Journal of Trauma & Orthopaedics – Vol 4 Issue 1

From the Editor

The first JTO of 2016 is here – lots to look forward to?  The Carter report has been heralded by politicians and the press.  Reading it there is a lot of influence from GIRFT.  That in itself shows that if the profession stands up takes action it has an effect.  I would argue that the thoughtful guidance on how to implement GIRFT produced by the BOA is actually the more important document, certainly for clinicians.

This issue of JTO is full of useful support to the clinician, not least in the peer-reviewed section (page 44) where the all-round thoroughness of revision knee surgery is so well explained.  The three main articles in this section are linked by issues faced by surgeons undertaking revision knee replacement.  In an era when implant technology has given us several solutions for both reconstruction and fixation, it is easy to overlook the essential topics of surgical exposure, debridement and antimicrobial therapies all of which need to be addressed to achieve success when managing prosthetic joint infection of the knee.

The data position statement (page 12) gives a wide view of a difficult area evolving in our practices.  Bullying in the work place challenges us to be aware of this problem (page 24).  The realities of evolving an orthopaedic career as a woman need to have a sense of focus (page 28).  For me, a major issue is the value of orthopaedics and I am sure you will see more about this as the year progresses.

A final word of thanks to Rhidian Morgan-Jones for his efforts as Guest Editor and a prompt to say there will be a prize from the Editorial Team for the first letter that arrives that adds meaningfully to the debates of this issue.  Of course the downside is that the arbiters of that will be the Editorial Team.

Ian Winson – BOA Vice President

Peer-Reviewed Articles

Please find below downloadable copies of the peer-reviewed articles in this issue (including all references).

Exposure in Revision TKA: proximal soft tissue or distal bony?

Debridement: Defining something we all do

Novel Antibiotic delivery and Novel Antimicrobials in Prosthetic Joint Infection

How I Do...fixation of Hoffa fractures

Reference Lists

Please find below the reference lists for features in this issue.

Current Status of Meniscal Reconstruction

Bullying and Harassment in Surgery: Urgent Change Needed?

What do we know about the value for money of orthopaedic services within the NHS?

Introduction of a novel Orthopaedic weekend handover system

Where expert evidence goes (seriously) wrong: Recent lessons from the court room