Toby Smith
@tobysmith.bsky.social
Professor of Clinical Trials & Academic Physiotherapist: University of Warwick.
Interested in improving care of people with bone, joint & muscle diseases, whilst developing better ways to do research. View my own.
Interested in improving care of people with bone, joint & muscle diseases, whilst developing better ways to do research. View my own.
Reposted by Toby Smith
"The greatest flaw in clinical medicine might be our desire to banish uncertainty."
In this Editor's Choice, @kamranabbasi.bsky.social reflects on the tyranny of clinical fear
www.bmj.com/content/392/...
In this Editor's Choice, @kamranabbasi.bsky.social reflects on the tyranny of clinical fear
www.bmj.com/content/392/...
February 5, 2026 at 5:14 PM
"The greatest flaw in clinical medicine might be our desire to banish uncertainty."
In this Editor's Choice, @kamranabbasi.bsky.social reflects on the tyranny of clinical fear
www.bmj.com/content/392/...
In this Editor's Choice, @kamranabbasi.bsky.social reflects on the tyranny of clinical fear
www.bmj.com/content/392/...
Reposted by Toby Smith
Outcomes after reoperated medial unicompartmental knee arthroplasties compared with primary total and primary unicompartmental knee arthroplasties: a cohort study based on local Danish databases
Christian Bredgaard Jensen et al.
doi.org/10.2340/1745...
#Arthroplasty #Knee
Christian Bredgaard Jensen et al.
doi.org/10.2340/1745...
#Arthroplasty #Knee
February 3, 2026 at 10:29 PM
Outcomes after reoperated medial unicompartmental knee arthroplasties compared with primary total and primary unicompartmental knee arthroplasties: a cohort study based on local Danish databases
Christian Bredgaard Jensen et al.
doi.org/10.2340/1745...
#Arthroplasty #Knee
Christian Bredgaard Jensen et al.
doi.org/10.2340/1745...
#Arthroplasty #Knee
Reassuring predictable results that kinesiophobia following Bankart repair associated with poorer functional outcomes & return to sport by 12 months. link.springer.com/article/10.1...
The impact of kinesiophobia on rehabilitation and return to sport following arthroscopic Bankart repair for glenohumeral instability: a minimum 1-year follow-up - BMC Musculoskeletal Disorders
Background Anterior glenohumeral instability is a common issue, particularly among young and active individuals. Arthroscopic Bankart repair is an effective surgical method for achieving long-term sho...
link.springer.com
February 1, 2026 at 10:32 AM
Reassuring predictable results that kinesiophobia following Bankart repair associated with poorer functional outcomes & return to sport by 12 months. link.springer.com/article/10.1...
New systematic review on surgical approach for hip arthroplasty & gait/functional outcomes. link.springer.com/article/10.1...
Gait and function after total hip arthroplasty: a systematic review and meta-analysis of the Hardinge versus posterolateral approaches - BMC Musculoskeletal Disorders
BMC Musculoskeletal Disorders - This systematic review and meta-analysis aimed to compare postoperative gait and functional outcomes between the Hardinge approach (HA) and the posterolateral...
link.springer.com
February 1, 2026 at 10:29 AM
New systematic review on surgical approach for hip arthroplasty & gait/functional outcomes. link.springer.com/article/10.1...
Reposted by Toby Smith
This month in #OAC Hyodo et al. assessed the effects of imeglimin, a novel anti-diabetic agent related to metformin, on the development and progression of knee #OA.
Read more 📚: sciencedirect.com/science/arti...
Read more 📚: sciencedirect.com/science/arti...
January 30, 2026 at 4:50 PM
This month in #OAC Hyodo et al. assessed the effects of imeglimin, a novel anti-diabetic agent related to metformin, on the development and progression of knee #OA.
Read more 📚: sciencedirect.com/science/arti...
Read more 📚: sciencedirect.com/science/arti...
Reposted by Toby Smith
Narrative review updates an ongoing review of visual analog/numeric scale scores and clinical measures in patients with RA and OA over 45 years, 1979-2024. Updated data showed median swollen joint counts declined 1989-2022 in RA patients, whereas median pain VNS scores remained similar
Similar Pain Scores in Rheumatoid Arthritis and Osteoarthritis Over 45 Years Despite Dramatically Fewer Swollen Joints in Rheumatoid Arthritis: Are Scores Based as Much on Pain Sensitization and Patient Distress as on Inflammation and/or Structural Damage?
This narrative review presents five observations concerning 0 to 10 pain Visual Analog Scale (VAS)/Visual Numeric Scale (VNS) scores in routine care patients with primary diagnoses of rheumatoid arth...
doi.org
January 29, 2026 at 1:51 PM
Narrative review updates an ongoing review of visual analog/numeric scale scores and clinical measures in patients with RA and OA over 45 years, 1979-2024. Updated data showed median swollen joint counts declined 1989-2022 in RA patients, whereas median pain VNS scores remained similar
Reposted by Toby Smith
📣 Are you a researcher? Interested in #PPIE?
👀 Watch the NIHR PPI webinar: How to develop a PPI group
🗓️ 18 Feb, 10.30am
Find out about the Bristol-based PPI group, working as part of the #HeartSurgery #prehabilitation research team
👉 Register: bit.ly/4t31evY
👀 Watch the NIHR PPI webinar: How to develop a PPI group
🗓️ 18 Feb, 10.30am
Find out about the Bristol-based PPI group, working as part of the #HeartSurgery #prehabilitation research team
👉 Register: bit.ly/4t31evY
Welcome! You are invited to join a webinar: NIHR Webinar Series - 11 - How to Develop a PPI Group. After registering, you will receive a confirmation email about joining the webinar.
What is the webinar series about?
Patient and public involvement is a prerequisite for all research funded by NIHR. It can enhance the relevance and quality of research and help build trust in the res...
bit.ly
January 27, 2026 at 11:43 AM
📣 Are you a researcher? Interested in #PPIE?
👀 Watch the NIHR PPI webinar: How to develop a PPI group
🗓️ 18 Feb, 10.30am
Find out about the Bristol-based PPI group, working as part of the #HeartSurgery #prehabilitation research team
👉 Register: bit.ly/4t31evY
👀 Watch the NIHR PPI webinar: How to develop a PPI group
🗓️ 18 Feb, 10.30am
Find out about the Bristol-based PPI group, working as part of the #HeartSurgery #prehabilitation research team
👉 Register: bit.ly/4t31evY
Well done @nnuh.bsky.social Orthopaedic & Physiotherapy teams for being the @nihr.bsky.social REPPORT trial top recruiter. Well done them & all hospitals involved in this @uni-of-warwick.bsky.social CTU trial. NNUH Press release - www.nnuh.nhs.uk/press-releas...
Norfolk and Norwich University Hospitals NHS Foundation Trust » NNUH top recruiter for study into repeated kneecap dislocations
www.nnuh.nhs.uk
January 25, 2026 at 9:36 AM
Well done @nnuh.bsky.social Orthopaedic & Physiotherapy teams for being the @nihr.bsky.social REPPORT trial top recruiter. Well done them & all hospitals involved in this @uni-of-warwick.bsky.social CTU trial. NNUH Press release - www.nnuh.nhs.uk/press-releas...
Interesting qualitative investigation exploring patient's willingness to enrol on a RCT of arthroscopic partial meniscectomy (APM) vs. enhanced conservative care when they had already failed conservative care. One to bookmark 🙂 link.springer.com/article/10.1...
Will patients with meniscal tear who continue to experience pain following a course of Physical Therapy (PT) enroll in a trial comparing further nonoperative therapy with surgery? a qualitative study ...
BMC Musculoskeletal Disorders - We aimed to conduct a qualitative prospective preference assessment (PPA) to assess participants’ willingness to enroll in a planned randomized controlled...
link.springer.com
January 24, 2026 at 9:50 AM
Interesting qualitative investigation exploring patient's willingness to enrol on a RCT of arthroscopic partial meniscectomy (APM) vs. enhanced conservative care when they had already failed conservative care. One to bookmark 🙂 link.springer.com/article/10.1...
Reposted by Toby Smith
The risk of revision using tourniquet or not in primary total knee replacement: an observational study from the Swedish Knee Arthroplasty Register
Annette W-Dahl, Johan Kärrholm, Perna Ighani Arani, Ola Rolfson
doi.org/10.2340/1745...
#Arthroplasty #Knee #Osteoarthrosis
Annette W-Dahl, Johan Kärrholm, Perna Ighani Arani, Ola Rolfson
doi.org/10.2340/1745...
#Arthroplasty #Knee #Osteoarthrosis
January 23, 2026 at 4:36 PM
The risk of revision using tourniquet or not in primary total knee replacement: an observational study from the Swedish Knee Arthroplasty Register
Annette W-Dahl, Johan Kärrholm, Perna Ighani Arani, Ola Rolfson
doi.org/10.2340/1745...
#Arthroplasty #Knee #Osteoarthrosis
Annette W-Dahl, Johan Kärrholm, Perna Ighani Arani, Ola Rolfson
doi.org/10.2340/1745...
#Arthroplasty #Knee #Osteoarthrosis
Reposted by Toby Smith
🗞️Read more here: www.ndorms.ox.ac.uk/news/ndorms-...
@ndorms.bsky.social @ox.ac.uk @ndcnoxford.bsky.social
@ndorms.bsky.social @ox.ac.uk @ndcnoxford.bsky.social
NDORMS and NDCN collaborate with Oxford University Hospitals to form the Kadoorie Institute for Trauma, Emergency and Critical Care
Oxford Trauma and Emergency Care at Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS), along with the Critical Care Research Team at Nuffield Department of Clinic...
www.ndorms.ox.ac.uk
January 23, 2026 at 11:13 AM
Trial protocol to look out for assessing an integrating psychological physio intervention on post-operative rehab outcomes after Latarjet shoulder stabilisation vs. conventional physical therapy alone bmjopen.bmj.com/content/16/1...
Multifactorial approach training for anterior shoulder instability after a Latarjet procedure: protocol for a randomised controlled trial
Introduction The Latarjet procedure is the mainstay treatment in high-demand patients with substantial glenoid bone loss or after failed capsulolabral repairs. Patients typically return to sport (RTS)...
bmjopen.bmj.com
January 21, 2026 at 10:26 PM
Trial protocol to look out for assessing an integrating psychological physio intervention on post-operative rehab outcomes after Latarjet shoulder stabilisation vs. conventional physical therapy alone bmjopen.bmj.com/content/16/1...
Reposted by Toby Smith
Great work from the SCIENCE study team! 👏
Results: science.digitrial.com/results
Full paper: www.thelancet.com/journals/lan...
@oxtraumaresearch.bsky.social
Results: science.digitrial.com/results
Full paper: www.thelancet.com/journals/lan...
@oxtraumaresearch.bsky.social
Surgery for a common elbow fracture in children offers no clinical benefit compared to non-surgical care, researchers @ndorms.bsky.social @liverpooluni.bsky.social have found. The findings could have big implications for treatment and cost savings for the NHS oxfordbrc.nihr.ac.uk/surgery-unne...
Surgery unnecessary for elbow fractures in children, new study finds | NIHR Oxford Biomedical Research Centre
oxfordbrc.nihr.ac.uk
January 21, 2026 at 9:45 AM
Great work from the SCIENCE study team! 👏
Results: science.digitrial.com/results
Full paper: www.thelancet.com/journals/lan...
@oxtraumaresearch.bsky.social
Results: science.digitrial.com/results
Full paper: www.thelancet.com/journals/lan...
@oxtraumaresearch.bsky.social
Reposted by Toby Smith
Are you an NIHR Predoctoral Award holder with a background in social care? Or have you supervised an award holder who does?
If so please can you get in touch? I have a potential applicant with a domicillary care / support work background who is looking for potential supervisors.
@nihr.bsky.social
If so please can you get in touch? I have a potential applicant with a domicillary care / support work background who is looking for potential supervisors.
@nihr.bsky.social
January 19, 2026 at 12:32 PM
Are you an NIHR Predoctoral Award holder with a background in social care? Or have you supervised an award holder who does?
If so please can you get in touch? I have a potential applicant with a domicillary care / support work background who is looking for potential supervisors.
@nihr.bsky.social
If so please can you get in touch? I have a potential applicant with a domicillary care / support work background who is looking for potential supervisors.
@nihr.bsky.social
Reposted by Toby Smith
‘Identifying Social Factors that Stratify Health Opportunities and Outcomes (ISSHOOs) in Pain Research’: Explanation and elaboration to support the standardised reporting of equity-relevant data - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...
‘Identifying Social Factors that Stratify Health Opportunities and Outcomes (ISSHOOs) in Pain Research’: Explanation and elaboration to support the standardised reporting of equity-relevant data
The ‘ISSHOOs (Identifying Social factors that Stratify Health Opportunities and Outcomes)
in pain research’ project endeavoured to address the paucity and inconsistency of
equity-relevant, socio-demog...
www.jclinepi.com
January 19, 2026 at 7:48 PM
‘Identifying Social Factors that Stratify Health Opportunities and Outcomes (ISSHOOs) in Pain Research’: Explanation and elaboration to support the standardised reporting of equity-relevant data - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...
Reposted by Toby Smith
Evaluation of tools used to assess adherence to PRISMA 2020 reveals inconsistent methods and poor tool implementability: part I of a systematic review - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...
Evaluation of tools used to assess adherence to PRISMA 2020 reveals inconsistent methods and poor tool implementability: part I of a systematic review
Numerous studies have assessed the adherence of published systematic reviews to the
PRISMA 2020 statement. We aimed to summarise the characteristics and methods of development
of the tools used to ass...
www.jclinepi.com
January 19, 2026 at 7:50 PM
Evaluation of tools used to assess adherence to PRISMA 2020 reveals inconsistent methods and poor tool implementability: part I of a systematic review - Journal of Clinical Epidemiology www.jclinepi.com/article/S089...
New review of patient-reported outcome measures in clinical trials in hip fracture - 28 different PROMs were from 189 trials link.springer.com/article/10.1...
What patient reported outcome measures are used in clinical trials in hip fracture? A systematic mapping review - BMC Musculoskeletal Disorders
Background Patient-reported outcome measures (PROMs) are increasingly used to assess treatment effectiveness in various domains from the patients’ perspective. This systematic review aimed to identify...
link.springer.com
January 16, 2026 at 10:19 AM
New review of patient-reported outcome measures in clinical trials in hip fracture - 28 different PROMs were from 189 trials link.springer.com/article/10.1...
Nice literature review on the state of play in Total Ankle Replacement surgery - with extra lovely 'tabloid title' of "early failures to fourth-generation innovations" 😀 link.springer.com/article/10.1...
Five decades of total ankle replacement: from early failures to fourth-generation innovations and future priorities - European Journal of Orthopaedic Surgery & Traumatology
Background Total ankle replacement (TAR) has evolved considerably over the past five decades as an alternative to arthrodesis for the management of end-stage ankle osteoarthritis. While early TAR desi...
link.springer.com
January 15, 2026 at 10:12 PM
Nice literature review on the state of play in Total Ankle Replacement surgery - with extra lovely 'tabloid title' of "early failures to fourth-generation innovations" 😀 link.springer.com/article/10.1...
Reposted by Toby Smith
Some reflections on research trials in rehabilitation....
doi.org/10.1177/0269...
doi.org/10.1177/0269...
Randomised controlled trials (RCTs) in rehabilitation: Looking backwards, looking forwards - Avril Drummond, 2026
doi.org
January 15, 2026 at 9:33 PM
Some reflections on research trials in rehabilitation....
doi.org/10.1177/0269...
doi.org/10.1177/0269...
IMPORTANT new paper published today by @streweek.bsky.social & colleagues: the INCLUDE socioeconomic disadvantage framework to help make the design of trials more inclusive of people experiencing socioeconomic disadvantage link.springer.com/article/10.1...
Client Challenge
link.springer.com
January 14, 2026 at 10:59 PM
IMPORTANT new paper published today by @streweek.bsky.social & colleagues: the INCLUDE socioeconomic disadvantage framework to help make the design of trials more inclusive of people experiencing socioeconomic disadvantage link.springer.com/article/10.1...
Caught up with the fab @nnuh.bsky.social physiotherapy team today who are running our @nihr.bsky.social GRRAND trial on rehab following head & neck cancer surgery. Super team, doing super stuff & great to see this being offered in Norfolk 👏🏻
January 14, 2026 at 10:43 PM
Caught up with the fab @nnuh.bsky.social physiotherapy team today who are running our @nihr.bsky.social GRRAND trial on rehab following head & neck cancer surgery. Super team, doing super stuff & great to see this being offered in Norfolk 👏🏻
Reposted by Toby Smith
🌟New to on-site monitoring for academic clinical trials?🌟
Check out our website for tips, insights & training developed by experienced monitors in Registered CTUs: tinyurl.com/58t2fh8u
💬 What advice do you wish you’d had starting out?
#UKCTUNetwork #TrialMonitoring #ClinicalTrials
Check out our website for tips, insights & training developed by experienced monitors in Registered CTUs: tinyurl.com/58t2fh8u
💬 What advice do you wish you’d had starting out?
#UKCTUNetwork #TrialMonitoring #ClinicalTrials
January 14, 2026 at 10:36 AM
🌟New to on-site monitoring for academic clinical trials?🌟
Check out our website for tips, insights & training developed by experienced monitors in Registered CTUs: tinyurl.com/58t2fh8u
💬 What advice do you wish you’d had starting out?
#UKCTUNetwork #TrialMonitoring #ClinicalTrials
Check out our website for tips, insights & training developed by experienced monitors in Registered CTUs: tinyurl.com/58t2fh8u
💬 What advice do you wish you’d had starting out?
#UKCTUNetwork #TrialMonitoring #ClinicalTrials
Super @britorthopaedic.bsky.social BASK Trainee Collaborative paper. Of >36,000 isolated knee chondral lesions, most treated with chondroplasty & microfracture BUT currently major variation in AMIC, OATS, ACI & injection usage = NICE guideline adoption varied. www.thekneejournal.com/article/S096...
The management of cartilage defects of the knee and injection therapy – A collaborative and retrospective study
Knee cartilage defects are common and often encountered during arthroscopy, with an
incidence of 60–66%. The aim of this study was to determine current strategies in
the surgical and non-surgical mana...
www.thekneejournal.com
January 13, 2026 at 11:37 PM
Super @britorthopaedic.bsky.social BASK Trainee Collaborative paper. Of >36,000 isolated knee chondral lesions, most treated with chondroplasty & microfracture BUT currently major variation in AMIC, OATS, ACI & injection usage = NICE guideline adoption varied. www.thekneejournal.com/article/S096...
Reposted by Toby Smith
Craig Jones, Chief Executive of the Royal Osteoporosis Society, said: “We welcome NICE’s recommendation to add vertebral fracture assessment to routine bone scans."
January 13, 2026 at 10:44 AM
Craig Jones, Chief Executive of the Royal Osteoporosis Society, said: “We welcome NICE’s recommendation to add vertebral fracture assessment to routine bone scans."
Reposted by Toby Smith
✨Join my research team ✨
Exciting opportunity for Research Associate (Research Ethics & Law) to join new Wellcome-funded Addressing consent-based challenges to improve inclusivity in research (ACCORD)
Full-time G6
Fixed term 8 yrs
From 1 March
Closes 10 Feb
krb-sjobs.brassring.com/TGnewUI/Sear...
Exciting opportunity for Research Associate (Research Ethics & Law) to join new Wellcome-funded Addressing consent-based challenges to improve inclusivity in research (ACCORD)
Full-time G6
Fixed term 8 yrs
From 1 March
Closes 10 Feb
krb-sjobs.brassring.com/TGnewUI/Sear...
January 13, 2026 at 2:40 PM
✨Join my research team ✨
Exciting opportunity for Research Associate (Research Ethics & Law) to join new Wellcome-funded Addressing consent-based challenges to improve inclusivity in research (ACCORD)
Full-time G6
Fixed term 8 yrs
From 1 March
Closes 10 Feb
krb-sjobs.brassring.com/TGnewUI/Sear...
Exciting opportunity for Research Associate (Research Ethics & Law) to join new Wellcome-funded Addressing consent-based challenges to improve inclusivity in research (ACCORD)
Full-time G6
Fixed term 8 yrs
From 1 March
Closes 10 Feb
krb-sjobs.brassring.com/TGnewUI/Sear...