Fiona Moffatt, Melanie Narayanasamy, Ben Smith, Joanne Stocks, Katie Sheehan, Cath Sackley, Michelle Hall; “My bloody leg” – The lived experience of arthrofibrosis after total knee arthroplasty Physiotherapy,: Vol.130, 101862 (2026) doi-org.nottingham.idm.oclc.org/10.1016/j.physio.2025.101862
Fiona Moffatt, Melanie Narayanasamy, Ben Smith, Joanne Stocks, Katie Sheehan, Cath Sackley, Michelle Hall; “My bloody leg” – The lived experience of arthrofibrosis after total knee arthroplasty Physiotherapy,: Vol.130, 101862 (2026)
Michelle C Hall, Benjamin Smith, Katie J Sheehan, Stefanny Guerra, Bushra Abdunour, Melanie Narayanasamy, Joanne Stocks, Fiona Moffatt, Catherine Sackley Non-surgical interventions for arthrofibrosis following knee joint replacement: A systematic review Clinical Rehabilitation Vol 39 (5) 580-599 (2025) doi.org/10.1177/02692155251325624
Michelle C Hall, Benjamin Smith, Katie J Sheehan, Stefanny Guerra, Bushra Abdunour, Melanie Narayanasamy, Joanne Stocks, Fiona Moffatt, Catherine Sackley Non-surgical interventions for arthrofibrosis following knee joint replacement: A systematic review Clinical Rehabilitation Vol 39 (5) 580-599 (2025)
O’Sullivan, Oliver; Stocks, Joanne; Schofield, Susie; Bilzon, James; Boos, Christopher J; Bull, Anthony MJ; Fear, Nicola T; Watt, Fiona E; Bennett, Alexander N; Kluzek, Stefan; Association of serum biomarkers with radiographic knee osteoarthritis, knee pain and function in a young, male, trauma-exposed population–Findings from the ADVANCE study Osteoarthritis and Cartilage: Vol.32 (12), 1636-1646 (2024) DOI: 10.1016/j.joca.2024.07.016
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Objective: The ArmeD SerVices TrAuma RehabilitatioN OutComE (ADVANCE) study is investigating long-term combat-injury outcomes; this sub-study aims to understand the association of osteoarthritis (OA) biomarkers with knee radiographic OA (rOA), pain and function in this high-risk population for post-traumatic OA.
Design: ADVANCE compares combat-injured participants with age, rank, deployment and job-role frequency-matched uninjured participants. Post-injury immunoassay-measured serum biomarkers, knee radiographs, Knee Injury and Osteoarthritis Outcome Scale, and six-minute walk tests are reported. The primary analysis, adjusted for age, body mass, socioeconomic status, and ethnicity, was to determine any differences in biomarkers between those with/without combat injury, rOA and pain. Secondary analyses were performed to compare post-traumatic/idiopathic OA, painful/painfree rOA and injury patterns.
Results: A total of 1145 male participants were recruited, aged 34.1 ± 5.4, 8.9 ± 2.2 years post-injury (n = 579 trauma-exposed, of which, traumatic-amputation n = 161) or deployment (n = 566 matched). Cartilage oligomeric matrix protein (COMP) was significantly higher in the combat-injured group compared to uninjured (p = 0.01). Notably, COMP was significantly lower in the traumatic-amputation group compared to non-amputees (p < 0.001), decreasing relative to number of amputations (p < 0.001). Leptin was higher (p = 0.005) and adiponectin lower (p = 0.017) in those with v without knee pain, associated with an increased risk of 22% and 17% for pain, and 46% and 34% for painful rOA, respectively. There were no significant differences between trauma-exposed and unexposed participants with rOA.
Conclusions: The most notable findings of this large, unique study are the similarities between those with rOA regardless of trauma-exposure, the injury-pattern and traumatic-amputation-associated differences in COMP, and the relationship between adipokines and pain.
Keywords: ADVANCE; Pain; Post-traumatic osteoarthritis; Serum biomarkers; Trauma.
O’Sullivan, Oliver; Stocks, Joanne; Schofield, Susie; Bilzon, James; Boos, Christopher J; Bull, Anthony MJ; Fear, Nicola T; Watt, Fiona E; Bennett, Alexander N; Kluzek, Stefan; Association of serum biomarkers with radiographic knee osteoarthritis, knee pain and function in a young, male, trauma-exposed population–Findings from the ADVANCE study Osteoarthritis and Cartilage: Vol.32 (12), 1636-1646 (2024)
Murray, Rachael L; Coleman, Timothy; Antoniak, Marilyn; Stocks, Joanne; Fergus, Alexia; Britton, John; Lewis, Sarah A; The effect of proactively identifying smokers and offering smoking cessation support in primary care populations: a cluster‐randomized trial Addiction: Vol.103 (6), 998-1006 (2008) DOI: 10.1111/j.1360-0443.2008.02206.x
Aims: To establish whether proactively identifying all smokers in primary care populations and offering smoking cessation support is effective in increasing long-term abstinence from smoking.
Design: Cluster randomized controlled trial.
Setting: Twenty-four general practices in Nottinghamshire, randomized by practice to active or control intervention.
Participants: All adult patients registered with the practices who returned a questionnaire confirming that they were current smokers (n = 6856).
Intervention: Participants were offered smoking cessation support by letter and those interested in receiving it were contacted and referred into National Health Service (NHS) stop smoking services if required.
Measurements: Validated abstinence from smoking, use of smoking cessation services and number of quit attempts in continuing smokers at 6 months.
Findings: Smokers in the intervention group were more likely than controls to report that they had used local cessation services during the study period [16.6% and 8.9%, respectively, adjusted odds ratio (OR) 2.09, 95% confidence interval (CI) 1.57-2.78], and continuing smokers (in the intervention group) were more likely to have made a quit attempt in the last 6 months (37.4% and 33.3%, respectively, adjusted OR 1.23, 95% CI 1.01-1.51). Validated point prevalence abstinence from smoking at 6 months was higher in the intervention than the control groups (3.5% and 2.5%, respectively) but the difference was not statistically significant (adjusted OR controlling for covariates: 1.64, 95% CI 0.92-2.89).
Conclusions: Proactively identifying smokers who want to quit in primary care populations, and referring them to a cessation service, increased contacts with cessation services and the number of quit attempts. We were unable to detect a significant effect on long-term cessation rates, but the study was not powered to detect the kind of difference that might be expected.
Murray, Rachael L; Coleman, Timothy; Antoniak, Marilyn; Stocks, Joanne; Fergus, Alexia; Britton, John; Lewis, Sarah A; The effect of proactively identifying smokers and offering smoking cessation support in primary care populations: a cluster‐randomized trial Addiction: Vol.103 (6), 998-1006 (2008)
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