Programme

Hall 1 - Main Auditorium

This session will deliver a full update on all elements of hip fracture care, including recent research and trials updates. We will introduce the newly published annual NHFD report and will enable full revalidation in hip fracture care. 

Chaired by William Eardley & Professor Antony Johansen
Speakers: Professor Xavier Griffin & Bob Handley

Agenda:

Plates and nails - what else is there in fragility care?  Will Eardley
Introducing the NHFD Annual report  Professor Antony Johansen
Research and the fragility fracture patient  Professor Xavier Griffin
Overview and are we getting it right first time?  Bob Handley

Hall 5

Chaired by Professor Caroline Hing
Co-chaired by Thisara Weerasuriya, John Skinner and Marieta Franklin
Speakers: Dr Sara Khalid, Homa Arshad, Ian McNab, Kriti Singhania & Karen Chui

Agenda:

Introduction to speaker, Dr Sara Khalid  Thisara Weerasuriya
Ethnicity, equity, and real world data  Dr Sara Khalid (pre-recorded talk)
Questions & Discussion  Dr Marta Pineda Moncusi and facilitated by Thisara Weerasuriya

Introduction to speaker, Homa Arshad  John Skinner
Sexual misconduct; expectations in 2022  Homa Arshad
Questions & Discussion  Facilitated by Marieta Franklin

Introduction to speaker, Ian McNab  Thisara Weerasuriya
Planning retirement and pensions  Ian McNab
Questions & Discussion  Facilitated by Thisara Weerasuriya 

Introduction to speakers Kriti Singhania & Karen Chui  Marieta Franklin
Introducing the BOTA & BOA Culture & Diversity Champions Programme  Kriti Singhania & Karen Chui
Questions & Discussion  Facilitated by Marieta Franklin

Closing remarks  Professor Caroline Hing

Hall 7

Chaired by Joideep Phadnis
Co-chaired by Addie Majed

08:35 - 08:43  Mapping the Oxford Shoulder Score onto the EQ-5D utility index  Epaminondas Markos     Valsamis
08:43 - 08:51  A comparison of open and arthroscopic surgery for elbow stiffness. A mid-term follow-up  Jamie Hind
08:51 - 08:59  Outcomes following surgery for forearm stiffness – results from a single tertiary referral centre  Rumina Begum
08:59 - 09:07  Clinical outcomes in patients undergoing Distal Humeral Hemiarthroplasty (DHH) for complex intra-articular distal humeral fractures  Gopikanthan Manoharan

Hall 8

The session will be divided equally into three sections and will explore the emerging technology relevant to optimising the care of hand surgery patients, how hand surgeons can utilise routinely collected data to positively influence the care of their patients and the pandemic recovery mechanisms that can enable hand surgeons to deliver care in an efficient and cost-effective manner.

Chaired by Professor Alexia Karantana
Speakers: Professor Richard King, Dr Xin Chen, Jennifer Lane and Christopher Little

Agenda:

08:30 - 09:00  Emerging technologies in hand surgery  

• Automatic Occult Scaphoid Fracture Detection in Wrist MRI  Dr Xin Chen
• How to produce your own 3D-printed surgical guides  Professor Richard King

09:00 - 09:30  The use of big data in hand surgery  Jennifer Lane
09:30 - 10:00  Sustainability and recovery in hand surgery  Christopher Little

Hall 9

Respected orthopaedic surgeons give a fascinating insight into their current projects aiming to further technology in the world of Limb Reconstruction.

Chaired by Amir Qureshi
Co-chaired by Chris Hand
Speakers: Gavin Spence, Alex Vris, Raju Ahluwalia, Professor Ben Ollivere and Hemant Sharma

Agenda:

08:30 - 08:35  Introduction  Amir Qureshi
08:35 - 08:55  Low-cost 3D printed jigs for acute deformity correction  Gavin Spence
08:55 - 09:15  TBC  Alex Vris
09:15 - 09:35  Guiding principles in the Application of modern technologies in critical bone defects  Raju Ahluwalia
09:35 - 09:55  TBC  Professor Ben Ollivere
09:55 - 10:00  Closing Remarks and Thanks  Hemant Sharma (President BLRS)

The first ever robotic assisted surgery in orthopaedics was performed in 1992. In 1986, IBM’s Thomas J. Watson Research Center and researchers at the University of Davis, California began the collaborative development of an innovative system for total hip arthroplasty to create a more precise device for uncemented hip reaming procedures.

Thirty years later, most of the orthopaedic companies have developed their own system to assist surgeons before and during surgery. All systems use either pre-operative planning issued from patient specific medical imaging (MRI or CT scan) or only intra operative anatomic data collection such as the “image free guidance” systems. After years of improvements in the technology, robotics is the last effort to overcome surgeons’ inaccuracy. Technology integration has consistently proved its worth almost everywhere and every time in many fields other than surgery. Robotic and computer assisted technology implemented in orthopaedics has shown promise to extend a surgeon’s sense of sensitivity, support mental power and increase accuracy of execution. All aimed to assist the surgeons pre and intra operatively.

The technology has confirmed its benefits in improving the accuracy and precision of a surgery and clinical evidence is growing to support its implementation in everyday practice. Both navigation and robotic systems enhance planning and guidance, but robotic system introduction appears to bring all the modalities of performance together in one compliant system. Robotic systems are certainly more expensive than conventional instrumentation and navigation equipment. However, new systems are becoming smaller and cheaper than previous ones used for hip and knee surgery.

Major improvements have allowed these systems to be more ergonomic without compromising efficiency and efficacy. However, they are still not mainstream in orthopaedic surgery. The goal of this session is to present these devices and their relevance in the day-to-day work in arthroplasty. Our leading faculty in the field will present their experience and will share with the audience how this technology operates.  

The new generation of surgeons are “computer savvy clinicians” and computers have no secrets for them, thus making the technology adoption much easier. On the other hand, the increase of checks, controls and procedures in orthopaedic practice urge surgeons not only be more accurate and precise for each procedure but also document much more than before all actions delivered on patients. 
 
These new “tool-boxes” are becoming new vectors of both surgical precision and necessary documentations. We hope to discuss some of these issues during the course of this session.

Hall 10
Chaired by Frederic Picard & Dinesh Nathwani
Speakers: Professor Andrew Toms, Simon Jennings, Akash Sharma and Kamal Deep

Agenda:

08:30 - 08:45  Introduction  Dinesh Nathwani (CAOS UK President)
08:45 - 09:00  The Mako Robot in knee arthroplasty-technical video  Professor Andrew Toms
09:00 - 09:15  Image-less CORI Robotic assisted arthroplasty-technical video  Simon Jennings
09:15 - 09:30  Clinical technique for the Robotic Surgical Assistant (ROSA®)-technical video  Akash Sharma
09:30 - 09:45  DeepRobotics versus navigation in hip replacement  Kamal Deep
09:45 - 10:00  Roundtable discussion and Q&A

Hall 11

Chaired by Simon Hodkinson
Co-Chaired by Mark Bowditch

08:35 - 08:43  Electric scooter related Orthopaedic Injuries  Suraj Sankar
08:43 - 08:51  VFC and Torus Fracture Management: A Closed 3 Loop Cycle Quality Improvement Project  Melissa Mahoney 
08:51 - 08:59 Positive impact of walk in Trauma clinics on the NHS post Covid 19  R Nand
08:59 - 09:07 Adherence to BOAST guidelines in the management of acute ankle fractures - a closed loop audit  Matthew Amer
09:07 - 09:15  A Novel Mid-Third Clavicle Fracture Management Pathway Identifying Patients Benefiting from Acute Fixation and Preventing Non-Union  Daniel Morris
09:15 - 09:23  One stop MDT Foot and Ankle clinic: Our experience and results  Parag Garg
09:23 - 09:31  First Results Of 'Joint Drive' Model- High volume, low complexity joint arthroplasty in elective setting across North West London region. JOINT Collaborative (Joint Orthopaedic Initiative In North-West Thames London)  Shireen Ibish
09:31 - 09:39  Impact of haptic feedback on surgical training outcomes: A randomised, controlled, double-blinded trial of haptic versus non-haptic immersive virtual reality training  Abrar Gani
09:39 - 09:47  Ankle fracture internal fixation performed by cadaveric simulation-trained vs standard-trained orthopaedic residents: a multi-centre randomised controlled trial  Hannah James
09:47 - 09:55  Multidisciplinary surgical team training in virtual reality is superior to individual learning for performing anterior approach total hip arthroplasty: A randomised controlled trial  Thomas Edwards

Hall 1 - Main Auditorium

Speaker: Professor John Skinner

Hall 1 - Main Auditorium

Chaired by Professor John Skinner
Speakers: Tim Wilton, Peter Howard, Gillian Coward, Professor David Beard, Professor Tim Briggs, Zoe Chivers & Cheryl Baldwick

Hall 11 

Session sponsored by:

 

The BOA Diversity and Inclusion strategy highlighted that whilst 55% of medical students are female, by specialty training this has reduced to 30% and at consultant level it is 13%. Diverse organisations are safer and more productive and the BOA seeks to strengthen the diversity of leadership positions to encourage fair representation.

The orthopaedic industry has also acknowledged the challenges women face in the work place and has taken pro-active steps to support networking events and share best practice. The aim of this session is to partner with industry to share learning on key topics designed to help encourage female trainees to progress to leadership positions.

Chaired by Sophie Howles and Deepa Bose

Speakers:
Homa Arshad (Zimmer Biomet panel)
Katherine Ann Byam and Joanna Maggs (Stryker panel)

Agenda:

12:25 - 12:30  Arrival lunch / Introduction  Sophie Howles & Deepa Bose
12:30 - 12:50  How to negotiate / Conflict resolution, how to deal with colleagues Sponsored by Zimmer Biomet (Homa Arshad)
12:50 - 13:30  Imposter syndrome coping strategies & Inclusive leadership, how to lead and retain your own  Sponsored by Stryker (Katherine Ann Byam & Joanna Maggs)
13:30               Close and summary of next steps / networking  Sophie Howles & Deepa Bose

Hall 1 - Main Auditorium

Speaker: Timandra Harkness

Hall 1 - Main Auditorium

Orthopaedic surgeons are responsible for the treatment of necrotising fasciitis and life threatening soft tissue infections in many hospitals in the UK. Many of us feel out of our depth ta being asked to treat these seriously ill patients fairly infrequently, making it difficult to build experience and expertise. This session aims to provide an overview to help you recognise these conditions, update your knowledge on treatment options, and provide you with expert advice on surgical strategies.

Chaired by Iain McFadyen
Speakers: Marina Morgan, Iain McFadyen, Charlotte Lewis & Sarah Tucker

Agenda:

1. Necrotising Fasciitis - All an Orthopod should know - from an Infectious Diseases perspective  Marina Morgan
2. Necrotising Fasciitis - How should an orthopaedic surgeon identify which soft tissue infections are life threatening?  Iain McFadyen
3. Necrotising Fasciitis - What procedural challenges and obstacles do orthopaedic surgeons face?  Charlotte Lewis
4. Necrotising Fasciitis - Advice to orthopaedic surgeons from a plastic surgeon  Sarah Tucker

Hall 5

This is a revalidation session on Distal Humeral Fractures run by the British Elbow & Shoulder Society (BESS).  The aim is to discuss contemporary management of these injuries with a focus on optimising surgical approaches and fixation technique, decision making regarding arthroplasty and how to avoid and treat complications.  There will be talks from four UK surgeons with a specialist interest in elbow surgery and ample time for discussion and interaction which is encouraged!

Co-Chaired by Joideep Phadnis & Addie Majed
Speakers: Addie Majed, Andrew Wright, Amjid Ali, Joideep Phadnis & Sam Vollans

Agenda:

Introduction  Addie Majed 

Optimising Surgical Approach  Andrew Wright 
How to tailor your approach according to the fracture type 

Fracture Fixation techniques  Amjid Ali 
How to optimise fixation for different fracture patterns
 
What is the role for arthroplasty?  Joideep Phadnis 
When to consider arthroplasty and which arthroplasty to consider 

Management of complications and how to avoid them  Sam Vollans 
Common complications, their treatment and how to avoid them

Discussion  All

Hall 6
Chaired by Jonathan Hobby

The first 30 minutes will be dedicated to an overview of the BSSH’s successful mentoring programme, with the rest of the session dedicated to free paper presentations.

14.50 - 14.58  A qualitative study exploring clinicians’ views on clinical trials in thumb carpometacarpal joint osteoarthritis  Ben Dean

14.58 - 15.06  Outcomes of MAIA Dual Mobility CMC Joint Arthroplasty from a UK based Orthopaedic Hospital – with 3 years follow-up  Srin Cheruvu

15.06 - 15.14  Validation of a new, low profile, adherence sensor for monitoring orthosis wear time following surgical repair of flexor tendon injuries  Elinor Flatt

Hall 7

Technology is often seen as a luxury only available in high income countries.  However, the Covid pandemic has taught us that nothing could be further from the truth.  Modern technology is rapidly adopted in low resource settings for a variety of reasons, including healthcare.  Despite privations, most adults in developing countries own basic mobile phones, and this opens the door for modern technology to be harnessed in patient care.  Virtual clinics and follow up can be conducted in this way.  When it comes to education, virtual conferences and teaching sessions have burgeoned in the last few years, vastly extending our reach to support learners across the globe.  This session will showcase some of the ways in which technology in low resource settings can improve patient care and facilitate education for orthopaedic surgeons.

Chaired by Deepa Bose
Co-Chaired by Ashtin Doorgakant

Speakers: Roger White, Ashtin Doorgakant, Edward Jenner, Rosemary Wall, Fergal Monsell and Anria Horn

Agenda:

14:20 - 14:35  The Jaipur foot in Ethiopia  Roger White
14:35 - 14:50  Virtual fracture clinics in the Gambia  Ashtin Doorgakant
14:50 - 15:05  Teaching clinical examination skills online  Edward Jenner & Rosemary Wall
15:05 - 15:20  Case conferences with Cambodia  Fergal Monsell
15:20 - 15:35  The good, the bad, and the hopeful. The impact of Covid on Orthopaedic Surgery in South Africa  Anria Horn
15.35 - 15:50  Free papers

How Can Orthopaedic Surgeons Advocate For A Sustainable And Ethical Cobalt Supply Chain From The Democratic Republic Of Congo? - 14:20 - 15:50

Hall 8

Chaired by Professor John Skinner & Professor Deborah Eastwood
Speakers and panel: Tim Briggs, Scott Pryde, Tim Wilton, Paul Baker, Will Eardley, Professor Xavier Griffin, Ajay Malviya, Tim Spalding, Professor Fares Haddad, Paul Halliwell, Professor Mike Reed

Agenda:

• The Torus Registry Project and the Cumberlege Report  Professor John Skinner (10 minutes)
• New Developments in NHSE  Professor Tim Briggs & Scott Pryde (20minutes)
• Learning from the NJR  Tim Wilton & Paul Baker (10 minutes)
• Can we do this for Trauma?  Will Eardley (10 minutes)
• Nesting Research in Registry datasets  Xavier Griffin (10 minutes)
• Discussion & Questions  All speakers & panel

Hall 9

A comprehensive review of the current literature around Limb Reconstruction followed by our free paper session.

Chaired by Amir Ali Qureshi
Speaker: Jo Round

15:00 - 15:08 Do circular fixators have a role in bone tumour management?  Sherif Ahmed Kamel
15:08 - 15:16 Outcome of Tibial fractures in elderly treated with circular frame with minimum 12 months follow up  Hussain AL Omar
15:16 -15:24 Bone formation in Limb Lengthening over nails. A new way of healing in distraction osteogenesis, the ‘Multilayer Concentric’ Healing Pattern  Jean-Marc Guichet
15:24 - 15:32 Is full weight bearing an advantage over partial weight bearing or wheel-chair? A series of 721 lengthening  Jean-Marc Guichet 
15:32 - 15:40 Amputation Versus Reconstruction in Type IV Tibial Hemimelia: Comparing Functional Outcomes and Description of a Reconstructive Surgical Technique  Abdullah Addar 
15:40 - 15:48: The Royal Stoke Pin Site Care Pathway: Reducing Pin Site Infections Through Innovation Peter Ogrodnik

Hall 10

14:25 - 14:33  Developing an artificial intelligence diagnostic tool for paediatric distal radius fractures, a proof of concept study  Sriharsha Aryasomayajula
14:33 - 14:41  Neonatal Hip Assessment - Predictable Failure  Justine Burt
14:41 - 14:49  Development of a language free universal outcome tool for upper limb Assessment in Children (VisULiM Kids)  Sara Dorman
14:49 - 14:57  Parental Acceptance Of Emergency Department Paediatric Forearm Manipulations In A UK District Hospital Emergency Department Based On The Swedish Pyramid Questionnaire  Jacob Koris
14:57 - 15:05  The Modified Dunn subcapital realignment osteotomy for the treatment of moderate and severe slipped capital femoral epiphysis; a tertiary referral centres experience  Daniel Winson
15:05 - 15:13  Child and parent satisfaction with telemedicine in paediatric orthopaedics - a survey of children and parents regarding the switch to virtual outpatient appointments during the COVID-19 pandemic  Luke Granger
15:13 - 15:21  Role of MRI in Acute Pediatric Musculo Skeletal Infections - Lessons learnt from a Busy District General Hospital Orthopaedic Unit  Mohanraj Venkatesan
15:21 - 15:29  Determining image usability and femoral head coverage using artificial intelligence: A future avenue in newborn hip screening  Abhinav Singh
15:29 - 15:37  How good is your GIRFT? A cautionary tale for data collectors  Munzir Izzeldin Gaboura

Agenda:

14:20 - 14:50  Symposium by Ethicon

Reducing wound drainage and PJI in joint replacement surgery

Chaired by Mark Bowditch
Speaker: Benjamin Bloch

A review of wound management protocols to reduce wound drainage and PJI in joint replacement surgery. A particular focus on the optimum closure technique and types of dressings, including tips and best practice in avoiding complications and minimizing rate of readmission & reoperations in orthopaedic surgery.

Hall 1 - Main Auditorium

Osteoarthritis is the most prevalent disabling condition without a disease-modifying drug or a cure. Repairing articular cartilage damage and preventing or delaying consequent osteoarthritis remains one of the greatest unmet needs in medicine. It has perplexed and frustrated the best brains for centuries, and my own for the last 25 years. We have made huge progress. This lecture will share insights into integrating continual research into practice, building what you need when it doesn’t exist, thinking out of the box, learning from failure,  having a plan but allowing serendipity, and the joy of effective collaboration. There are gems of advice and truths my mentors taught me along the way, and I have added my own to impart to the next generations of surgeons; what I wish I could have told my younger self.

Chaired by Professor Robin Paton
Speaker: Professor Leela Biant

Hall 1 - Main Auditorium

Although joints obviously have a mechanical function, very little research has been done during their active use.
My work draws on intraosseous pressure, perfusion, and loading studies, together with previously undescribed MRI markings, X-ray, anatomical and histological evidence.
It offers an exciting new understanding of joint function.
The work explains bone pain and other pathology and in turn, suggests novel methods for preventing and treating osteoarthritis.

Chaired by Professor Robin Paton
Speaker: Michael Beverly

Hall 1 - Main Auditorium

The adage that a fracture is a soft tissue injury complicated by a broken bone is well known. There should be a parallel one that multidisciplinary care is a splendid idea spoiled by the need for co-operation. This 'co-operative' session will expand on this with updates on several topics of mutual interest to Plastic and T&O surgeons. The topics were chosen by T&O surgeons suggesting what we would like to know and then balanced by Plastic surgeons suggesting what we should know.

Chaired by Bob Handley
Co-Chaired by Jayne Ward
Speakers: Sarah Tucker, Victoria Giblin, Loz Harry

Agenda:

Not every flap is a rotation flap - a quick guide to flap classification  Sarah Tucker
Who looks after the open wound where there is no broken bone?  Victoria Giblin
Extending a wound; which way to go?  Loz Harry

Group Discussion

Aspects of fasciotomy  Sarah Tucker
Think about compression?  Victoria Giblin
Open ankle fractures in the elderly  Loz Harry
Organising Orthoplastics in relation to Trauma  Sarah Tucker 

Final Discussion

Hall 5
Chaired by Donald Campbell

The Best of Best session is an opportunity for trainees to present work at a major meeting that might not have got into one of the mainstream sessions.  Each individual training programme in the UK is asked to put forward the winner of the best paper prize from their annual trainees’ meeting giving us the ‘best of the best’.  The paper must be from clinical work or research carried out whilst in programmes and cannot be from a pure ‘out of programme’ research commitment.  The papers will be judged by Training Programme Directors from across the UK that attend the session. The result and prize will be presented at the main prize giving session in the main auditorium.

Agenda:

08.30 - 08.37  Prophylactic pinning in Slipped Upper Femoral Epiphysis – a closed loop audit of 25 years practice  Ewan Semple

08:37 - 08:44  Reverse Total Shoulder Replacement – A Systematic Review and Meta-analysis of Complications and Patient Outcomes Dependant on Prosthesis Design  Ella Burden

08:44 - 08:51  Medical students’ perceptions of and experiences in trauma and orthopaedic surgery: A cross-sectional study  Rosie Hackett

08:51 - 08:58  Reducing Radiation Exposure and Cancer Risk for children with  Scoliosis: EOS The New Gold Standard  Liam Rose

08:58 - 09:05  Are orthopaedic surgeons tough as nails? A regional resilience study  Ghazal Hodhody 

09:05 - 09:12  The Management of Gartland Type 1 Supracondylar Humeral Fractures During a Global Pandemic  Chris Allan 

09:12 - 09:19  Time to surgery for open hand injuries and the risk of surgical site infection: a prospective multicentre cohort study  Richard Limb

09:19 - 09:26  Evaluating the Use of Routine Postoperative Laboratory Tests Following Primary Hip and Knee Arthroplasty  Georgios Orfanos

09:26 - 09:33  Virtual fracture clinic triage and selective use of MRI. A hybrid model for managing suspected scaphoid fractures  Nathanael Macdonald 

09:33 - 09:40  The Joint Specific BACH classification: A Predictor of Outcome in Prosthetic Joint Infection  Martina Wismayer 

09:40 - 09:47  Dynamic (4DCT) Imaging of the DRUJ - Diagnosing Instability  Alex Overton

09:47 - 09:54  The feasibility of achieving Elective Care Framework targets for Total Hip Arthroplasty (THA) and Total Knee Arthroplasty (TKA) in Northern Ireland  Alistair Mayne

09:54 - 10:01  Functional change following surgical intervention for ambulant patients with Cerebral Palsy  David MacDonald

Hall 6

Chaired by Mike Reed
Speakers: Professor Tim Briggs, Sir James Mackey, Vinay Takwale, Paul Manning, Bibhas Roy and Alan Middleton

Agenda:

The focus on hips and knees, and what is happening with high complexity pathways, like knee revision and elbows and centralisation  Professor Tim Briggs
Elective Care Advisor to NHSE/I  Sir James Mackey
Medical Director NHS England South West Region & Consultant Orthopaedic Surgeon  Vinay Takwale
Chief Medical Officer - Circle Health Group  Paul Manning
Where we are now with data and feedback from BODS  Bibhas Roy
Q&A Session – Open Discussion  All (20 minutes)
Closing comments from the New BODS President  Alan Middleton

Prof Tim Briggs CBE – The Focus on hips and knees,  and what is happening with high complexity pathways, like knee revision and elbows and centralisation
• Sir James  Mackey – Elective Care Advisor to NHSE/I
• Mr Vinay Takwale  - Medical Director NHS England South West Region & Consultant Orthopaedic Surgeon
• Mr Paul Manning - Chief Medical Officer- Circle Health Group
• Mr Bibhas Roy – where we are now with data and feedback from BODS
• Q+A Session - 20 mins Open Discussion
• Mr Alan Middleton – Closing comments from the New BODS Presiden
 

Hall 7

Chairs: Ian McNab and Professor Caroline Hing

08:35 - 08:43  Return to Sports Following Lower Limb Musculoskeletal Tumour Surgery – A Systematic Review  Metin Tolga Buldu
08:43 - 08:51  Predictors of survival, local recurrence and metastasis in Leiomyosarcoma of trunk wall and extremities: A multicentre data analysis of 488 patients  Sudhir Kannan
08:51 - 08:59  Wound complication risk factors of soft tissue sarcoma resection following neoadjuvant radiotherapy: A 14-year single centre retrospective study  Zhengxiao Ouyang
08:59 - 09:07  Trabecular metal collars in Endoprosthetic Replacements: do they osteointegrate?  Ewen Fraser
09:07 - 09:15  Pathologic evaluation nomogram of soft tissue sarcoma resection following neoadjuvant radiotherapy: A 14-year single centre retrospective study  Zhengxiao Ouyang
09:15 - 09:23  Microbiology profile of Fracture Related Infection (FRI): A 6-year series from a UK major trauma centre and bone infection tertiary referral unit  Kavi Patel
09:23 - 09:31  The burden of orthopaedic surgical site infection as identified by a national surveillance day - results of the pilot study day  Vedran Curkovic
09:31 - 09:39  Association between combat-related traumatic injury and skeletal health: bone mineral density loss is localised and correlates with altered loading in amputees - The ADVANCE Study  David Cain
09:39 - 09:47  Do live-stream telemedicine routine follow-up appointments for Ponseti treated clubfoot patients compare favourably with face to face review?  Christine Douglas
09:47 - 09:55  Automatic identification of clinical landmarks and calculation of Graf angles in newborn hip screening: A pilot study  Abhinav Singh

Hall 8

BOFAS is delighted to present you with a 90 minute revalidation session focussing on patients with diabetes.  As you are all aware diabetes is an ever growing problem both nationally and internationally.  Our patient numbers are growing and they have been living with the disease and therefor it’s consequences for longer.  As an on-call orthopaedic surgeon you will no doubt have to treat patients with acute diabetic foot disease as well as trauma patients with diabetes.  This session aims to you through the challenges and solutions available to all orthopaedic surgeons, some non-surgical considerations that our podiatry, medical and anaesthetic colleagues look after in our patients and touch on some of the work foot & ankle surgeons are doing.  It’s an area of our work that when done well from the first contact with patient onwards saves not only limbs but lives.

Chaired by Nikki Kelsall and Professor Venu Kvarthapu
Speakers: Tom Heycock, Dr Ritwik Banerjee, Verity Currall, Jayne Robbie, Charline Roslee, Fred Robinson and Rod Hammett

Agenda:

08:30 - 08:35  Welcome & Introduction  Nikki Kelsall
08:35 - 08:45  Just a normal on-call  Tom Heycock
08:45 - 08:55  Is diabetes relevant and the importance of the MDT  Dr Ritwik Banerjee
08:55 - 09:55  Foot attack & anaesthetic challenges in patients with diabetes  Verity Currall
09:05 - 09:15  Diabetic Podiatry  Jayne Robbie
09:15 - 09:20  Discussion  Nikki Kelsall and Professor Venu Kvarthapu
09:20 - 09:30  Trauma in patients with diabetes  Charline Roslee
09:30 - 09:40  Charcot – do you need DVT prophylaxis?  Fred Robinson
09:40 - 09:50  Low risk, big gain procedures  Rod Hammett
09:50 - 09:55  Discussion  Nikki Kelsall and Professor Venu Kvarthapu
09:55 - 10:00  Summary & take home messages  Professor Venu Kavarthapu

Hall 9

This will be an exciting interactive session with audience participation, discussing everyday common scenarios from the daily trauma meeting. We will discuss common cases in three subsections of upper limb, lower limb and foot and ankle trauma. The cases will offer equipoise with the option of differing treatment strategies. Evidence based learning followed by the winning choice will accompany each case presentation. Audience participation is via VoxVote – all participants will be provided with access to a QR code to scan or via downloaded App with a live result displayed on the screen.

Chaired by Amit Tolat
Moderators: Sunil Garg, Professor Bijay Singh, Nikhil Shah & Jitendra Mangwani
Speakers: Professor Harvinder Singh, Aravind Desai, Rajesh Nanda, Sanjeev Patil, Henry Wynn Jones, Rohit Rambani, Deepa Bose & Sunil Bajaj

Agenda:

08:30 - 08:32  Welcome & Introduction to the Session  Professor Amit Tolat (BIOS President & Chair)
08:32 - 09:00  Upper Limb Trauma Cases

Moderators: Sunil Garg & Professor Bijay Singh  
Panellists: Professor Harvinder Singh, Aravind Desai & Rajesh Nanda

09:00 - 09:30  Lower Limb Trauma Cases (Focus on Periprosthetic fractures of femur)

Moderator: Nikhil Shah
Panellists: Sanjeev Patil, Henry Wynn Jones & Rohit Rambani 

09:30 - 10:00  Foot & Ankle Trauma Cases

Moderator:  Jitendra Mangwani
Panellists:  Deepa Bose & Sunil Bajaj

Hall 10
Co-chairs: Simon Britten & Naomi Davis
Speakers: Sameer Singh, Di Back & Steve Hepple

Agenda:

08:30 - 10:00  Getting started in medico-legal practice

Hall 11

Our aim is to deliver a series of short talks and facilitate case discussions with expert faculty from around the UK encompassing both paediatric & adult hip surgeons with a firm interest and commitment to hip preservation and managing young adult hip patients. The session is to attract general orthopaedic hip surgeons and trainees. We hope to highlight the importance of an MDT and creating a network for such cases around the country.

Co-chaired by Pranai Buddhdev and Nigel Kiely
Speakers: Aresh Hashemi-Nejad, Caroline Blakey, Sanjeev Patil and Jonathan Hutt

Main Auditorium - Hall 1

The first of the OTS clinical sessions starts with the Monday morning trauma meeting.  Challenging, controversial and common cases will be presented.  Recent evidence and discussion from the panel and audience will provide consensus on safe surgical tactics.  Topics covered include paediatric and upper limb fractures as well as those around the knee and ankle.  Chaired by Pete Bates and Jayne Ward, with speakers from MTCs and Trauma Units around the country, it will be a lively interactive session.

Chaired by Jayne Ward & Pete Bates
Speakers: Felicity Pease, Alasdair Bott, Joanne Round, James McVie, Steve Borland & Bethan Pincher

Hall 5
Chaired by Donald Campbell

The Best of Best session is an opportunity for trainees to present work at a major meeting that might not have got into one of the mainstream sessions.  Each individual training programme in the UK is asked to put forward the winner of the best paper prize from their annual trainees’ meeting giving us the ‘best of the best’.  The paper must be from clinical work or research carried out whilst in programmes and cannot be from a pure ‘out of programme’ research commitment.  The papers will be judged by Training Programme Directors from across the UK that attend the session.  The result and prize will be presented at the main prize giving session in the main auditorium.

Agenda:

10:30 - 10:37  Lateral Hinge Fracture Risk Reduction in Medial Opening Wedge High Tibial Osteotomy: A Finite Element Analysis Study  Humza Osmani 

10:37 - 10:44  High rate of tibial debonding and failure in a popular knee replacement : a follow-up review  David Keohane 

10:44 - 10:51  Closing the surgical training gap  Hannah James 

10:51 - 10:58  A new look at the tidemark: understanding the cellular and molecular changes at the osteochondral interface  Adam Esa 

10:58 - 11:05  Open reduction Capsulorrhaphy & Acetabuloplasty (ORCA): A one stop surgical treatment for infant DDH  Amanda Rhodes

11:05 - 11:12  Cost-effectiveness following osseointegration for transfemoral amputation and the relationship between pre and post-operative EQ5D Health Utility Value  Charles Handford

11:12 - 11:19  The Characteristics, Outcomes and Management of PeriprOsthetic fractures Service Evaluation (COMPOSE): A cohort study  Ashley Scrimshire

11:19 - 11:26  A review of distal third clavicle fracture management in the United Kingdom – How many are out there and what do we do? A multicentre national collaborative Study  Parag Raval

11:26 - 11:33  Elevated Metal Ion levels Can Be Tolerated by Some Patients  Chinyelu Menakaya

11:33 - 11:40  Are we reconditioned post COVID-19?  Alex Witek

11:40 - 11:47  Cementation Techniques in Knee Surgery: A Delphi Consensus Study  Vivek Balachandar

11:47 - 11:53  Instrumented Smart Sensor Technology for TKR  Bernard van Duren

Hall 6

The purpose of this session is to illustrate the type of assistance provided by military and civilian personnel in a variety of conflict and disaster situations. Experts with deployment experience will share their knowledge, concentrating on lessons learned, and how this may be used to inform professionals responsible for healthcare in a stable environment. 

Chaired by Bob Handley and Deepa Bose
Speakers: Sarah Stapley, Shehan Hettiaratchy, Sarah Phillips and Suheal Khan

Agenda: 

10:30 - 10:35  Introduction  Bob Handley
10:35 - 10:55  Military experience  Sarah Stapley
10:55 - 11:15  NGO experience  Shehan Hettiaratchy
11:15 - 11:35  Personal perspective  Sarah Phillips 
11:35 - 11:55  Personal perspective  Suheal Khan
11:55 - 12:00  Closing remarks  Deepa Bose

Hall 7

This session will update on the current state of robotic and digital surgery in the United Kingdom. It will include a summary of the current work being undertaken by the Royal College of Surgeons in the space as well as key national projects around the implementation of robotics and how outcomes are best evaluated.

Chaired by Professor David Beard and Professor Fares Haddad
Speakers: Simon Bach, Professor David Beard, Professor Marion Campbell, Chloe Scott, Ed Davis, Fares Haddadl & Ricci Plastow

Agenda:

10:30 - 10:45  Update from RADAR RCS and aims across specialties for next 5 years  Simon Bach
10:45 - 10:55  An update on REINFORCE and lessons for MSK  Professor David Beard    
10:55 - 11:05  Core Outcome Sets for Robotic Surgery  Professor Marion Campbell                   
11:05 - 11:15  An update on the available technologies in MSK  Chloe Scott
11:15 - 11:25  An update on RACER Hip and Knee  Ed Davis
11:25 - 11:35  The UCLH Hip and Knee Studies  Professor Fares Haddad
11:35 - 11:45  Training and Education: New Opportunities  Ricci Plastow
11:45 - 12:00  Discussion

Hall 8
Chaired by Nikki Kelsall and Paul Haliwell
Speaker: Michael Stephens

Hall 9

This triennial Indian Summer session showcases the best talent from centres of excellence in India. The four speakers hold a vast experience in their area of subspecialty interest. The session aims to explore the trauma challenges that exist and provide an insight into their complex management. Innovation and local issues are explored in an array of pathology covering Hand, Paediatrics, Hip trauma and Spine. This promises to be a scintillating session with the Experts where we hope to provide answers to some of the difficult problems facing orthopaedic trauma surgeons. 

Chaired by Professor Amit Tolat, Sanjeev Anand and Bisal Muddu
Speakers: Ashok Johari, Shailesh Gupta, Vivek Trikha and Ashish Upadhyay

Agenda:

10:30 - 10:55  Management of neglected hand and wrist trauma-challenges in treatment  Shailesh Gupta
10:55 - 11:15  Low Back Pain - The Less Travelled Path  Ashish Upadhyay
11:15 - 11:35  Ten Commandments for Paediatric Musculoskeletal Injuries  Ashok Johari 
11:35 - 11:55  Salvage of Failed Peritrochanteric Fractures  Vivek Trikha
11:55 - 12:00  Q&A

Hall 10
Co-chairs: Shyam Kumar, Charlotte Lewis, Simon Britten & Deborah Eastwood
Speakers: Leigh Evans, Andrew Manktelow and Bertie Leigh

Agenda:

10:30 - 11:15  Medco and the RTA Small Claims Protocol  (Chairs Shyam Kumar and Charlotte Lewis)
Speaker: Leigh Evans
11:15 - 12:00  Delays in a time of Covid - the implications for experts and everyone else  (Chairs Simon Britten & Deborah Eastwood)
Speakers: Andrew Manktelow & Bertie Leigh

BOOS and BSCOS jointly present a case-based session covering the common diagnostic and managment difficulties when children present with bone lesions, and an update about the management of benign but challenging, and malignant tumours. 

Please join this multidisciplinary, interactive session - lesions not to be missed; education not to be missed! 

Hall 11
Chaired by Hel Havard 
Co-Chaired by Alpesh Kothari
Speakers: Rajesh Botchu, Lee Bayliss and Jonathan Wright

Hall 1 - Main Auditorium

Speaker: Daniel Berry

Hall 1 - Main Auditorium

Great MSK Care: The Vision, the Opportunity and the Reality (Orthopaedic Committee)

Chaired by Nick Aresti and Julian Owen
Speakers: Professor Deborah Eastwood, Justin Green, Jonathan Hobby, Kanthan Theivendran

Over the last 12 months we have been consumed with the dual problems of restarting our elective work and recovering our backlog of surgical cases requiring consultation, treatment and surgery. 
Many initiatives have been considered nationally and several understand the need to combine all aspects of MSK and social care to deliver an innovative plan that should help us deliver great care. 
In this rapidly changing healthcare landscape, it  is important that we embrace the possibility of change, that we dare to do things differently and that we learn from our colleagues. What works for them might work for us - 
Let's learn from our speakers today and take some ideas back home with us to try. 

Agenda TBC

Hall 1 - Main Auditorium

The key messages of recent studies that should immediately change our surgical practice will be presented, by the teams that performed them.
These include studies from both trauma and planned surgery that concern both upper and lower limbs.

Chaired by Professor Hamish Simpson & Professor Amar Rangan:
Speakers: Andrew Metcalfe, Professor David Beard, Professor Xavier Griffin, Professor Mike Whitehouse, Professor Matthew Costa

Agenda:

The START:REACTS trial: Have ~30,000 people had the wrong shoulder operation?  Andy Metcalfe

ACL SNNAP study: Good News for Surgeons  Professor David Beard

What can 723,904 hip replacements tell us about the best Approach for the hip?  Professor Mike Whitehouse

WHiTE 5: To Cement or Not To Cement Hemiarthroplasties  Professor Matt Costa

Main Auditorium - Hall 1

The second OTS clinical session focuses on when you need a plan B, covering problems that can present to any orthopaedic department. The red wound, non-union, peri-implant fractures and if and when the metal work should be revised will be discussed by the panel and audience. Trauma Unit and MTC consultants will cover a variety of complications including paediatrics and upper limb as well as the more common lower limb difficulties.

Chaired by Pete Bates & Jayne Ward
Speakers: Dan Westacott, Charlotte Lewis, John McArthur, Nathaneal Ahearn, Joanna Maggs & Darryl Ramatour

Hall 5

Gaining the operative competencies required for CCT has been severely compromised due to the marked Covid-related reduction in elective operating seen throughout the UK. The elective waiting list for T&O is now in excess of 700,000, the largest number for over a decade. Pressure will grow to meet this demand, but a reduction in the supply of trained surgeons will inevitably impact on this goal. The temptation to shorten the time to CCT and to restrict access to fellowships may be hard to resist, as will initiatives to expand the delivery of less complex procedures to both non-consultant and non-medically qualified groups. This session aims to explore the merits of allowing trainees to begin independent practice having not achieved the traditional CCT standards from the perspective of the trainer and trainee, looks at whether this is ever justified, assesses the potential role of other members of the wider orthopaedic community in meeting our service demands, looks at the delivery of elective orthopaedics from a patient's perspective, and assesses whether we need to alter the way we recruit into the specialty.

Chaired by Rob Gregory
Speakers: Paul Buckley, Cronan Kerin, Anna Bennett, Adrian Andronic

Hall 7

16:45 - 16:53  Efficacy of the Non-Arthroplasty Hip Registry (NAHR)  Maria Dadabhoy
16:53 - 17:01  What are the outcomes of hip preservation surgery in patients with a pre-operative quality of life ‘worse than death’?: A study using the NAHR dataset  K H Sunil Kumar
17:01 - 17:09  Sexual function before and after hip arthroscopy: A study using the NAHR dataset  K H Sunil Kumar
17:09 - 17:17  Are patients’ outcomes of function, pain, and quality of life, the same whether or not, patients followed post-operative precautions after THR?” A randomised controlled trial  Justine Theaker
17:17 - 17:25  Elevated Metal Ion Levels Can Be Tolerated by Some Patients  Chichi Menakaya
17:25 - 17:33  Vancouver B Periprosthetic Femur fracture treatment: Subsidence or Dislocation, pick your poison  Ali Assaf Jr
17:33 - 17:41  Survivorship of primary total hip replacement using short-stem variants of the Exeter V40 femoral stem: median 5-year follow-up study  Liam Yapp
17:41 - 17:49  Platelet rich plasma injection for acute Achilles tendon rupture: Two-year follow-up of the PATH-2 randomized, placebo-controlled, superiority trial  Joseph Alsousou
17:49 - 17:57  Saving the Foot: Simple Orthopaedic Intervention to Adjust the Mechanics of the Ulcerated Neuropathic Foot Improves Outcomes by Reducing Sepsis, Amputation & Mortality  Jessica Blong
17:57 - 18:05 A cohort study of risk Factors for failure of total ankle replacements: A data linkage study using the National Joint Registry and NHS Digital Toby Jennison

Hall 8

The NJR’s session highlights the ways in which developing technology enables us to extend and link the data sets we collect and to analyse and to report on it in new and innovative ways to surgeons, implant suppliers and hospital management; along with the resulting service improvement this insight provides at trust level. 

With our key focus on data quality - the accuracy and completeness of data collection - we present how our data quality audit work has almost doubled our volume of elbow records, and on how our rich and growing data set informs orthopaedic clinicians and enables valuable research, to ultimately improve patient outcomes.

Chaired by Tim Wilton (NJR Medical Director) and Professor Mike Reed (Chair of NJR Editorial Committee)
Speakers: Mark Wilkinson, Gillian Coward, Robin Brittain, Professor John Skinner, Adam Watts, Derek Pegg, Vipul Patel and Professor Sir Paul Curran

Agenda:

Section One - The value of the data to patients and the orthopaedic community

16:40 - 16:55  Introduction and showcasing NJR Connect – Data Services, our online reporting platform: technology enabling innovative data reporting for clinician, management and supplier feedback  Tim Wilton 
16:55 - 17:10  Using the NJR Data set for analysis and research - Launch of the NJR Annual  Report 2022: demonstrating the importance and value of registry data for research and analysis  Professor Mike Reed 
17.10 - 17:23  Patient Reported Outcome Measures - The value of PROMs: an introduction to the NJR approach for inclusion of PROMs in the NJR datasets and for analysis in the NJR Annual Report  Professor Mark Wilkinson with NJRSC Patient Representatives: Gillian Coward and Robin Brittain
17:23 - 17:34  Discussion with audience on Section 1 content  NJR Panel, Section 1 speakers, NJR Committee Chairs, Gillian Coward and Robin Brittain and Professor John Skinner

Section Two:  Into the future - Enhancing the Dataset

17:34 - 17:38  Introduction  Professor Mike Reed
17.38 - 17:45  How we almost doubled our figures - optimising our NJR data quality audit  Professor Adam Watts (NJR Elbow Data Quality Audit Lead, BESS Council member and Chairman of Education Committee)
17:45 - 17:52  The future of NJR data collection - extending the collection of data; changes coming to the NJR Minimum Data Set  Derek Pegg (Chair, NJR Data Quality Committee)
17:52 - 17:59  A case study demonstrating improved patient outcomes using data from the NJR at the South West London Elective Orthopaedic Centre  Vipul Patel (Clinical Director, South West London Elective Orthopaedic Centre)

Close session:

17:59 - 18:02  Closing Statement  Professor Sir Paul Curran (NJRSC Chair)
18:02 - 18:10  Summing up from our Session Chair  Tim Wilton (Medical Director, NJR)  

Hall 9

This session will give an overview of Publishing in 2022 and an insight into the considerations authors and reviewers should have when approaching a manuscript.  We will provide practical guidance on how to set up and get funding for research and how to setup a trial properly. We will discuss the best ways to interpret the data around us.  We will also cover how to maximise engagement after publication and setting up a journal club.

Chaired by Professor Fares Haddad and Elizabeth Ashby
Speakers: Professor Matthew Costa, Professor Daniel Perry, Elizabeth Ashby, Andrew Duckworth and Chloe Scott

Agenda:

16:40 - 16:55  Research questions  Professor Matthew Costa
16:55 - 17:10  How to make sense of the data around us  Professor Dan Perry
17:10 - 17:25  What should you be reading to guide your practice  Elizabeth Ashby
17:25 - 17:40  Tools to save you time  Andrew Duckworth
17:40 - 17:55  How to run a journal club  Chloe Scott
17:55 - 18:10  Discussion

Hall 10

Orthopaedic surgeons without dedicated research time, as well as those with allocated academic time will discuss how they have completed James Lind Alliance (JLAs) priority setting initiatives and then progressed to clinical trials. Representatives from the CTUs will then explain how CTUs can support clinicians carrying out clinical trials. There will then be 20-minute open discussion for any questions.

Chaired by Hamish Simpson & Paul Baker
Speakers: Alexia Karantana, Alan Montgomery, Daniel Perry, Sallie Lamb, Jitendra Mangwani, Rebecca Kearney, Andy Metcalfe and Ashley Scrimshire

Agenda:

16:40 - 16:50  From Research Idea to Funded Study using Co-Design  Alexia Karantana and Alan Montgomery
16:50 - 16:55  BSCOS: Research rags to research riches  Daniel Perry
16:55 - 17:00  Turning a research question into a study  Sallie Lamb
17:00 - 17:20  Round table discussion 
17:20 - 17:25  BREAK 
17:25 - 17:30  BOFAS: How should groups without clinical academic leads get their trials going?  Jitendra Mangwani
17:30 - 17:40  How CTUs can support through supporting the Fellowship / non-Fellowship route  Rebecca Kearney and Andy Metcalfe
17:40 - 17:45  Journey of a Clinical Academic  Ashley Scrimshire
17:45 - 18:05  Round table discussion  All 
18:05 - 18:10  Final Questions and End

BOOS invites you to an interactive session on pathological fractures focusing on radiological diagnosis, immediate management, referral to tertiary bone tumour unit and model answers for the FRCS. The session will also cover updates on the management of metastatic disease in line with updated BOAST guidelines.

Hall 11
Chaired by Professor Rob Ashford and Jonathan Stevenson
Speakers: Kenny Rankin, Christine Azzopardi and Will Aston

Hall 1 - Main Auditorium
Chaired by Alasdair Santini
Speakers: Chloe Scott and Abtin Alvand

Talks will include arthroplasty for fixed severe valgus, managing bone loss in primary total knee replacement, and total knee replacement after infection, followed by case discussions. 

08:35 - 08:43  Re-operations after cannulated screws for neck of femur fracture  Mohannad Ammori
08:43 - 08:51  Reverse shoulder arthroplasty for the treatment of three and four-part fractures of the proximal humerus in the elderly A Prospective Review of 70 Cases with a Medium-Term Follow Up  Ali Abdelwahab
08:51 - 08:59  Weight-bearing in Trauma Surgery (WiTS) Study: A national survey of UK Trauma & Orthopaedic multidisciplinary health professionals  Samuel Walters
08:59 - 09:07  Hip Fractures in the Non-Elderly: Outcomes in Young Adult Patients with Intracapsular Femoral Neck Fractures  Boris Wagner
09:07 - 09:15  Does time to surgery influence outcomes for those undergoing total hip arthroplasty for hip fracture? A nationwide study from the Scottish Hip Fracture Audit  Lewis Mitchell
09:15 - 09:23  A Retrospective Study Comparing Patient Radiation Exposure and Overall Operative Time In The United Kingdom's First Experience of CT Navigated Pelvic and Acetabular Trauma Surgery  Jordan Bethel
09:23 - 09:31  The complications and outcomes of cannulated-screw tension-band constructs for patella fractures: A systematic review  Effie Menyah
09:31 - 09:39  Operative versus non-operative management of distal radius fractures in adults: a systematic review and meta-analysis of randomised controlled trials with an elderly subgroup analysis  Katrina Bell

This session will cover some of the key current topics for trauma and orthopaedic clinicians, including ACL prevention, multi-trauma guidelines, and how rheumatology affects ortho clinicians.

Hall 7
Chaired by Jon Room and Anthony Gilbert
Speakers: Professor Andrew Price, Tom Jacobs, Lucy Silvester, Andrew Green and William Gregory

Hall 8

08:35 - 08:43  Distal radius fracture manipulation quality improvement project utilising an orthopaedic-led outpatient pathway and Bier block regional anaesthesia  Daniel Morris
08:43 - 08:51  Sustainability in orthopaedic theatres. Where are we?  Mahmoud Awadallah
08:51 - 08:59  Teamwork and Innovation for Achilles Tendon Rupture - A multidisciplinary Quality Improvement Project  Matthew Solan
08:59 - 09:07  Head injury admissions - who is taking the lead?  Sam Haines
09:07 - 09:15  Reducing discharge paperwork for knee arthroplasty patients: A sustainable Quality Improvement project  Perry Liu
09:15 - 09:23  “No longer Wet" – A quality improvement project standardising peri-operative urinary catheterisation in Neck of Femur Fracture Patients  Sharan Sambhwani
09:23 - 09:31  Interruption of long-term warfarin is not necessary in patients undergoing total hip arthroplasty  Mohamed Mussa
09:31 - 09:39  Retrospective Review Of Arthroplasty Radiographs: How to Define An Adequate Radiograph  Ahmad Faraz
09:39 - 09:47  The Upper Hand of Sustainability. Reducing carbon footprint in surgery  Preetham Kodumuri
09:47 - 09:55  Metal on metal hip replacement virtual follow up clinic  Amin Abukar

Historically, we have been brought up with heroic leaders.  In the past, these were often military or spiritual leaders. For thousands of years before writing, there was a strong oral tradition and heroic leadership put down deep roots within our culture. It is therefore a challenge to shift from the heroic to the transformational, and there is no doubt that effective leadership is more crucial than ever.  
Three T&O surgeons in key leadership positions will share their leadership stories: the highs and the lows
This session is aimed at leaders and potential leaders at every level of our organisations: from trainees through to established consultants. 
We will be joined by our FLP participants from 2020, 2021, and 2022. 

Hall 9
Chaired by Hiro Tanaka and Lisa Hadfield-Law
Speakers: Professor Sir Keith Willett, Deepa Bose and Arthur Stephen

Agenda 

08:30 - 08:40  Introduction  Hiro Tanaka

08:40 - 09:00  Professor Sir Keith Willett (National Director of Clinical Improvement for the NHS & NHSI)
What would you have done differently as a leader
What were the lessons you’ve learned
How have you done it?

9:00 - 09:20  Deepa Bose
What would you have done differently as a leader
What were the lessons you’ve learned
How have you done it?

09:20 - 09:40  Arthur Stephen
What would you have done differently as a leader  
What were the lessons you’ve learned  
How have you done it?  

09:40 - 10:00  What leadership development opportunities are available in the US & Canada?  ABC Fellows
10:00 - 10:20  Q&A
10:20 - 10:30  Summary (Finish for coffee and presentation of FLP Certificates at 10:30)

Hall 10
Chaired by TBC
Speakers: Subodh Deshmukh and Timothy Knight

08:30 - 09:31  Free Papers
09:31 - 09:41  Bio-medical engineering research and working with Universities  Subodh Deshmukh
09:41 - 09:45  Q&A 
09:45 - 09:55  Soft skills for succeeding at the FRCS Orth exam  Timothy Knight
09:55 - 10:00  Q&A

Free Papers:

08:35 - 08:43  Utility of telephone consultations during COVID-19 and beyond: a study of orthopaedic spinal patients  Michael Woodmass
08:43 - 08:51  Dual modality of vertebral body tethering - Anterior Scoliosis Correction versus Growth Modulation with mean follow-up of five years  Shanawaz Haleem
08:51 - 08:59  Systematic Review and Meta-analysis: Does Anterior Release still have a role in Severe Thoracic Adolescent Idiopathic Scoliosis?  Laasya Dwarakanath
08:59 - 09:07  Collapsing Corpectomy Cages, a Cause for Concern?  Oliver Flannery
09:07 - 09:15  External Validation of the New England Spinal Metastatic Score (NESMS) - A Pilot Feasibility Study for 12-Month Survival in Patients with Metastatic Spinal Cord Compression  William Giles
09:15 - 09:23  What is the Rate of Degenerative Disc Disease in Adolescent Idiopathic Scoliosis? Does it Impact SRS-22 Scores? A Review of 968 Cases  Conor Boylan
09:23 - 09:31  Morbidity and Mortality Following Posterior Lumbar Decompression in Octogenarians and Nonagenarians  Prateek Saxena

Hall 11

A session focusing on improving trainee confidence – surgically and professionally, followed by our annual TPD question time with our SAC chair and select TPDs. 

Chaired by: Frank Acquaah
Co-Chaired by: Marieta Franklin
Speakers: Oliver Adebayo, Pramod Achan, Cronan Kerin, Rob Gregory 

Agenda:

Introduction  Frank Acquaah & Marieta Franklin
Can we get our confidence back?  Oliver Adebayo
Professional Confidence  Mr Prim Achan
Selection Design Group Update  Mr Cronan Kerin
SAC Update  Rob Gregory 
TPD Question Time 

Hall 1 - Main Auditorium
Chaired by Andrew Metcalfe
Co-Chaired by Vipul Mandalia
Speakers: David Johnson, Chinmay Gupte, Claire Roberston, Professor Caroline Hing and Professor Tom Minas

Agenda:

• First-time patellar dislocation: New BOAST and key principles  David Johnson
• Managing osteochondral injury after dislocation  Chinmay Gupte
• How to assess strength and control in clinic: the expert physio view  Claire Robertson
• Principles of assessment and management for recurrent instability  Professor Caroline Hing
• Clinical cases & discussion

Adrian Henry Lecture - ACI: 1995 to Present - Evidence-based Outcomes  Professor Tom Minas

Hall 5

10:35 - 10:43  Electronic referral systems improve the documentation of hip arthroplasty MDT outcomes  Shih-Han Chen
10:43 - 10:51  The Impact of Post-operative Peri-prosthetic Femoral Fracture after Total Hip Replacement: a Qualitative Study  Flossie Carpenter
10:51 - 10:59  The risk of mortality in patients undergoing elective primary total hip replacement for osteoarthritis with recent inpatient admission for management of medical conditions, analysis of the National Joint Registry  Jonathan Evans
10:59 - 11:07  Outcomes of Dislocated Hip Hemiarthroplasties  Gareth Chan
11:07 - 11:15  Torbay Hip Score Demonstrates the Deterioration of Surgical Complexity of Performing Total Hip Replacement in Patients waiting for Elective Surgery  Rangaraju Ramesh
11:15 - 11:23  A randomized controlled trial of short versus standard Exeter V40 stems in total hip arthroplasty: Can Arthroplasty Stem INfluence Outcome (CASINO)?  Nicholas Clement
11:23 - 11:31  Long-term implant survival following arthroplasty for fractured neck of femur: An analysis of commonly used prosthesis constructs using Australian National Joint Registry Data  Ben Tyas
11:31 - 11:39  The Relative Percentage of Acetabular Cartilage to Cotyloid Fossa Surface Area is Reduced in Acetabular Dysplasia and Correlates Best with Radiographic Fossa Depth  Edward Bray
11:39 - 11:47  Surgical interventions for treating intracapsular hip fractures in older adults: a series of Cochrane Reviews  Sharon Lewis

This session will cover the importance of mental health in trauma patients and how physiotherapists can help, and global issues in trauma. 

Hall 7
Chaired by Katrina Mitchell and Georgia Hooper
Speakers: Justine Theaker, Rhiannon Cole and Nigel Rossiter

Hall 8

Chaired by Bob Handley
Speakers: Professor Chris Moran, Jill Griffin and Lucy Nickson

Agenda:

10:30 - 10:40  Why don’t we listen to patients  Chris Moran 
10:40 - 11:05  The revolving door of fragility fractures – patient stories  Jill Griffin
11:05 - 11:30  Major trauma – what does matters most to the patient?  Lucy Nickson
11:30 - 11:40  Could we better the patient advocates?  Bob Handley
11:40 - 12:00  Discussion & Questions

Hall 9

The session will present collaborative work from surgeons, engineers, and health care professionals, assessing mechanisms of musculoskeletal deterioration in lower limb amputees, with a particular focus on altered mechanical loading following amputation, believed to result in unloading osteopenia.

The work presented has implications for military and civilian lower limb amputees, as well as other populations, such as an aging and less active populations; with altered activity profiles giving rise to altered mechanical loading of the musculoskeletal system, resulting in bone and muscle adaptation.

Chaired by Wasim Khan
Co-Chaired by Salma Chaudhury
Speakers: Andrew Phillips, Flt Lt David Cain, Surg Lt Cdr Louise McMenemy and Professor Alex Dickinson

This session is designed to cover the the spectrum of degenerate pathology in adults and children. The talk on back pain in a child will be useful for the viva setting for the exams. It would facilitate the trainees to build their knowledge base on assessing, treating and identifying the referral flags. The second talk is based on the spectrum of degenerate pathology in the back and neck. The third talk is on a literature review of cauda equina syndrome. This is an important topic for the orthopaedic trainees for the viva and for the practice as a general orthopod. It is a common condition and has significant the medico-legal implications. The fourth talk is on the general principles of imaging for the orthopaedic surgeon. We will have a overview discussion with cases through the session.

Hall 10
Chaired by Jwalant S Mehta
Co-chaired by Matthew P Newton Ede
Speakers: Andrew Young, Jayesh Trivedi, George McKay and Rajesh Botchu

Agenda:

10:30 - 10:45  Back and neck pain  Andrew Young
10:45 - 10:50  Q&A 
10:50 - 11:05  Painful spine in a child  Jayesh Trivedi
11:05 - 11:10  Q&A 
11:10 - 11:25  CES: Literature review  George McKay
11:25 - 11:30  Q&A  
11:30 - 11:45  Imaging Principles  Rajesh Botchu
11:45 - 11:50  Q&A
11:50 - 12:00  Discussion and cases  All

Hall 11

Introducing some of the novel ideas in both surgical training and research that can potentially change the face of Orthopaedics from virtual reality boot camps to high-level research collaborative data collection.

Chaired by Monu Jabbal
Co-Chaired by Abhinav Singh
Speakers: Monu Jabba, Abhinav Singh, Oliver Adebayo, Andrew Hall, Professor Ritchie Gill, Jonathan Evans, Zaid Hamoodi, Sadia Afzal, Sohail Nisar and James Hadfield

Agenda:

Introduction  Monu Jabbal & Abhinav Singh
Future of Surgery: Technology Enhanced Surgical Training Report Update  Oliver Adebayo
Virtual Reality Bootcamps  Andrew Hall
AI’s future in Orthopaedics  Professor Ritchie Gill
BOTA / BOA / RCS Eng Collaborative Research Decision Tree  Abhinav Singh & Jonathan Evans
Collaborative Research Open Panel  Zaid Hamoodi, Sadia Afzal, Sohail Nisar & James Hadfield

Hall 1 - Main Auditorium
Chaired by Vivien Lees
Speaker: Professor Grey Giddins

This session aims to bring the participant up-to-date with the latest evidence in Primary Total Hip Arthroplasty and Management of Hip Fractures. The final part of the session is dedicated to the use of technology in measuring outcome in THA and helping train the future generation of hip surgeons.

Hall 1 - Main Auditorium
Chaired by Joanna Maggs and Vikas Khanduja
Speakers: Professor Tim Board Professor, Mike Whitehouse, Professor Martyn Porter, Professor Fares Haddad, Professor Xavier Griffin, Professor Justin Cobb and Kartik Logishetty

Agenda:

14:15 - 14:55  Overview of Trials in Primary Total Hip Arthroplasty: What Have We Learnt?

• Fixation  Professor Tim Board  (10 minutes)
• Bearings  Professor Martyn Porter  (10 minutes)
• Approaches  Professor Mike Whitehouse  (10 minutes)
• Robots  Professor Fares Haddad  (10 minutes)

14:55 - 15:05  Discussion  
15:05 - 15:15  Management of Hip Fractures in 2022 – An Evidence Based Approach  Professor Xavier Griffin
15:15 - 15:20  Discussion
15:20 - 15:40  Technology Disruption in Hip Surgery

• Subjective and Objective Metrics in Hip Function  Professor Justin Cobb  (10 minutes)
• Training the next generation: Use of Technology: Truth or Hype  Kartik Logishetty  (10 minutes)

15:40 -15:45  Discussion

Hall 5

14:20 - 14:27  How does hip and knee arthroplasty affect golfer performance and what should be expected regarding post-operative return to play?  Lee Hoggett
14:27 - 14:34  Knee Replacement Bandaging Study (KReBS): a randomised trial evaluating the effectiveness of a two layered compression bandage following total knee replacement  Jonathan Kent
14:34 - 14:41  Study of Peri-Articular Anaesthetic for Replacement of the Knee (SPAARK): a multi-centre patient-blinded, randomised controlled superiority trial of liposomal bupivacaine  Thomas Hamilton
14:41 - 14:48  Outcomes of Bereiter Trochleoplasty for Recurrent Patellar Instability with Severe Trochlear Dysplasia  Jimmy Ng
14:48 - 14:55  Primary Knee Arthroplasty for Osteoarthritis Restores Patients’ Health-Related Quality of Life to Normal Population Levels: A Propensity Score Matched Study  Liam Yapp
14:55 - 15:02  Gait Studies of Robotic Total knee Arthroplasty Versus Conventional Jig-Based Outcomes: Results of A Prospective Randomised Controlled Trial  Dia Eldean Giebaly
15:02 - 15:09  Intra-articular injection and knee arthroscopy prior to primary knee replacement are each associated with worse outcomes. Analysis of data from CPRD-HES-PROMs  Matthew Strang
15:09 - 15:16  Early tibial component aseptic loosening in NexGen LPS (non flex) Total Knee Replacement (TKR)  Lokesh Sharoff
15:16 - 15:23  Changes in Bone Density below the Cementless Unicompartmental Knee Replacement Tibial Component are not related to Patient-Reported Outcomes  Azmi Rahman
15:23 - 15:30  Socioeconomic area deprivation negatively impacts patient-reported outcomes following autologous chondrocyte implantation (ACI) in the knee  Salam Obaidi
15:30 - 15:37  Knee replacements done with neutral mechanical alignment technique often results in overstuffing of the distal lateral femoral condyle – an analysis using MRI based 3D modelling  Manikandar Srinivas Cheruvu
15:37 - 15:44  A Prospective Cohort Study Comparing the Accuracy of Plain Long-leg Radiographs Versus Computerised Tomography-Based Modelling for Calculating Coronal Plane Alignment of the Knee (CPAK) During Robotic Knee Arthroplasty  Vishal Rajput

This session will cover recent research updates in the world of T&O therapy. Hear from your peers about the brilliant QI projects and research that has been completed. 

Hall 7
Chaired by Hayley Carter and Sarah Marshall
Speakers: Professor Becky Kearney

Agenda:

Hall 8

British Trauma Society trauma revalidation with exploration of PROMS after Major trauma, lessons learnt as a civilian surgeon from wars and how you would manage a "hot" trauma case.

Chaired by Professor Sir Keith Porter
Speakers: Antoinette Edwards, Professor Tim Coats, Deepa Bose

The British Orthopaedic Sports Trauma and Arthroscopy Association would like to welcome you to our combined session composed of free papers and discussion of sustainability, incivility and performance in Orthopaedic Surgery.

The main risk to the planet is climate change. Without doubt, operative surgical management produces high levels of waste with a large carbon footprint, but it is only now we are starting to understand how sustainable practice reduces not only waste but also the costs of healthcare.

As we strive to recover from the pandemic, improving efficiency and activity are key aims of all surgeons and allied healthcare professionals. The  role of interpersonal relationships both between staff and also patients are known to impact on efficiency and effectiveness of healthcare organisations, but it remains a topic that is infrequently discussed. 

It’s nice to be nice, but how to address organisational issues to drive effectiveness is a topic of importance which we look forward to introducing and discussing with you.

Hall 9
Chaired by Rhidian Thomas and Fazal Ali
Speakers: Holly Morris, Matt Hampton and Deiary Kader

Agenda:

14:15 - 14:30  Sustainability in Orthopaedic Surgery  Holly Morris
14:30 - 14:40  BOSTAA travelling fellow presentation  Matt Hampton
14:40 - 15:30  Free papers
15:30 - 15:45  Effect of incivility on performance in Orthopaedic Surgery  Deiary Kader
15:45  Close

Free Papers:

14:40 - 14:48  Knee Injuries in English Community Rugby Union: a ten-season prospective cohort study 2009-2018  Benjamin Gompels
14:48 - 14:56  Comparative Reliability of 3 Tesla Magnetic Resonance Imaging to Arthoscopy Findings in Femoroacetabular Impingement  Mehnoor Khaliq

This session would cover the pathology and general principles of treatment of spinal deformities in all the age groups and with all the common aetiologies that a orthopaedic trainee would be expected to know. Additionally, we have a talk on the principles, indications and interpretation of neurophysiological investigations.

Hall 10
Chaired by Jwalant S Mehta
Co-chaired by Matthew P Newton Ede
Speakers: Professor Adrian Gardner, Morgan Jones, Jonathan Spilsbury, Dr Rajdeep Jain

Agenda:

14:15 - 14:30  Spinal deformity in kids and teens  Professor Adrian Gardner
14:30 - 14:35  Q&A 
14:35 - 14:50  Spinal deformities in adults  Morgan Jones
14:50 - 14:55  Q&A 
14:55 - 15:10  Neuromuscular deformities  Jonathan Spilsbury
15:10 - 15:15  Q&A
15:15 - 15:30  Role of neurophysiology in spinal practice  Dr Rajdeep Jain
15:30 - 15:35  Q&A
15:35 - 15:45  Discussion and cases  All

Hall 11
Chaired by Professor Benjamin Ollivere
Speakers: Professor Xavier Griffin, Professor Michael Whitehouse, Sebastian Dawson-Bowling, Helen Chase, Andrew Duckworth and Professor Daniel Perry

The session will discuss the use of technology in improving the care of patients presenting with hip pain at a young age. Significant progress has been made, supported by better analytical means, in the delivery of surgery and indeed training in complex procedures. It will cover various aspects ranging from sounder diagnostic tools, intraoperative navigation to improve surgical accuracy and postoperative monitoring of recovery. Machine learning is available to help determine factors that can predict the outcomes of surgery.

Session also includes the Charnley Lecture: Have we done justice to the Charnley Heritage  Martyn Porter

Hall 1 - Main Auditorium
Chaired by Ajay Malviya and Callum McBryde
Speakers: Danny Goel, Justin Green, Tony Andrade, Giles Stafford, Vikas Khanduja and Ajay Malviya
Charnley Lecturer: Martyn Porter

Agenda:

Use of VR/ simulation for training in surgery  Danny Goel
Use of AI/Machine learning tools to predict outcome  Justin Green
Remote supervision in hip preservation surgery - technological advances  Tony Andrade
Motion analyses – how it can improve your ability to plan surgical intervention  Giles Stafford
Improving accuracy of surgical correction – the role of navigation  Vikas Khanduja
The role of Navigation in Periacetabular Ostetotomy - where are we?  Ajay Malviya

Hall 5

16:20 - 16:28  Operating table height and lumbar spine ergonomics  Ahmed Elsayed
16:28 - 16:36  Noise in orthopaedic theatres, is it safe?  Maliha Olaifa
16:36 - 16:44  Establishing the Normal Range of Movement for Dart Thrower’s Motion at the Wrist in an Adult Cohort  Magdalena Markiewicz
16:44 - 16:52  Investigating Primary and Long-Term Fixation of the Oxford Unicompartmental Knee Replacement Tibial Component: Ten-year results of a Randomised Controlled Trial Comparing Cemented and Cementless Fixation Using Radiostereometric Analysis  Lachlan Arthur
16:52 - 17:00  Exploring the association between DXA-derived hip geometric measures and hip osteoarthritis: findings from 40,000 individuals  Sophie Heppenstall
17:00 - 17:08  The clinical implications of Graf type IIA hip dysplasia  Gregor Ramage
17:08 - 17:16  Choosing a Specialty by Medical Students  Sulaiman Uppal (Medical Student Essay Prize Winner 2021)

This session will feature one of our famous debates on a “hot” topic. 

Hall 7
Chaired by Justine Theaker
Speakers: Anthony Gilbert and Kate Knapton

Hall 8

The BOA is committed to support all the orthopaedic surgeons including the SAS surgeons and Locally Employed Doctors (LED).  They are playing an important role in NHS service delivery. In recent years an increasing number of doctors have chosen to become SAS surgeons rather than enter higher specialty training.  Due to the evolving demographic of the medical workforce this trend may continue in future years.  SAS surgeons and LED are confident and competent healthcare professionals, delivering clinical services in partnership with orthopaedic consultants and other health workers.

They are a diverse group with a wide range of knowledge, surgical skills and experience from novice to expert.  Sustaining good quality services to NHS patients requires SAS surgeons to remain up to date with advances in trauma and orthopaedic surgery.  Therefore, meeting the professional development needs of SAS surgeons is vital at organisational and individual level.  For successful SAS surgeon’s development, appropriate training, and regular assessment linked to the annual appraisal should lead to satisfactory career development.

This session is targeted at the valuable group of SAS surgeons and LED who want to maximise their untapped potential and develop professionally and personally. 

Chaired by Mamdouh Morgan
Co-chaired by Professor Grey Giddins
Speakers: Deepa Bose, Professor Grey Giddins, Sukhdeep Gill, Lisa Hadfield-Law & Bryan Riemer

Agenda:

16:15 - 16:20  Welcome & Introduction  Mamdouh Morgan

16:20 - 16:35  SAS Professional Development Programme (Why Bother?)  Deepa Bose
At the end of the session, participants will be able to:

• Integrate the role of the professional development programme with their own development needs
• Identify which elements will be most useful for them
• Suggest new elements to be addressed as part of the strategy

16:35 - 16:50  Polishing Your Portfolio  Professor Grey Giddins
At the end of the session, participants will be able to:

• Recognise a well structure professional portfolio
• Identify gaps in their own portfolio

16:50 - 17:05  Selecting and Engaging with Mentors, Supervisors and Sponsor (Who can help?)  Sukhdeep Gill
At the end of the session, participants will be able to:

• Differentiate between a mentor, coach, supervisor and sponsor
• Identify your requirements for support and who might be able to provide it

17:05 - 17:30  Stepping up to the Training Plate  Lisa Hadfield-Law
At the end of the session, participants will be able to:

• Define the role of SAS surgeons as trainers
• Identify strengths and gaps against capabilities of an excellent trainer using the new curriculum 

17:30 - 17:45  Where do you start and how much time and effort will it take? (Where are the potential pitfalls and hurdles)  Bryan Riemer
At the end of the session, participants will be able to:

• Identify an appropriate starting point for the CESR process
• Anticipate a realistic idea of how long it takes and how much effort is required
   

The British Orthopaedic Sports Trauma and Arthroscopy Association would like to welcome you to our interactive session that will use the Socratic method of co-operative argumentative dialogue to cover two topical areas in sports trauma.

Over two debates we will present alternative arguments for management of 2 injury patterns and focus on:

• Multi-disciplinary management of stress fractures in the sportsperson
• Current ACL reconstruction techniques are not fit for purpose- we need lateral extra-articular procedures for the majority of our cases

Hall 9
Chaired by Rhidian Thomas and Fazal Ali
Speakers: Syed Babar, Jonathan Korgaonkar, Joanne Banks, Andrew Metcalfe and Nick Nicolaou

Agenda:

16:15 - 16:20  Introduction
16:20 - 16:35  Multi-disciplinary management of stress fractures- role of the Radiologist  Syed Babar
16:35 - 16:50  Multi-disciplinary management of stress fractures - role of the Sports Physician  Jonathan Korgaonkar
16:50 - 17:05  Multi-disciplinary management of stress fractures- role of the Surgeon  Joanne Banks
17:05 - 17:10  Discussion
17:10 - 17:25  Lateral Extra-articular Tenodesis- the argument for  Andrew Metcalfe
17:25 - 17:40  Lateral Extra-articular Tenodesis- the argument against  Nick Nicolaou
17:40 - 17:45  Discussion
17:45  Close

This session some varied topics that are very important for the examination. These include an overview of the pathology and the general principles of treatment of spinal fractures, primary and metastatic spinal tumours, and inflammatory conditions afflicting the spine. Common themes such as cord compression, surgical referral indications and non-operative options would be discussed with case examples. 

Hall 10
Chaired by Jwalant S Mehta
Co-chaired by Matthew P Newton Ede
Speakers: Shahnawaz Haleem, Matthew Sewell, Melvin Grainger, Simon Hughes and Rohit Shetty

Agenda:

16:15 - 16:30  Spinal trauma  Shahnawaz Haleem 
16:30 - 16:34  Q&A
16:34 - 16:49  Spinal infections  Matthew Sewell
16:49 - 16:53  Q&A
16:53 - 17:08  MSCC: assessment, referral and treatment  Melvin Grainger
17:08 - 17:12  Q&A
17:12 - 17:27  Primary spinal tumour  Simon Hughes
17:27 - 17:32  Q&A
17:32 - 17:47  Inflammatory conditions  Rohit Shetty
17:47 - 18:01  Q&A

Hall 11
Chaired by Professor Benjamin Ollivere
Speakers: Professor Xavier Griffin, Professor Michael Whitehouse, Sebastian Dawson-Bowling, Helen Chase, Andrew Duckworth and Professor Daniel Perry

Hall 1 - Main Auditorium
Chaired by Sue Fitzpatrick

This session will describe the purpose of Good Clinical Practice (GCP) and outline the significant milestones in the history of GCP development.  It will look at the impact of ICH GCP changes on investigator sites and sponsors.  The current legislation relating to clinical trials and medical devices will be discussed.  

Agenda:

08:30 - 10:00

- Welcome and Introduction
- History and purpose of GCP
- Development of ICH GCP
- Roles and responsibilities in clinical research according to ICH GCP
       ~Sponsor
       ~Monitor
       ~Investigator
       ~Ethics Committees 
- ICH GCP E6 R2
- Changes in Data Protection with GDPR
- The EU Clinical Trial Regulation 536/2014, Directive 2001/20/EC and GCP Directive 2005/28/EC in addition the Directive 93/42/EEC on medical devices (EU MDD) Directive 90/385/EEC on active implantable medical devices (EU AIMDD) Directive 98/79/EC on in vitro diagnostic medical devices (EU IVDD) and current position
- The UK Statutory Instruments

10:00 - 10:30 Break

10:30 - 12:00

- GCP in action
- Essential Documentation
- Maintaining data integrity
- Informed consent
- Safety reporting
- Drug accountability
- Enforcement procedures

On completion of the session a GCP certificate will be awarded.

Hall 5
Chaired by Nigel Kiely
Co-Chaired by Ali Mehdi
Faculty: Philip Housdon

The aim of the NOTSS project was to develop and test an educational system for assessment and training of non-technical skills in the intra-operative phase of surgery.  NOTSS is a behaviour rating system based on a skills taxonomy that allows valid and reliable observation and assessment of four categories of surgeons' non-technical skill: situation awareness, decision making, communication & teamwork, and leadership.

These are the essential non-technical skills surgeons need to perform safely in the operating room and NOTSS allows measurement of several ACGME (Accreditation Council for Graduate Medical Education) competencies, including professionalism, interpersonal and communication skills, and systems-based practice.  The skills taxonomy can be used to structure training and assessment in this important area of surgical competence.

The Royal College of Surgeons of Edinburgh has been successfully running a NOTSS Masterclass in observing and rating behaviour for both consultant/attending and trainee surgeons since 2006.  Faculty development has also occurred for groups in North America, East Africa, Japan, Australasia and Malaysia, all of whom now run their own NOTSS courses.  NOTSS has been adopted by the Royal Australasian College of Surgeons as part of their competence assessment and recommended by the ACGME (Accreditation Council for General Medical Education) for workplace assessment in the UK. 

This half day course will introduce the NOTSS framework and concepts and is an excellent introduction to this area. 

Hall 8
Chair: Karen Robinson
Speakers: Caroline Blakey, Alexander Baker, Ben Gooding & Antonia Isaacson

The BOA Clinical Examination Course has run for 10 years.  The course is accessible to all levels of trainees from medical student to FRCS.  It is not intended to be a substitute for a FRCS revision course but to provide good foundational skills of examination technique.  Trainees can attend on an annual basis whereby skills can be learnt at an early stage of training and repetition would result in perfecting a technique as training progresses.
It is taught by an experienced group of lecturers on clinical examination techniques.  The format includes a morning of lectures covering all regions of the body, followed in the afternoon by a hands-on session where participants rotate in groups of similar skill level.  In these tutorial groups there is a demonstration by an experienced consultant followed by practice in pairs of the techniques learnt and opportunities to ask questions.

Hall 6
Chaired by: Lisa Hadfield-Law

No more box ticking and number crunching. Life for you, as a trainer should have got better and richer from August 2021.  All the curriculum work over the last 3 years came to fruition.  It will address concerns expressed by many trainers about the over refined structure of ISCP: of tick boxes and forms.  Our trainees need to acquire professional judgement, insight, leadership, and the ability to work with others, alongside the operative skills required to be a safe surgeon.  The new updated curriculum should help us do this more effectively.  There are still some wrinkles to iron out eg how to make the multi consultant reporting process work well.  This 8-hour programme is designed to help Educational Supervisors make the necessary changes work for them and their trainees. 

Hall 7
Chaired by Professor Matthew Costa
Speakers: Jane Nixon, Professor Antony Johansen, Shvaita Ralhan, Andrew Gray, Professor Xavier Griffin, Iain Moppett, Mike Gillies, Karen Hertz

The Global Fragility Fracture Network (FFN) is coordinating a Call to Action to meet the challenge of caring for the increasing number of patients suffering fragility fractures. This call has been endorsed by over 80 international organizations and has led to the development of national Fragility Fracture Networks in over 20 countries, representing half the world’s population. The express mission of the national FFNs is to change policy in each of those countries, with the aim to improve the multidisciplinary acute management of patients with a fragility fracture, to improve rehabilitation services for these vulnerable patients and to implement effective secondary prevention strategies. You can join the global FFN for free: www.fragilityfracturenetwork.org.

But why do we need a UK branch of the FFN? We already have the NICE guidance for hip fractures, the largest National Hip Fracture Database in the world and, arguably, the best Fracture Liaison network in the world. And yet none of our hospitals meet all of the best practice criteria for hip fracture all of the time, rehabilitation in hospital is ‘variable’ at best and mostly non-existent after the patient leaves hospital, and many hospitals still do not have a Fracture Liaison Service at all. Oh, and what about all of the non-hip fragility fractures?

FFN UK brings together like-minded clinicians, managers and patients to address these problems. It is not a new society. It is not seeking to replace any existing organisations or activities. FFN UK is a ‘network’ of activists whose goal is to collate and share best practice across all stakeholders to improve the care of patients with fragility fracture. Find out more at www.ffnuk.org.uk.

Please do join us for this workshop where will explore the latest thinking in care for patients with fragility fracture and discuss new research projects. You and your hospital can get involved.

For any enquiries regarding this event, please contact Jessica Ryan-Phillips:  [email protected].

Hall 3 and Hall 3 Gallery

This session will allow Medical Students to present a variety of audit and research work that has been undertaken across the country. The abstracts received were all very high quality. 

Chaired by Sarah Stapley
Speakers: Simon Hodkinson, Caroline Hing, Darren Roberts, Nicole Corin, Sukhdeep Gill, Sush Gowda, Evan Davis, Caroline Gibson, Kohila Vani Sigamoney, Louise McMenemy, Matt Barrett, Cheryl Baldwick and Sophie White

Agenda:

Session 1: The Diversity of the Specialty of Trauma and Orthopaedics 

08:30  Welcome/introduction – Sarah Stapley: BOA Medical Student Lead

08:35  Foot & Ankle Surgery – Simon Hodkinson: Vice President Elect BOA and Consultant Portsmouth Hospital University Trust

08:45  Knee Surgery – Professor Caroline Hing: Consultant St Georges Hospital NHS Foundation Trust

08:55  Hand Surgery – Darren Roberts: Consultant Portsmouth Hospital University Trust (Via Link)

09:05  Paediatric Orthopaedic Surgery – Nicole Corin: Senior Orthopaedic Trainee)

09:15  Shoulder Surgery – Sukhdeep Gill: Consultant Portsmouth Hospital University Trust

09:25  Arthroplasty Surgery – Major Sush Gowda: Consultant Portsmouth Hospital University Trust

09:35  Trauma Surgery – Charlotte Lewis: President OTS (Virtual)

09:45  Spine Surgery – Evan Davies: Consultant University Hospital Southampton (Virtual)

Q&A Interactive

Coffee break 10:00 - 10:30

Session 2: Opportunities in T&O

10:30  Combining surgery & Family life – Katy Gibson: Post CCT fellow in Trauma

10:45  T&O overseas/ Developing World – Kohila Vani Sigamoney: Post CCT Fellow

11:00  T&O in the military – Surg Lt Cdr Louise McMenemy: Senior Military T&O Trainee

11:15  Leadership and Managerial Opportunities in T&O – Cheryl Baldwick: Deputy Medical Director, Royal Devon University Healthcare NHS Foundation Trust and Consultant in Trauma and Orthopaedics

11:30  How to get a training post – Sophie White: ST3 trainee Wessex Rotation

11:45  BOMSA and how to get involved – Dr Matt Barrett: BOMSA President

LUNCH 12:00 - 13:00

Session 3: Afternoon Session Practical Stations in HALL 3 – Sponsored by Stryker UK and Arthrex

Start Time 13:00:

1. Cementing Techniques:

Sush Gowda

2. Ankle Fixation:

Simon Hodkinson and Saumil Shah

3. Application of an external fixator:

Surg Lt Cdr Louise McMenemy

4. Knee Arthroscopy:

Professor Caroline Hing

5. Shoulder arthroscopy:

Cheryl Baldwick / Sukhdeep Gill

6. Power Tool and Implants:

Tom Baker (Stryker UK) has agreed to source other suitable training devices for this session.

End Session 16:00