Writing

Publications

An edited book, four book chapters, 41 peer-reviewed journal articles, and 11 editorials and other articles.

Book · Editor

Expert Musculoskeletal and Orthopaedic Evidence

Howard A, Rix K, editors. Expert Medical Evidence series (series editors Rix K, Badenoch J).

Cambridge: Cambridge University Press. In press, expected December 2026.

Book chapters

PLRI and terrible triads
Howard A, Watts A
In: Grandizio LC, Hoyer RW, editors. Traumatic Elbow Instability: Evaluation and Management. Springer Nature; in press
Management of unstable arthroplasty
Monga P, Beath D, Howard A
In: Rhee J, Cobiella C, Lambert S, Selim A, editors. Shoulder Arthroplasty: A Concise Source for Orthopaedic Trainees. Springer Nature; in press
Humeral shaft fractures (transverse, oblique, butterfly, bifocal)
Howard A, Tosounidis T, Giannoudis PV
In: Giannoudis PV, editor. Fracture Reduction and Fixation Techniques: Upper Extremities. Switzerland: Springer Nature; 2018
How to read a medical report
Howard A
In: Rix K, editor. Expert Psychiatric Evidence. 2nd ed. Cambridge: Cambridge University Press

Peer-reviewed articles

41 articles, newest first

In press

Outcomes after hip fracture surgery in Brazil and the United Kingdom: a comparative cohort study

Burridge I, Amaral A, Pinheiro H, Souto É, Giordano V, Giannoudis P, Howard A

Rev Bras Ortop. In press

2026

Flexible intramedullary nailing in the treatment of paediatric forearm fractures: 15-years' experience at a level one trauma centre, comparison of implant retention versus removal and cost-effectiveness analysis

Ismayl G, Alabbas A, Howard A, Fishlock A, Sabouni MY

Injury. 2026;57(8):113432 · DOI 10.1016/j.injury.2026.113432

2025

Wire Tension in Circular External Fixation Frames

Burridge IS, Howard A, Harwood P, Benton AM, Merrell C, Culmer P, Bolton W, Stewart TD

Strategies Trauma Limb Reconstr. 2025;20(2):94-99 · DOI 10.5005/jp-journals-10080-1653

2024

Randomized feasibility study of an autologous protein solution versus corticosteroids injection for treating subacromial pain in the primary care setting - the SPiRIT trial

Woods A, Howard A, Peckham N, Rombach I, Saleh A, Achten J, Appelbe D, Thamattore P, Gwilym SE

Bone Jt Open. 2024;5(7):534-542 · DOI 10.1302/2633-1462.57.BJO-2023-0180.R1

Commonalities and differences in injured patient experiences of accessing and receiving quality injury care: a qualitative study in three sub-Saharan African countries

Kennedy C, Ignatowicz A, Odland ML, Abdul-Latif AM, Belli A, Howard A, Whitaker J, Chu KM, Ferreira K, Owolabi EO, Nyamathe S, Tabiri S, Ofori B, Pognaa Kunfah SM, Yakubu M, Bekele A, Alayande B, Nzasabimana P, Byiringiro JC, Davies J

BMJ Open. 2024;14(7):e082098 · DOI 10.1136/bmjopen-2023-082098

Core needs and diverse opportunity: A survey of academic clinical lecturers and the effects of the COVID-19 pandemic

Sadnicka A, Howard A, Hakim R, Luker J, Barratt J, Joury E

Future Healthc J. 2024;11(2):100140 · DOI 10.1016/j.fhj.2024.100140

SPiRIT study protocol (Shoulder Pain: Randomised trial of Injectable Treatments): a randomised feasibility and pilot study of autologous protein solution (APS) vs corticosteroids for treating subacromial shoulder pain

Howard A, Woods A, Rombach I, Achten J, Appelbe D, Athwal A, Jones E, Draper K, Gwilym S

Pilot Feasibility Stud. 2024;10(1):9 · DOI 10.1186/s40814-023-01425-9

Retrograde intramedullary nailing or locked plating for stabilisation of distal femoral fractures? A comparative study of 193 patients

Howard A, Myatt A, Hodgson H, Naeem H, Pepple S, Perumal A, Panteli M, Kanakaris N, Giannoudis PV

Eur J Orthop Surg Traumatol. 2024;34(1):471-478 · DOI 10.1007/s00590-023-03650-7

2023

Governance for injury care systems in Ghana, South Africa and Rwanda: development and pilot testing of an assessment tool

Odland ML, Abdul-Latif AM, Ignatowicz A, Bekele A, Chu K, Howard A, Tabiri S, Byiringiro JC, Davies J

BMJ Open. 2023;13(9):e074088 · DOI 10.1136/bmjopen-2023-074088

Training Traditional Bonesetters in Basic Principles of Fracture Treatment: A Proof of Concept in Ghana

Konadu-Yeboah D, Yempabe T, Bo-Ib Buunaaim AD, Konadu P, Owusu R, Arthur J, Osei FA, Nuertey B, Mensah NK, Odoom SF, Addo-Larbi W, Martin C, Buehler P, Addo R, Yankyera BO, Osei PK, Azaglo M, Okyere P, Mensah B, Misbahu Y, Hamdiyat A, Abrefi B, Akuoku D, Minta S, Pokuaa M, Imoro M, Dongyele M, Howard A, Harrison WJ

J Bone Joint Surg Am. 2023;105(24):1995-2001 · DOI 10.2106/JBJS.22.01304

Arterial Complications following Total Knee Arthroplasty (TKA): A Systematic Review and Proposal for Improved Monitoring

Hodgson H, Saghir N, Saghir R, Coughlin P, Scott D, Howard A

Malays Orthop J. 2023;17(1):80-89 · DOI 10.5704/MOJ.2303.010

Operative management of acetabular fractures in the elderly: a case series

Panteli M, Souroullas P, Gowda SR, Vun JSH, Howard AJ, Kanakaris NK, Giannoudis PV

Eur J Trauma Emerg Surg. 2023;49(2):1011-1021 · DOI 10.1007/s00068-022-02129-0

There is a great variety of orthopaedic conditions presenting to a large hospital in Sierra Leone: a 3-year prospective study

Howard A, Bolton W, Wood A, Hodgson H, Scott J, Jayne D, Bundu I

Eur J Orthop Surg Traumatol. 2023;33(3):581-585 · DOI 10.1007/s00590-022-03380-2

Blood loss and transfusion risk in intramedullary nailing for subtrochanteric fractures

Panteli M, Vun JSH, Ahmadi M, West RM, Howard AJ, Chloros G, Pountos I, Giannoudis PV

Transfus Med. 2023;33(1):49-60 · DOI 10.1111/tme.12904

Opportunities arising from the COVID-19: an international orthopaedic surgeons' perspective

Howard A, Robinson T, Lind A, Pepple S, COVID Ortho Group Collaborators, Chloros GD, Giannoudis PV

Eur J Orthop Surg Traumatol. 2023;33(5):1959-1964 · DOI 10.1007/s00590-022-03334-8

2022

Should Radiation Exposure be an Issue of Concern in Children With Multiple Trauma?

Howard A, West RM, Iball G, Panteli M, Bakshi MS, Pandit H, Giannoudis PV

Ann Surg. 2022;275(3):596-601 · DOI 10.1097/SLA.0000000000004204

Older adults are not more susceptible to acute muscle atrophy after immobilisation compared to younger adults: a systematic review

Hodgson H, Wilkinson M, Bowen S, Giannoudis P, Howard A

Eur J Trauma Emerg Surg. 2022;48(2):1167-1176 · DOI 10.1007/s00068-021-01694-0

Management of subtrochanteric femur fractures: is open reduction associated with poor outcomes?

Panteli M, Vun JSH, West RM, Howard AJ, Pountos I, Giannoudis PV

Eur J Trauma Emerg Surg. 2022;48(3):1759-1768 · DOI 10.1007/s00068-021-01834-6

Subtrochanteric femoral fractures and intramedullary nailing complications: a comparison of two implants

Panteli M, Vun JSH, West RM, Howard A, Pountos I, Giannoudis PV

J Orthop Traumatol. 2022;23(1):27 · DOI 10.1186/s10195-022-00645-8

Equitable access to quality trauma systems in low-income and middle-income countries: assessing gaps and developing priorities in Ghana, Rwanda and South Africa

Odland ML, Abdul-Latif AM, Ignatowicz A, Alayande B, Appia Ofori B, Balanikas E, Bekele A, Belli A, Chu K, Ferreira K, Howard A, Nzasabimana P, Owolabi EO, Nyamathe S, Pognaa Kunfah SM, Tabiri S, Yakubu M, Whitaker J, Byiringiro JC, Davies JI

BMJ Glob Health. 2022;7(4):e008256 · DOI 10.1136/bmjgh-2021-008256

Biological and molecular profile of fracture non-union tissue: A systematic review and an update on current insights

Panteli M, Vun JSH, Pountos I, Howard AJ, Jones E, Giannoudis PV

J Cell Mol Med. 2022;26(3):601-623 · DOI 10.1111/jcmm.17096

Barriers to Trauma Care in South and Central America: a systematic review

Kinder F, Mehmood S, Hodgson H, Giannoudis P, Howard A

Eur J Orthop Surg Traumatol. 2022;32(6):1163-1177 · DOI 10.1007/s00590-021-03080-3

Patient perspectives on elective orthopaedic surgery during the COVID-19 pandemic: a comparison between patients from different ethnic backgrounds

Hodgson H, Golmohamad R, Gulati A, Pandit H, Palan J, Giannoudis P, Howard A

Ann R Coll Surg Engl. 2022;104(5):346-352 · DOI 10.1308/rcsann.2021.0189

2021

Case report: Restoration of an open 12 cm femoral defect treated with the Masquelet technique in a 20-year-old polytrauma

Chloros GD, Howard A, Kanakaris NK, Giannoudis PV

Trauma Case Rep. 2021;36:100563 · DOI 10.1016/j.tcr.2021.100563

Development and Validation of a Post-Operative Non-Union Risk Score for Subtrochanteric Femur Fractures

Panteli M, Vun JSH, West RM, Howard AJ, Pountos I, Giannoudis PV

J Clin Med. 2021;10(23):5632 · DOI 10.3390/jcm10235632

Surgical Site Infection Following Intramedullary Nailing of Subtrochanteric Femoral Fractures

Panteli M, Vun JSH, West RM, Howard A, Pountos I, Giannoudis PV

J Clin Med. 2021;10(15):3331 · DOI 10.3390/jcm10153331

Scoring systems for early prediction of tibial fracture non-union: an update

Chloros GD, Kanakaris NK, Vun JSH, Howard A, Giannoudis PV

Int Orthop. 2021;45(8):2081-2091 · DOI 10.1007/s00264-021-05088-0

How to improve diversity in patient and public involvement

Golenya R, Chloros GD, Panteli M, Giannoudis PV, Howard A

Br J Hosp Med (Lond). 2021;82(6):1-8 · DOI 10.12968/hmed.2021.0176

The Patient's Perspective on Returning to Elective Surgery After COVID-19

Howard A, Hodgson H, Vun J, Panteli M, Palan J, Pandit H, Giannoudis PV

Ann Surg. 2021;273(2):e41-e43 · DOI 10.1097/SLA.0000000000004619

2020

'Hobson's choice': a qualitative study of consent in acute surgery

Howard A, Webster J, Quinton N, Giannoudis PV

BMJ Open. 2020;10(10):e037657 · DOI 10.1136/bmjopen-2020-037657

The Effect of an Abnormal BMI on Orthopaedic Trauma Patients: A Systematic Review and Meta-Analysis

Kinder F, Giannoudis PV, Boddice T, Howard A

J Clin Med. 2020;9(5):1302 · DOI 10.3390/jcm9051302

COVID-19: The First 30 Days at a UK Level 1 Trauma Centre and Lessons Learnt

Andrzejowski PA, Howard A, Vun JSH, Manzoor N, Patsiogiannis N, Kanakaris NK, Giannoudis PV

Cureus. 2020;12(11):e11547 · DOI 10.7759/cureus.11547

2019

Could no-fault compensation for medical errors improve care and reduce costs?

Howard A, McWilliams T, Hannant G, Saghir N, Giannoudis P, Scott J

Br J Hosp Med (Lond). 2019;80(7):387-390 · DOI 10.12968/hmed.2019.80.7.387

An Estimation of Lifetime Fatal Carcinogenesis Risk Attributable to Radiation Exposure in the First Year Following Polytrauma: A Major Trauma Center's Experience Over 10 Years

Howard A, West R, Iball G, Panteli M, Pandit H, Giannoudis PV

J Bone Joint Surg Am. 2019;101(15):1375-1380 · DOI 10.2106/JBJS.18.01334

A functional Magnetic Resonance Imaging study of patients with Polar Type II/III complex shoulder instability

Howard A, Powell JL, Gibson J, Hawkes D, Kemp GJ, Frostick SP

Sci Rep. 2019;9(1):6271 · DOI 10.1038/s41598-019-42754-1

Patterns of muscle coordination during dynamic glenohumeral joint elevation: An EMG study

Hawkes DH, Khaiyat OA, Howard AJ, Kemp GJ, Frostick SP

PLoS One. 2019;14(2):e0211800 · DOI 10.1371/journal.pone.0211800

2018

Are multidisciplinary teams a legal shield or just a clinical comfort blanket?

Howard A, Zhong J, Scott J

Br J Hosp Med (Lond). 2018;79(4):218-220 · DOI 10.12968/hmed.2018.79.4.218

2014

Muscle strength and its relationship with skeletal muscle mass indices as determined by segmental bio-impedance analysis

Alizadehkhaiyat O, Hawkes DH, Kemp GJ, Howard A, Frostick SP

Eur J Appl Physiol. 2014;114(1):177-185 · DOI 10.1007/s00421-013-2764-y

2012

Acute carpal tunnel syndrome in a patient with haemophilia

Mayne AI, Howard A, Kent M, Banks J

BMJ Case Rep. 2012;2012:bcr0320126152 · DOI 10.1136/bcr-03-2012-6152

2010

Rapidly progressive polyneuropathy due to dry beriberi in a man: a case report

Howard AJ, Kulkarni O, Lekwuwa G, Emsley HC

J Med Case Rep. 2010;4:409 · DOI 10.1186/1752-1947-4-409

2009

Hemi resurfacing of the humeral head for an osteochondral lesion affecting the entire head surface

Howard A, Smith M, Hughes P, Bale S

Acta Orthop Belg. 2009;75(4):546-548

Editorials and other articles

Editorials, and articles in professional and student publications.

The challenges of managing direct oral anticoagulants and acute hip fracture surgery: a UK survey

Golenya R, Howard A, Giannoudis P, Freeman N

Bull R Coll Surg Engl. 2024;106(4):220-227 · DOI 10.1308/rcsbull.2024.74

Duty of candour: encouraging a culture of openness and honesty

Naeem H, Demoulin EJ, Allen J, Andronic A, Howard A

Editorial · Br J Hosp Med (Lond). 2023;84(11):1-4 · DOI 10.12968/hmed.2023.0254

Fracture non-union; what are the current perceived challenges among clinicians?

Hodgson H, Giannoudis PV, Howard A

Editorial · Injury. 2022;53(12):3865-3866 · DOI 10.1016/j.injury.2022.10.029

Radiographic Long Bone Fracture Healing Scores: Can they predict non-union?

Chloros GD, Howard A, Giordano V, Giannoudis PV

Editorial · Injury. 2020;51(8):1693-1695 · DOI 10.1016/j.injury.2020.07.024

Turning Adversity and Deprivation into Improvements in Medicine - The COVID Opportunity

Howard A, Kanakaris NK, Giannoudis PV

Editorial · Injury. 2020;51(4):785-786 · DOI 10.1016/j.injury.2020.04.001

Lessons identified in delivering an orthopaedic training course in Freetown, Sierra Leone as part of the NIHR Global Health Research Group FIXT trial

Bolton WS, Howard AJ, Santos ACW, Chippendale TJ, Bundu I, Jayne DG, Wood AM

J R Nav Med Serv. 2019;105(3):161-166 · DOI 10.1136/jrnms-105-161

Does the professional know their supracondylar from their gluteus maximus?

Myatt A, Cheadle C, Hannant G, Samir A, Howard A

Bull R Coll Surg Engl. 2019;101(7):286-289 · DOI 10.1308/rcsbull.2019.286

Does the word 'quiet' really make things busier?

Lamb JN, Howard AJ, Marciniak J, Shenolikar A

Bull R Coll Surg Engl. 2017;99(4):133-136 · DOI 10.1308/rcsbull.2017.133