Specialty and subspecialty guidance and resources during the COVID-19 pandemic
Below are links to guidance documents regarding coronavirus in the trauma and orthopaedic specialty and subspecialties.
NHS England specialty guides:
- Trauma and Orthopaedic surgery
- Spinal surgery
- Paediatrics (non-surgical)
- Perioperative care of fragility fracture patients
- Major trauma
- Urgent and Emergency Musculoskeletal Conditions Requiring Onward Referral
- Urgent and emergency musculoskeletal conditions in children (under 16) requiring onward referral
- Management of patients with musculoskeletal and rheumatic conditions on corticosteroids
- Management of patients requiring transfer for specialist rehabilitation
- Prioritisation of surgery during COVID19
BOA and Specialist Society documents:
COVID BOASTs (cobadged by OTS, BSCOS, BSSH and BAHT)
BSCOS have compiled a page of resources, from a wide number of organisations, to help during the COVID-19 pandemic. The page with all resources can be found here.
BSSH have a resource page for members here.
Charnley's Closed Treatment of Common Fractures
The name Charnley is forever linked with hip replacement but Sir John Charnley’s influence on Trauma and Orthopaedics extended well beyond arthroplasty. Before the term ORIF became so widespread in the notes of our fracture patients the mainstay of treatment was non-operative. His book ‘The Closed Treatment of Common Fractures’ was ubiquitous, its blue jacket visible on virtually every surgeon’s bookshelf. It isn’t just a recipe book but is full of explanation and rationale. I copied the simple wooden model he used to demonstrate and teach how to reduce a fracture and still use it to lecture the unwary who do not remember to reverse the mechanism of the injury.
As time has passed the operative treatment of fractures has become commonplace and the confidence and skills required to manage them non-operatively have diminished. Now in the midst of the Coronavirus crisis we must manage our patients without competing for those resources vital for the patients needing respiratory support. We will have to revise and regain some lost skills of non-operative care. The Sir John Charnley Trust have generously made ‘The Closed Treatment of Common Fractures’ available as open access and is available here. It is a great resource both as a repository of the lost skills we may now need and also a chronicle of a period of fracture treatment in the UK. Whilst this book is open access you may feel it appropriate having used it to make a donation to the Charnley Trust.