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 & Professor Matthew Costa

Agenda: TBC

Hall 1 - Main Auditorium

Speaker: Timandra Harkness

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 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, James Gibbs, 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  James Gibbs 
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

Hall 11

Agenda:

14:50 - 15:20  Bioventus UK: The changing landscape in the management of osteoarthritis: How do hyaluronic acid and orthobiologics align with the potential for new surgical treatments?

Speaker: Professor Jane Fitzpatrick

Osteoarthritis is a complex disease for which there are currently no available disease-modifying treatments. New research is uncovering the molecular changes in early-stage osteoarthritis which can help us to better choose treatments for intervention. Early osteoarthritis may be effectively managed with conservative treatments such as weight loss and exercise therapies and more severe osteoarthritis with joint arthroplasty. However, there is a perceived treatment gap for moderate osteoarthritis. This paper will explore the evidence for corticosteroids, hyaluronic acid and orthobiologics with particular reference to how their mechanism of action of impacts the molecular changes in osteoarthritis differentially and look at the potential for new surgical interventions in moderate osteoarthritis.

Hall 1 - Main Auditorium
Speaker: Leela Biant

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.

Hall 1 - Main Auditorium
Speaker: Michael Beverly

Hall 1 - Main Auditorium
Speaker: Professor Andrew Carr

The global burden of musculoskeletal disease is a major cause of years lived with pain and loss of mobility. There is an urgent need globally to improve the quality, cost and access to orthopaedic treatments.

Innovation is the introduction of a new method into a particular area of clinical practice or health care system.  Generally four types of innovation are recognised; disruptive innovation that changes existing care pathways; radical innovation where a technological breakthrough creates a new care pathway; incremental innovation is characterised by gradual continuous improvement of existing treatments and finally sustaining innovation aims to maintain an existing treatment. The latter two types tend to make relatively little difference to clinical outcomes but at increasing costs suggesting that research should be focussed on disruptive or radical approaches. Recent innovations in orthopaedics include new imaging, novel implants, new outcome assessments, hybrid systems of care, virtual reality training and digital systems or information technology. Many of these innovations have been accelerated globally by the Covid-19 pandemic. Alignment of clinicians with research intensive universities and industry is needed to create the multidisciplinary environment required for rapid and effective translation of innovations.

Innovation also has the potential to adversely influence patient care and therefore requires some form of regulation and scrutiny. Recent safety issues involving surgical implants has resulted in changes to the regulatory environment for surgical procedures, both in Europe and North America. 

The orthopaedic surgery community has long realised the need for improved methods of assessment of outcome of surgical procedures. This has included the design and widespread use of patient reported outcome measures and the use of national registries of joint replacements. Orthopaedic surgical trials particularly randomised trials have been slower to gain support and adoption but are now becoming more common and often provide important and powerful evidence supporting or refuting the use of a surgical procedure.

Disruptive and radical innovation is crucial and, if accompanied by appropriate regulation and effective assessment of outcomes, will improve care for the increasing numbers of patients requiring orthopaedic care globally.

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, Joanna Maggs,Nathaneal Ahearn, Alasdair Bott, Joanne Round & 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.

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

Agenda:

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

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.

Hall 11
Co-chaired by Pranai Buddhdev and Nigel Kiely
Speakers: Aresh Hashemi-Nejad, Caroline Blakey, Sanjeev Patil and Jonathan Hutt

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, 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  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  Fares Haddad
11:35 - 11:45  Training and Education: New Opportunities  Ricci Plastow
11:45 - 12:00  Discussion

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 10
Co-chairs: Shyam Kumar & TBC
Speakers: Leigh Evans and Bertie Leigh

Agenda:

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

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. 

Hall 9
Chaired by Professor Amit Tolat and Sanjeev Anand
Speakers: Ashok Johari, Shailesh Gupta, Vivek Trikha and Professor S Rajasekaran

Agenda:

10:30 - 10:50  Paediatric Pathological Fractures and Physeal Separations  Ashok Johari
10:50 - 11:10  Management of neglected hand and wrist trauma-challenges in treatment  Shailesh Gupta
11:10 - 11:30  Salvage of Failed Peritrochanteric Fractures  Vivek Trikha
11:30 - 11:50  Challenges of spinal cord injury in the developing world and the value of focused rehabilitation  Professor S Rajasekaran
11:50 - 12:00  Q&A

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.

Hall 1 - Main Auditorium

Speaker: Daniel Berry

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: Anna Clarke, Steve Borland, John McArthur, Jim MicVie & Darryl Ramatour

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.

Hall 9
Chaired by: Fares Haddad and Elizabeth Ashby
Speakers: Matt Costa, Professor Daniel Perry, Elizabeth Ashby, Andrew Duckworth and Chloe Scott

Agenda:

16:40 - 16:55  Research questions  Professor Matt 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

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 8
Chaired by Professor Mike Reed and Tim Wilton

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. 

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

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  
Tips and tricks on how to scale up QI at a national level  Professor Sir Keith Willett (National Director of Clinical Improvement for the NHS & NHSI)
How I came up with the GIRFT idea and then took it national  Professor Sir Keith Willett (National Director of Clinical Improvement for the NHS & NHSI)

9:00 - 09:20 
What leadership development is available and feasible?  Deepa Bose
What do you need as a trainee to meet leadership requirements?  Deepa Bose
What do trainers need to train for leadership?  Deepa Bose

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

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 at 10:30)

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

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  Caroline Hing
• Clinical cases & discussion

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 George Hooper
Speakers: Justine Theaker, Rhiannon Cole and Nigel Rossiter

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 1 - Main Auditorium
Speaker: 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

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:

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, civility, and performance in Orthopaedic Surgery.

The main risk to the planet is climate change. Without a 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.

Hall 9
Chaired by Rhidian Thomas and Fazal Ali
Speakers: TBC

Agenda:

14:15 - 14:20  Introduction
14:20 - 14:35  Sustainability in Orthopaedic Surgery
14:35 - 15:30  Free papers
15:30 - 15:45  Civility and performance in Orthopaedic Surgery

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, 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  Neurophysiology  Jain
15:30 - 15:35  Q&A
15:35 - 15:45  Discussion and cases  All

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 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.

Hall 1 - Main Auditorium
Chaired by Ajay Malviya and Callum McBryde
Speakers: Danny Goel, Justin Green, Tony Andrade, Giles Stafford, Vikas Khanduja and Professor Tim Board

Agenda:

Use of VR/ simulation for training in surgery  Danny Goel
Use of AI/Machine learning tools to predict outcome  Justin Green
Needle Hip Arthroscopy – A quick diagnostic tool  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
Postoperative rehabilitation – personalising recovery after procedures  Professor Tim Board

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

Hall 7

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 common topics in sports trauma.

Over a series of three short debates we will present alternative arguments for management of 3 injury patterns:

• Stress fractures in the sportsperson
• Role of lateral extra-articular procedures in ACL reconstruction
• Clavicle fractures - operative or non-operative

Hall 9
Chaired by Rhidian Thomas and Fazal Ali
Speakers: Andrew Metcalfe, Neil Jain and Nick Nicolaou

Agenda:

16:15 - 16:20  Introduction
16:20 - 16:50  Debate I - Stress Fractures
16:50 - 17:20  Debate II - Lateral extra articular procedures in ACL reconstruction
17:20 - 17:45  Debate III - Clavicle fractures

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  Timothy Knight

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  Timothy Knight
17:47 - 18:01  Q&A

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

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 9
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 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 10
Chaired by Professor Matthew Costa

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].

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. 

Hall 11
Chaired by Sarah Stapley
Speakers: Simon Hodkinson, Caroline Hing, Caroline Hing, Nicole Corin, Sush Gowda, Evan Davis, Katy Gibson, Kohila Vani Sigamoney, Louise McMenemy, Matt Barrett and Sophie White

Agenda:

• Welcome/introduction 
• Why Ortho?
• Subspecialty tasters
  • Foot & Ankle  Simon Hodkinson
  • Knee  Caroline Hing
  • Hand  Darren Roberts
  • Paediatrics  Nicole Corin
  • Shoulders
  • Arthroplasty  Sush Gowda
  • Trauma
  • Spine  Evan Davis

Coffee break 10:00 - 10:30 am

• Combining surgery and family life  Katy Gibson (15 mins)
• T&O overseas / developing world  Kohila Vani Sigamoney (15 mins)
• T&O in the military  Louise McMenemy (15 mins)
• BOMSA and how to get involved  Matt Barrett (15 mins)
• How to get a training post  Sophie White (15 mins)
• Research pathways in T&O  ACF / Paralympian Ortho trainee 

Practical & Free Paper Session

Full details to follow.