Journal of Trauma & Orthopaedics – Vol 5 / Issue 2

From the Editor

This issue really should have something of interest for every orthopaedic surgeon. The breadth of our specialty is truly remarkable and the reports from our specialist society meetings demonstrate the energy of the organisers and participants, their international reach and the inclusion of the whole team. The steadily rising number of attendees at their conferences is a tangible measure of their success.

We have articles on education, professional development and medico-legal issues, but the core theme is basic science. We provide you with up-dates on the fundamental process of fracture healing and the evidence to support our approach to articular cartilage regeneration. Professor Tim Board is the guest editor and has written on the continuing conundrum of avascular necrosis of the femoral head where we still struggle to understand the causes or provide optimal treatment.

The “Getting it right first time” programme now encompasses many specialties though orthopaedics led the way. Rachel Yates explains the rationale of the process that supports clinicians taking the lead to improve outcomes and reduce variation based on sound evidence. It is vital that we take responsibility for stewardship of our resources, but we need to understand how to assess the cost effectiveness of our surgery. Belen Corbacho explains the importance of the QALY and what data you should consider when assessing health technology interventions.

Few things depress a surgeon more than a patient presenting with early infection after knee replacement. The impact on the patient can be catastrophic and it is vital that the right decisions are made as quickly as possible. Rhidian Morgan-Jones provides a clear and logical approach.

There is no doubt that you will want easy access to your copy of “JTO” and refer back to previous editions. We are excited to announce that you can now download the journal via the JTO App – just search for JTO @ BOA on the App Store or Google Play.

Phil Turner – BOA Vice President Elect