sites, collaborators & patients who have made @NIHRresearch projects @PEP_TALK_Trial @GRRAND_F @HipHelperTrial happen. Bravo 👍
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@TobyOSmith
Toby Smith
9 years
Iliotibial band syndrome in runners...new systematic review just out. @clairepatella
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@TobyOSmith
Toby Smith
10 years
Pain trajectories in knee osteoarthritis: the idea 'people just get worse over time' doesn't stand. Big Keele paper. http://t.co/mDxVJydsz7
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@TobyOSmith
Toby Smith
6 years
After the #HipSprint2018 motivation, our paper on physical activity post-hip fracture is released. More evidence on the need for physio
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@TobyOSmith
Toby Smith
3 years
Congratulations to the amazing people who have been awarded @NIHRresearch fellowships this evening. The next few years will be amazing. For those amazing people who were not awarded this time, your time will come...reflect, revisit, rework & resubmit.
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@TobyOSmith
Toby Smith
3 years
Today @pip_nicolson & I (virtually) did the analysis of all outcome measures reporting pain & function in hip & knee osteoarthritis trials. There are rather alot. We will report this through @OMERACT & aim to tell the world soon on how best to measure pain & function in OA trials
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@TobyOSmith
Toby Smith
2 years
Patient's partner delivers chocolates to the ward today (thank you). Was asked how their partner was doing. Response: "nothing could have prepared us both for the first weeks at home"...that's why we are doing the @HipHelperTrial
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@TobyOSmith
Toby Smith
7 years
Our new analysis of over 1000 people: physical activity didn't increase post-TKA & TKA & lower than matched controls
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@TobyOSmith
Toby Smith
5 years
Congratulations to all those @NIHRresearch Clinical Doctoral Research Fellowship applicants who were invited to interview this week = great achievement. If you weren't successful, don't give up, seek advice, reflect & re-apply stronger in 2020.
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@TobyOSmith
Toby Smith
2 years
Highlight of my 2022 happened today. Letting 3 people know they have funding for their PhDs at @UEA_Health
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@TobyOSmith
Toby Smith
4 years
I'm really pleased I largely spent my day supporting other people's research & developing the next generation of researchers (plus a FEMUR 3 Trial restart meeting with @benedsmith where we aim to improve rehab of people after hip fracture). #happyweekend
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@TobyOSmith
Toby Smith
4 years
Really pleased to see our analysis of social deprivation reporting in musculoskeletal trials. Great work with @hopinlee @stevekamper1 & @cmwillow
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@TobyOSmith
Toby Smith
2 years
Great visiting @garethphysio1 & the @ROHNHSFT team this morning after the @JOINT_SUPPORT Trial Oversight Committee. Looking forward to seeing @RNOHnhs @ROHresearch @BartsBoneJoint @NHSBartsHealth Research & Therapy teams tomorrow too!
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@TobyOSmith
Toby Smith
7 years
PreFIT exercise programme for people at moderate or high risk of falls, development paper now out in Physiotherapy.
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@TobyOSmith
Toby Smith
4 years
Very excited to be preparing today's @NIHRresearch HIP HELPER intervention training with @JPUHTherapies . Getting closer to opening this important study to better understand hip fracture recovery strategies.
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@TobyOSmith
Toby Smith
3 years
Congratulations Professor Sally Hopewell on your Distinguished Recognition award to full Professor. A fantastic colleague at @ndorms & team member on @HipHelperTrial - incredibly well done Sally 🌟👏🌟👏🌟👏
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@TobyOSmith
Toby Smith
3 years
JUST OUT - a number of fantastic funded PhD studentship opportunities now out from @UEA_Health - search 'Norwich' on the link below to find out more. Deadline 28 Feb so 'get on it' & good luck!
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@TobyOSmith
Toby Smith
2 years
Congratulations @david_j_beard on your @NIHRresearch Senior Investigator award. Great stuff 👏 @ndorms @SITU_Oxford
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@TobyOSmith
Toby Smith
7 years
Thank you @theRCOT OT News for publicising our research on social isolation after hip & knee replacement. @UEA_Health
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@TobyOSmith
Toby Smith
8 years
Evidence supporting physiotherapy for low back pain (> 6 weeks/< 6 month history) over advice alone. Relief hey ☺
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@TobyOSmith
Toby Smith
9 years
Here's my slightly less professional #whywedoresearch @UEA_Health tweet. http://t.co/869P3vXp7b
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@TobyOSmith
Toby Smith
5 years
Another reason to assess multimorbidities with people with osteoarthritis - risk of cardiovascular excess deaths increases with duration of knee & hip osteoarthritis.
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@TobyOSmith
Toby Smith
2 years
The 2023 @NICEComms Hip Fracture Clinical Guidelines just released. No major changes for rehabilitation recommendations (on the surface) but updates for surgical management. Keep updated at:
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@TobyOSmith
Toby Smith
6 years
Very pleased to announce that the @OMERACT @OARSInews Core Domain Set for outcome measures used in clinical trials of people with hip &/or knee osteoarthritis has just been accepted with @jrheum - watch this space.
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@TobyOSmith
Toby Smith
1 year
Our Outcomes in Ankle Replacement study (OARS) results are now out in @BoneJointJ - thank you all patients, surgeons & the wider teams involved
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@TobyOSmith
Toby Smith
4 years
Highlight of today's homeschool was this amazing picture presented mid-meeting under the door a.k.a...'give me attention please as I'm stuck on my maths.'
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@TobyOSmith
Toby Smith
4 years
Summarised our musculoskeletal disease & COVID-19 survey results today to a colleague where we followed people over Lockdown 1.0 for 10 weeks. Amazing how resilient people are but how tough it was for people with bone, muscle & joint pain. Paper to be submitted imminently.
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@TobyOSmith
Toby Smith
10 years
Our paper in Clinical Anatomy looking at the anatomical existence of the Vastus Medialis Oblique. Thorny issue. http://t.co/aU3XDEuQNZ
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@TobyOSmith
Toby Smith
9 years
How to treat patellar dislocation. Our Cochrane review is out today @cochranecollab http://t.co/tF820TnHfU
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@TobyOSmith
Toby Smith
2 years
Post-doc Physiotherapist? Want to work with one of the best Clinical Trials Units in the world? This is the job for you!
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@TobyOSmith
Toby Smith
5 years
Ok...I'll admit it. I probably should be at #Physio19
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@TobyOSmith
Toby Smith
2 years
After a busy few days of writing, re-writing, editing, shaving & reviving the current 'work in progress' papers...I made a summer pud'
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@TobyOSmith
Toby Smith
5 years
Weekend reading in the sun. Theories of physical activity behaviour change. Nice introduction to what we know and don't with rehab implications.
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@TobyOSmith
Toby Smith
3 years
Great start to the week. Latest paper accepted by @BoneJointJ on @JointRegistry analysis of pain & functional trajectories during the first 5 years following THR & TKR. Great collaboration across @UEAResearch @ndorms & @BristolUni - will post link once available.
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@TobyOSmith
Toby Smith
4 years
Usual shirt & tie has gone out of the window during COVID. We have now got to a football shirt stage. Thinking of @LucasArrebola @PinfildiCE & my friends & colleagues from Brazil
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@TobyOSmith
Toby Smith
9 months
Congratulations @NNUH & @NHSLanarkshire - both opened to @RepportTrial this week. Super excited & looking forward to supporting the teams on this important patellar dislocation @NIHRresearch trial.
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@TobyOSmith
Toby Smith
5 years
This Christmas time I'm going to take food photos which resemble anatomical structures. Apologies in advance. #anatomyatchristmas
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@TobyOSmith
Toby Smith
3 years
Really pleased to be presenting news on @HipHelperTrial today to the Scottish National Hip Fracture event this afternoon. Look out for #scothip21 for updates
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@TobyOSmith
Toby Smith
6 years
Another paper suggesting supporting immediate weight-bearing after ORIF tibial plateau surgery. Evidence is massing for a consideration to change practice.
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@TobyOSmith
Toby Smith
6 years
From @kaymcrossley & Co - Reduced hip abductor muscle volume a feature of patellofemoral osteoarthritis. Great paper, lovely images. Thanks guys.
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@TobyOSmith
Toby Smith
9 years
I'm always looking for people to help with PhD applications...let's grow academic physiotherapy and physical activity in older people!
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@TobyOSmith
Toby Smith
1 year
Thanks for everyone's expertise, support & efforts during yesterday's @RepportTrial Intervention Consensus Day @WarwickCTU - great to see both familiar & new faces including @cathythomsonPT @clairepatella @ColinForde3 to mention but 3 for this @NIHRresearch trial.
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@TobyOSmith
Toby Smith
4 years
Thank you @DrPhilipBraude & team for your paper reporting Clinical Frailty Scale predicting 30-day mortality, inpatient delirium & care level at discharge in older people admitted to a major trauma centre. Good work 👏
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@TobyOSmith
Toby Smith
2 years
New sock day
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@TobyOSmith
Toby Smith
3 years
Massive new research call just out from @NIHRresearch on osteoarthritis management for older or frail people with multiple morbidities. Big call to help tackle a big problem.
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@TobyOSmith
Toby Smith
4 years
Remembering Bea
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@TobyOSmith
Toby Smith
5 years
Pre-surgical interventions to prevent chronic pain post-TKR: low to moderate-quality evidence suggesting neither preoperative exercise, education nor a combination of both is effective. New from the @BristolUni MSK group.
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@TobyOSmith
Toby Smith
5 years
Very pleased to say our recent systematic review on caregiver training intervention for older people discharged from hospital has been accepted by @AGSJournal - watch this space for more -
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@TobyOSmith
Toby Smith
5 years
It's out for consultation. @NICEComms draft guidance on hip, knee & shoulder replacement care now in the public domain.
@NICEComms
NICE
5 years
We’ve issued draft guidance for consultation on care before, during and after hip, knee or shoulder replacement. The guidance focuses on people having joint replacement surgery for the first time. Read the draft guidance, and find out how to comment, here:
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@TobyOSmith
Toby Smith
10 years
Well done Kelvin for managing to get a selfie on my phone whilst I was teaching! So do you know my phone's password? http://t.co/FPRm2Odoum
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@TobyOSmith
Toby Smith
5 years
Thank you orthopaedic patients of @NNUH today. You made me realise how powerful, inspiring & motivating physiotherapy can be. Great MDT working across elective & trauma services 👏. Honoured to work in @NNUHphysio
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@TobyOSmith
Toby Smith
7 years
Impact of osteoarthritis on multi-morbidities. At what point do we really push health promotion on these folk? NOW!
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@TobyOSmith
Toby Smith
6 years
Well done the #HipSprint2018 team on Hip Sprint dissemination today. Rehab should be dependent on need not postcode. Thank you @thecsp
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@TobyOSmith
Toby Smith
2 years
Today: Great first Investigator's Meeting for Meteor2 Trial (Meniscal Allograft Transplantation vs. Physio) with @AndyMetOrtho @TimSpaldingKnee & @WarwickCTU - very excited that this is starting!
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@TobyOSmith
Toby Smith
6 years
Honoured to be invited to present work on hip fracture & rehab post-arthroplasty at the Congress of Brazilian Physiotherapists in Trauma & Orthopaedics - plus great networking with @LucasArrebola @PinfildiCE & others
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@TobyOSmith
Toby Smith
2 years
Latest @CochraneLibrary surgery vs. non-surgical interventions for patellar dislocation systematic review accepted for publication today. Great work @AndyMetOrtho @GaukrogerAndrew @cb_hing & support from the fab @CochraneBJMT group. Watch out for news!
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