01 Dec 2016

Volume 4 Issue 4


From the new Editor

One of the pleasures of being elected to the Presidential line is the task of editing the JTO. It is an additional pleasure to realise that I share this work with such a talented and enthusiastic Editorial Team. I look forward to providing you with interesting and thought-provoking items for the next two years

What could be in the festive gift box on the front cover? The benefits of BOA membership; access to the Annual Congress, training courses, podcasts and, of course, your JTO are just a few potential gifts. The article by Colin Howie provides an excellent overview of the work of the BOA and how this translates into support for our members.

I thought the Congress in Belfast was a great success and this view is supported by the positive feedback from consultants, SAS doctors and trainees in this issue. The inspirational talk from Mandy Hickson was clearly one of the highlights of the Congress.

As Guest Editor, Grey Giddins has provided us with a timely update on some of the key areas in hand surgery and the practical ramifications of “Montgomery” are explored by David Warwick as they apply to the choice of management of wrist fractures and how they can be expressed to patients in a meaningful way.

Once you have had your fill of education and brought yourself up-to-date with all the issues facing us in our profession, turn to the Festive quiz and see if you can solve the questions without reverting to “Google”. You can then finish off the season by sending us the wittiest possible caption for the very worrying photograph of Steve Cannon on page 16.

With best wishes from me, Fred Robinson and the rest of the JTO team.


Phil Turner - BOA Vice President Elect

Reference Lists


PROMS: Are we Singing from the Same Score?

1. Charnley J Surgery of the hip joint. Present and future developments.  British Medical Journal 1960, Vol 1: 821-826

2. Frederick Watson The Life of Sir Robert Jones  Hodder and Stoughton Ltd 1934

3. Daniel J, Pynsent PB, McMinn DJW  Metal on Metal resurfacing of the hip in patients under the age of 55 years with  osteoarthritis.  J Bone Joint Surg (Br) 2004; 86-B: 177-84  

4. National Institute of Clinical Excellence. Technology Appraisal Guide  Metal on Metal hip resurfacing. June 2002

5. Wroblewski BM, Siney PD, Fleming PA  Charnley low frictional torque arthroplasty of the hip 20-30 year results  J Bone Joint Surg (Br) 1999; 81-B: 427-30

6.  Rolfson O, Karrholm J, Dahlberg LE, Garellick G  Patients reported outcomes in the Swedish Hip Arthroplasty Register:  Results of a nationwide prospective observational study J Bone Joint Surg (Br) 2011; 93-B: p868 

Montgomery and Wrist Fractures: What Should we Tell the Patient?

1. Kopylov P,  et al 1993 Fractures of the distal end of the radius in young adults: a 30 year follow up J Hand Surg 18B:45-49

2. Haus BM, Jupiter JB 2009 Intra-articular fractures of the distal end of the radius in young adults: reexamined as evidence based and outcomes medicine JBJS(Am) 2009;91A:2984-91

3. Goldfarb CA  et al 2006 Fifteen year outcome of displaced intra-articular fractures of the distal radius J Hand Surg 31A:633-639  

4. Warwick et al 1993 Function 10 years after Colles’ Fracture CORR 295:270-274

5. Forward, Davis, Sithole 2008 Do young patient with malunited fractures of the distal radius inevitably develop symptomatic post-traumatic osteoarthritis? JBJS 90B:629-637

6. Lutz et al 2007 Long term results following ORIF of dorsal dislocated distal intra-articular fractures Handchir Mikrochir Plast Chir 39:54-59  

7. Finsen et al  (2013) The relationship between displacement and clinical outcome after distal radius (Colles’) fracture J Hand Surg(Eur) 2013; 38: 116-126  

8. Chen et al (2016) Safety and Efficacy of Operative Versus Nonsurgical Management of Distal Radius Fractures in Elderly Patients: A Systematic Review and Meta-analysis. J Hand Surg Am 41:404-13.

9. Bentohami et al (2014) Complications following volar locking plate fixation for distal radial fractures: a systematic review. J Hand Surg (Eur) 2014 ;39: 745-54

10. Lutz K et al (2014) Complications associated with operative versus nonsurgical treatment of distal radius fractures in patients aged 65 years and older. J Hand Surg Am 39:1280-6

11. Costa ML et al (2014) Percutaneous fixation with Kirschner wires versus volar locking plate fixation in adults with dorsally displaced fracture of distal radius: randomised controlled trial. BMJ 49:4807.  

12. Fullilove S, Gozzard C (2016).Dorsally displaced fractures of the distal radius: a critical appraisal of the DRAFFT (distal radius acute fracture fixation trial) study. Bone Joint J 98-B:298-300

13. Zong SL et al (2015) Meta-analysis for dorsally displaced distal radius fracture fixation: volar locking plate versus percutaneous Kirschner wires. J Orthop Surg Res.;10:108.  

14. Chaudhry H et al (2015) Are Volar Locking Plates Superior to Percutaneous K-wires for Distal Radius Fractures? A Meta-analysis. Clin Orthop Relat Res. 473:3017-27

15. Povlsen B (2015) Bone of contention. PI Focus November; 26-8.  

16. Song J et al (2015) Comparison of conservative and operative treatment for distal radius fracture: a metaanalysis of randomized controlled trials. Int J Clin Exp Med. 2015 8:17023-35

17. Opel S et al (2014) Corrective distal radius osteotomy following fracture malunion using a fixed-angle volar locking plate. J Hand Surg Eur 39:431-5.