Pub Date : 2015-08-01DOI: 10.1302/2048-0105.44.360365
M. Foy
Traditionally, many consultant orthopaedic surgeons have retired from clinical practice and supplemented their pensions in retirement by continuing their medico-legal practice. The longevity of this custom has varied enormously from surgeon to surgeon. There has been no clear monitoring of the situation after retirement in terms of currency or quality of work, other than the fact that if solicitors/insurers continued to issue instructions to the individual then it was presumed that the quality and content of the reports and expert opinion provided were fit for purpose. Then along came revalidation in 2012. I discussed some of the prevalent issues on the subject in an article published in this journal a year ago.1 This brief article should be seen as an update and considered together with the earlier piece. It has been difficult to get a clear position statement from the GMC on this matter, but my understanding remains that if an orthopaedic surgeon is interviewing and examining patients (claimants), he/she is required to maintain GMC registration and hold a licence to practice. In order to do this, the surgeon needs to undergo annual appraisal and revalidate every five years in exactly the same way as they would be required to do when in active (NHS or private) practice. The MDU2 appears quite clear on this, …
{"title":"Revalidation and medico-legal practice after retirement","authors":"M. Foy","doi":"10.1302/2048-0105.44.360365","DOIUrl":"https://doi.org/10.1302/2048-0105.44.360365","url":null,"abstract":"Traditionally, many consultant orthopaedic surgeons have retired from clinical practice and supplemented their pensions in retirement by continuing their medico-legal practice. The longevity of this custom has varied enormously from surgeon to surgeon. There has been no clear monitoring of the situation after retirement in terms of currency or quality of work, other than the fact that if solicitors/insurers continued to issue instructions to the individual then it was presumed that the quality and content of the reports and expert opinion provided were fit for purpose.\u0000\u0000Then along came revalidation in 2012. I discussed some of the prevalent issues on the subject in an article published in this journal a year ago.1 This brief article should be seen as an update and considered together with the earlier piece.\u0000\u0000It has been difficult to get a clear position statement from the GMC on this matter, but my understanding remains that if an orthopaedic surgeon is interviewing and examining patients (claimants), he/she is required to maintain GMC registration and hold a licence to practice. In order to do this, the surgeon needs to undergo annual appraisal and revalidate every five years in exactly the same way as they would be required to do when in active (NHS or private) practice. The MDU2 appears quite clear on this, …","PeriodicalId":50250,"journal":{"name":"Journal of Bone and Joint Surgery","volume":"28 1","pages":"37-38"},"PeriodicalIF":0.0,"publicationDate":"2015-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81343094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-06-01DOI: 10.1302/2048-0105.43.360334
B. Ollivere
As more and more of Europe moves towards multiparty politics, it is becoming increasingly common for coalition governments to decide healthcare policy. The results of the UK election will be known when this editorial is in print – but will it really make a difference to those practicing orthopaedic surgeons in the UK? It is somewhat ironic that the US healthcare economy is being pushed further towards an affordability model (with, amongst other initiatives, ‘Obamacare’ and reforms to insurance) whilst the NHS is being pushed ever so slowly towards a ‘free market’ approach – potentially repeating the mistakes of our American cousins. There can never be such a thing as ‘market forces’ in state-funded healthcare. The …
{"title":"Democracy, healthcare and the modern era","authors":"B. Ollivere","doi":"10.1302/2048-0105.43.360334","DOIUrl":"https://doi.org/10.1302/2048-0105.43.360334","url":null,"abstract":"As more and more of Europe moves towards multiparty politics, it is becoming increasingly common for coalition governments to decide healthcare policy. The results of the UK election will be known when this editorial is in print – but will it really make a difference to those practicing orthopaedic surgeons in the UK?\u0000\u0000It is somewhat ironic that the US healthcare economy is being pushed further towards an affordability model (with, amongst other initiatives, ‘Obamacare’ and reforms to insurance) whilst the NHS is being pushed ever so slowly towards a ‘free market’ approach – potentially repeating the mistakes of our American cousins.\u0000\u0000There can never be such a thing as ‘market forces’ in state-funded healthcare. The …","PeriodicalId":50250,"journal":{"name":"Journal of Bone and Joint Surgery","volume":"98 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85767655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-06-01DOI: 10.1302/2048-0105.43.360346
Philip J York, C. Mauffrey
Amid the lights and sounds of the Vegas Strip, this year’s American Academy of Orthopaedic Surgeons (AAOS) meeting provided an energy-filled opportunity to gather and share the latest techniques, research and exciting technologies in orthopaedic surgery. For most, the days started with a cup of coffee in hand, heading to CME lectures or specialty-specific paper presentations which were then defended during collegial question-and-answer sessions, leading into the lunch hour with countless gourmet restaurants within sight of the convention hall. And of course, after the afternoon sessions there was the opportunity to reunite over dinner and drinks with old colleagues and previous co-residents. The occasional walk through the technological expo revealed a hall packed with the latest and greatest implants and techniques from some familiar names, and some new startup companies hoping to pique some interest. A clear highlight of the week was the changing of the guards as previous Academy president Dr Frederick M. Azar handed over the …
{"title":"AAOS Meeting Roundup","authors":"Philip J York, C. Mauffrey","doi":"10.1302/2048-0105.43.360346","DOIUrl":"https://doi.org/10.1302/2048-0105.43.360346","url":null,"abstract":"Amid the lights and sounds of the Vegas Strip, this year’s American Academy of Orthopaedic Surgeons (AAOS) meeting provided an energy-filled opportunity to gather and share the latest techniques, research and exciting technologies in orthopaedic surgery. For most, the days started with a cup of coffee in hand, heading to CME lectures or specialty-specific paper presentations which were then defended during collegial question-and-answer sessions, leading into the lunch hour with countless gourmet restaurants within sight of the convention hall. And of course, after the afternoon sessions there was the opportunity to reunite over dinner and drinks with old colleagues and previous co-residents. The occasional walk through the technological expo revealed a hall packed with the latest and greatest implants and techniques from some familiar names, and some new startup companies hoping to pique some interest.\u0000\u0000A clear highlight of the week was the changing of the guards as previous Academy president Dr Frederick M. Azar handed over the …","PeriodicalId":50250,"journal":{"name":"Journal of Bone and Joint Surgery","volume":"37 1","pages":"31-32"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82645026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-06-01DOI: 10.1302/2048-0105.43.360355
O. Sahota
Clinical studies evaluating the effects of vitamin D alone or in combination with calcium on physical function, falls and fractures have been inconsistent. Vitamin D has, however, been the focus of much orthopaedic, trauma and endocrine research. Playing a central role in muscle and bone metabolism, some studies on Vitamin D therapies offer the tantalising suggestion of a reduction in falls and fractures simply with vitamin D supplementation. We review the background and evidence behind vitamin D.
{"title":"Vitamin D: effects on muscle function, falls and fractures","authors":"O. Sahota","doi":"10.1302/2048-0105.43.360355","DOIUrl":"https://doi.org/10.1302/2048-0105.43.360355","url":null,"abstract":"Clinical studies evaluating the effects of vitamin D alone or in combination with calcium on physical function, falls and fractures have been inconsistent. Vitamin D has, however, been the focus of much orthopaedic, trauma and endocrine research. Playing a central role in muscle and bone metabolism, some studies on Vitamin D therapies offer the tantalising suggestion of a reduction in falls and fractures simply with vitamin D supplementation. We review the background and evidence behind vitamin D.","PeriodicalId":50250,"journal":{"name":"Journal of Bone and Joint Surgery","volume":"18 1","pages":"2-6"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72736681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-06-01DOI: 10.1302/2048-0105.43.360349
A. Clarke
When scaphoid fractures are missed, the consequences for patient and clinician may be considerable. This may be as a consequence of nonunion and if so, reconstructive surgical fixation often with bone grafting may be required. Other longer-term implications such as post-traumatic osteoarthritis (often referred to as scaphoid nonunion advanced collapse - SNAC wrist) may necessitate salvage surgery such as partial or total wrist fusion. In either of these circumstances the cost to the individual for their employment and to the wider health economy will be keenly felt. This article is intended to bring together some of the recent relevant literature on the missed scaphoid fracture and to present a current medico-legal case which illustrates the importance of repeated examination, good records and keeping the possibility of a scaphoid fracture in mind. Wrist pain after injury is very common. The fall onto the outstretched hand is the most typical method of injury, but a direct blow to the hand, such as from a football, may provide sufficient force to fracture the scaphoid. All medical staff in contact with such patients, whether in Minor Injury Units (MIUs), Emergency Departments (EDs), GP surgeries or other primary care providers, need to have high clinical suspicion and must maintain good examination records. The key examination points of the painful wrist should document anatomical snuffbox tenderness (ASB), longitudinal compression of the thumb (LTC), scaphoid tubercle tenderness (STT) and painful ulnar deviation of the wrist (PUD).1 Each of these …
{"title":"The scaphoid fracture","authors":"A. Clarke","doi":"10.1302/2048-0105.43.360349","DOIUrl":"https://doi.org/10.1302/2048-0105.43.360349","url":null,"abstract":"When scaphoid fractures are missed, the consequences for patient and clinician may be considerable. This may be as a consequence of nonunion and if so, reconstructive surgical fixation often with bone grafting may be required. Other longer-term implications such as post-traumatic osteoarthritis (often referred to as scaphoid nonunion advanced collapse - SNAC wrist) may necessitate salvage surgery such as partial or total wrist fusion. In either of these circumstances the cost to the individual for their employment and to the wider health economy will be keenly felt.\u0000\u0000This article is intended to bring together some of the recent relevant literature on the missed scaphoid fracture and to present a current medico-legal case which illustrates the importance of repeated examination, good records and keeping the possibility of a scaphoid fracture in mind.\u0000\u0000Wrist pain after injury is very common. The fall onto the outstretched hand is the most typical method of injury, but a direct blow to the hand, such as from a football, may provide sufficient force to fracture the scaphoid. All medical staff in contact with such patients, whether in Minor Injury Units (MIUs), Emergency Departments (EDs), GP surgeries or other primary care providers, need to have high clinical suspicion and must maintain good examination records. The key examination points of the painful wrist should document anatomical snuffbox tenderness (ASB), longitudinal compression of the thumb (LTC), scaphoid tubercle tenderness (STT) and painful ulnar deviation of the wrist (PUD).1 Each of these …","PeriodicalId":50250,"journal":{"name":"Journal of Bone and Joint Surgery","volume":"28 1","pages":"35-36"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83338709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-04-01DOI: 10.1302/2048-0105.42.360318
C. Lever, A. Robinson
Ankle replacements have improved significantly since the first reported attempt at resurfacing of the talar dome in 1962. We are now at a stage where ankle replacement offers a viable option in the treatment of end-stage ankle arthritis. As the procedure becomes more successful, it is important to reflect and review the current surgical outcomes. This allows us to guide our patients in the treatment of end-stage ankle arthritis. What is the better surgical treatment – arthrodesis or replacement?
{"title":"Ankle replacement:: where are we now?","authors":"C. Lever, A. Robinson","doi":"10.1302/2048-0105.42.360318","DOIUrl":"https://doi.org/10.1302/2048-0105.42.360318","url":null,"abstract":"Ankle replacements have improved significantly since the first reported attempt at resurfacing of the talar dome in 1962. We are now at a stage where ankle replacement offers a viable option in the treatment of end-stage ankle arthritis. As the procedure becomes more successful, it is important to reflect and review the current surgical outcomes. This allows us to guide our patients in the treatment of end-stage ankle arthritis. What is the better surgical treatment – arthrodesis or replacement?","PeriodicalId":50250,"journal":{"name":"Journal of Bone and Joint Surgery","volume":"20 1","pages":"2-6"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76582629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-04-01DOI: 10.1302/2048-0105.42.360333
L. Neal
Orthopaedic experts will be familiar with litigated accidents in which there is a relatively minor soft-tissue injury that does not explain the persistent severity of pain and the ensuing marked disability. They will also usually be aware that 90% of patients with chronic low back pain do not have any reliable evidence of a significant structural causative defect or injury.1 The International Association for the Study of Pain (IASP) definition of pain emphasises the importance of psychological factors in its perception: pain is regarded as an unpleasant sensory and emotional experience. Many people report pain in the absence of tissue damage or any likely pathophysiological cause and this usually happens for psychological reasons. Pain is always a psychological state.2 This article examines how claimants with medically unexplained pain may be diagnosed by psychiatrists, and the implications for their treatment and prognosis are discussed. The diagnosis of psychiatric disorders is generally made with reference to the current edition of the Diagnostic and Statistical Manual (DSM) published by the American Psychiatric Association3 or the International Classification of Diseases published by the World Health Organization.4 Both of these classification systems are recognised by the British courts and neither is regarded as more valid. However, the relatively new diagnosis of a Somatic Symptom Disorder3 is of little utility in personal injury litigation. The accompanying text in the DSM states that “the reliability of determining a somatic symptom is medically unexplained is limited” and on this basis the presence or absence of a medical explanation is irrelevant to the diagnosis. However, in court, the psychiatrist that continued to entertain a probable persisting medical cause would be acting outside their area of expertise if, for example, an orthopaedic expert had already excluded a physical cause. The Somatic Symptom Disorder diagnosis is …
{"title":"Somatoform disorders in litigation: causation and prognosis","authors":"L. Neal","doi":"10.1302/2048-0105.42.360333","DOIUrl":"https://doi.org/10.1302/2048-0105.42.360333","url":null,"abstract":"Orthopaedic experts will be familiar with litigated accidents in which there is a relatively minor soft-tissue injury that does not explain the persistent severity of pain and the ensuing marked disability. They will also usually be aware that 90% of patients with chronic low back pain do not have any reliable evidence of a significant structural causative defect or injury.1\u0000\u0000The International Association for the Study of Pain (IASP) definition of pain emphasises the importance of psychological factors in its perception: pain is regarded as an unpleasant sensory and emotional experience. Many people report pain in the absence of tissue damage or any likely pathophysiological cause and this usually happens for psychological reasons. Pain is always a psychological state.2 This article examines how claimants with medically unexplained pain may be diagnosed by psychiatrists, and the implications for their treatment and prognosis are discussed.\u0000\u0000The diagnosis of psychiatric disorders is generally made with reference to the current edition of the Diagnostic and Statistical Manual (DSM) published by the American Psychiatric Association3 or the International Classification of Diseases published by the World Health Organization.4 Both of these classification systems are recognised by the British courts and neither is regarded as more valid.\u0000\u0000However, the relatively new diagnosis of a Somatic Symptom Disorder3 is of little utility in personal injury litigation. The accompanying text in the DSM states that “the reliability of determining a somatic symptom is medically unexplained is limited” and on this basis the presence or absence of a medical explanation is irrelevant to the diagnosis. However, in court, the psychiatrist that continued to entertain a probable persisting medical cause would be acting outside their area of expertise if, for example, an orthopaedic expert had already excluded a physical cause. The Somatic Symptom Disorder diagnosis is …","PeriodicalId":50250,"journal":{"name":"Journal of Bone and Joint Surgery","volume":"35 1","pages":"41-43"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81526374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-04-01DOI: 10.1302/2048-0105.42.360317
B. Ollivere
The history of orthopaedic surgery is one of innovators – a star-studded cast stretching from Thomas with his splint through to Charnley with his hip and beyond. Like all histories, the history of orthopaedics is written by the victors. Think of the Judet family, and the acetabular views and decortication technique come to mind, not the poor-outcome acrylic hips. However the truth is that for every Charnley Low Friction Arthroplasty, there were many more ‘Delbet Rubber Femurs’, ‘Hey-Groves Ivory Hips’ and ‘Ring Metal-on-Metal’ hips. Innovation in the time of our forefathers was embraced and the truth is that it was acceptable to experiment on patients. This is of course no longer true. Established technologies such as hip replacement are now ‘designed’ with iterative changes hoping for ever improved results. It is easy to see why …
{"title":"Innovation or regulation – differing needs in different areas","authors":"B. Ollivere","doi":"10.1302/2048-0105.42.360317","DOIUrl":"https://doi.org/10.1302/2048-0105.42.360317","url":null,"abstract":"The history of orthopaedic surgery is one of innovators – a star-studded cast stretching from Thomas with his splint through to Charnley with his hip and beyond. Like all histories, the history of orthopaedics is written by the victors. Think of the Judet family, and the acetabular views and decortication technique come to mind, not the poor-outcome acrylic hips. However the truth is that for every Charnley Low Friction Arthroplasty, there were many more ‘Delbet Rubber Femurs’, ‘Hey-Groves Ivory Hips’ and ‘Ring Metal-on-Metal’ hips. Innovation in the time of our forefathers was embraced and the truth is that it was acceptable to experiment on patients.\u0000\u0000This is of course no longer true. Established technologies such as hip replacement are now ‘designed’ with iterative changes hoping for ever improved results. It is easy to see why …","PeriodicalId":50250,"journal":{"name":"Journal of Bone and Joint Surgery","volume":"24 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83498270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-04-01DOI: 10.1302/2048-0105.42.360332
M. J. Wilson-MacDonald
In 2010/2011, 2053 spinal infusions were carried out for scoliosis, of which 1328 were in children. In contrast there were 224 549 admissions in total for spinal disorders1 and therefore scoliosis cases proceeding to litigation are relatively uncommon. There may be other reasons for the lower incidence of litigation in scoliosis patients including the fact that almost all of these operations are carried out in tertiary centres as planned cases during daylight hours. Multidisciplinary teams of surgeons, physicians and other healthcare professionals manage the patients, and in many cases two senior surgeons operate together which may reduce the risks in these cases. Furthermore, the consenting process is generally carried out by more senior members of the team; the patients and their families are usually in no doubt that this is a major operation not without significant risk, and patients are rarely given the impression that complete correction of the deformity will take place. Although curve progression and prevention of pain are the main indications for surgery, improvement in cosmesis is also an important aim of the surgery. However, I am not aware that failure to improve appearance has been a cause for litigation. The majority of claimants in scoliosis cases are children and their families. Because many operations are carried out early in childhood, there is a very long trail of cases. Adults have to commence proceedings within three years of the perceived injury, while children have until the age of 21 to do so. In many cases the surgeon in charge of the case may be retired or may have died. The causes of allegations of negligence/breach of duty include neurological injury; failure of instrumentation or other instrumentation problems; nonunion of fusion; choice of wrong levels; failure to identify pre-operative abnormalities; failure to use spinal cord monitoring; failure …
{"title":"Scoliosis and litigation","authors":"M. J. Wilson-MacDonald","doi":"10.1302/2048-0105.42.360332","DOIUrl":"https://doi.org/10.1302/2048-0105.42.360332","url":null,"abstract":"In 2010/2011, 2053 spinal infusions were carried out for scoliosis, of which 1328 were in children. In contrast there were 224 549 admissions in total for spinal disorders1 and therefore scoliosis cases proceeding to litigation are relatively uncommon. There may be other reasons for the lower incidence of litigation in scoliosis patients including the fact that almost all of these operations are carried out in tertiary centres as planned cases during daylight hours. Multidisciplinary teams of surgeons, physicians and other healthcare professionals manage the patients, and in many cases two senior surgeons operate together which may reduce the risks in these cases. Furthermore, the consenting process is generally carried out by more senior members of the team; the patients and their families are usually in no doubt that this is a major operation not without significant risk, and patients are rarely given the impression that complete correction of the deformity will take place. Although curve progression and prevention of pain are the main indications for surgery, improvement in cosmesis is also an important aim of the surgery. However, I am not aware that failure to improve appearance has been a cause for litigation. \u0000\u0000The majority of claimants in scoliosis cases are children and their families. Because many operations are carried out early in childhood, there is a very long trail of cases. Adults have to commence proceedings within three years of the perceived injury, while children have until the age of 21 to do so. In many cases the surgeon in charge of the case may be retired or may have died.\u0000\u0000The causes of allegations of negligence/breach of duty include neurological injury; failure of instrumentation or other instrumentation problems; nonunion of fusion; choice of wrong levels; failure to identify pre-operative abnormalities; failure to use spinal cord monitoring; failure …","PeriodicalId":50250,"journal":{"name":"Journal of Bone and Joint Surgery","volume":"34 1","pages":"39-40"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87564882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-04-01DOI: 10.1302/2048-0105.6.360329
D. Forward, C. Lewis
The annual meeting of the Orthopaedic Trauma Association (OTA) continues to stand out as the foremost global meeting focussed on the practice and science of orthopaedic trauma surgery. All of the global opinion leaders in orthopaedic trauma regularly present their work, alongside instructional elements, and it remains the meeting at which one will find most of the United Kingdom’s leading trauma surgeons. The UK Orthopaedic Trauma Society (OTS) is steadily bringing practice-changing meetings of this kind to the UK and, given time, it seems likely that the OTS meetings should be part of UK trauma and orthopaedic (T&O) surgeons’ calendars. The 30th anniversary 2014 OTA Annual Meeting was held between 15 and 18 October 2014 in Tampa, Florida, hosted by the irrepressible Roy Sanders, of the calcaneal fracture classification. Nearby, the white sands of Clearwater Beach and the turquoise warm water of the Gulf of Mexico posed stiff competition for the extensive educational programme which offered a combination of a large collection of instructional course lectures, symposia, and scientific exhibits representing a wide range of trauma subspecialties. The programme committee presented 150 podium presentations from over 800 submitted, along with 170 posters, for the 1340 attendees. Prior to the annual meeting, on the Wednesday afternoon and Thursday morning there was a number of pre-meeting events, which cater for the variety of trauma surgeons attending. There is a guest nation each year, which this year was Brazil; 2016 will be the UK’s turn as guest nation in Vancouver, Canada. The extensive OTA meeting includes a number of ‘pre-meeting’ events such as the pelvic surgeons’ forum hosted by Adam Starr each year, and the basic science focus forum. A standout paper from …
{"title":"OTA Annual Meeting Roundup","authors":"D. Forward, C. Lewis","doi":"10.1302/2048-0105.6.360329","DOIUrl":"https://doi.org/10.1302/2048-0105.6.360329","url":null,"abstract":"The annual meeting of the Orthopaedic Trauma Association (OTA) continues to stand out as the foremost global meeting focussed on the practice and science of orthopaedic trauma surgery. All of the global opinion leaders in orthopaedic trauma regularly present their work, alongside instructional elements, and it remains the meeting at which one will find most of the United Kingdom’s leading trauma surgeons. The UK Orthopaedic Trauma Society (OTS) is steadily bringing practice-changing meetings of this kind to the UK and, given time, it seems likely that the OTS meetings should be part of UK trauma and orthopaedic (T&O) surgeons’ calendars.\u0000\u0000The 30th anniversary 2014 OTA Annual Meeting was held between 15 and 18 October 2014 in Tampa, Florida, hosted by the irrepressible Roy Sanders, of the calcaneal fracture classification. Nearby, the white sands of Clearwater Beach and the turquoise warm water of the Gulf of Mexico posed stiff competition for the extensive educational programme which offered a combination of a large collection of instructional course lectures, symposia, and scientific exhibits representing a wide range of trauma subspecialties. The programme committee presented 150 podium presentations from over 800 submitted, along with 170 posters, for the 1340 attendees.\u0000\u0000Prior to the annual meeting, on the Wednesday afternoon and Thursday morning there was a number of pre-meeting events, which cater for the variety of trauma surgeons attending. There is a guest nation each year, which this year was Brazil; 2016 will be the UK’s turn as guest nation in Vancouver, Canada.\u0000\u0000The extensive OTA meeting includes a number of ‘pre-meeting’ events such as the pelvic surgeons’ forum hosted by Adam Starr each year, and the basic science focus forum. A standout paper from …","PeriodicalId":50250,"journal":{"name":"Journal of Bone and Joint Surgery","volume":"89 1","pages":"35-36"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84472145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}