01 Jun 2018

Volume 6 Issue 2


From the Executive Editor

The second edition of our centenary year marks the close links between our association and the armed forces. 

Sir Robert Jones is illustrated on the front cover wearing his military uniform. This could give the impression that these links are purely historical, but the three articles in our themed section show that orthopaedic trauma and reconstructive surgery remains at the core of the Defence Medical Services. Nick Ward describes his career trajectory and his experiences during two tours in Afghanistan. Sarah Stapley and her co-authors cover the advances made in the areas of blast injury, severe pelvic and extremity trauma, the complications of infection and heterotopic ossification and the importance of outcome measures for those suffering severe trauma. Jon Kendrew and his co-authors describe the ground-breaking field of direct skeletal fixation of prostheses for those where limb salvage is impossible.

Sadly, these advances are increasingly relevant to civilian practise in the UK and across the world. Many of us have been involved in treating the victims of terrorist incidents and the article by Juan de Dios Robinson vividly describes the breadth and complexity of injury patterns that we have to be prepared to assess and treat when the need arises.

Chris Ackroyd returns us to the most direct involvement of surgeons in war. His eloquent story of profound bravery recognised by the award of the Victoria Cross gives a totally different perspective. Before reading it, guess how many VCs have been awarded to medical personnel.

I hope you will enjoy reading the full content of the Journal. The editorial team would be pleased to receive proposed submissions from our members or any comments on this edition.

Phil Turner – BOA Vice President Elect



Reference Lists


Quality Improvement in Surgical Teams (QSIT) - Anaemia and Infection

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Operations I No Longer Do - Shoulder and Elbow - Ten Years On

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Re-branding T&O - The Undergraduate Experience

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3. Vint H, Chapman AP and Daly K. Women in Orthopaedics. JTO 2016; 4(1):26-28.

4. Eardley I, Scott H and Wilkinson D. Why a career in surgery is no longer the golden ticket. BMJCareers. 2015. (Accessed March 2018)(Available from: http://careers.bmj.com/careers/advice/Why_a_career_in_surgery_is_no_longer_the_golden_ticket).  

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6. Young AF, Mason W, and Curwen CH. Motivating and Deterring Factors behind Orthopaedic Surgery as a Career Choice in UK Medical Students.  JUTO 2014; 1:14-17. 

The Cost of Training in Trauma and Orthopaedics - Where Do All The Pennies Go

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5. www.jcst.org/quality-assurance/documents/certification-guidelines/TO_ST6_Waypoint_Checklist.docx. 

The Continuing Saga of Informed Consent

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5. Powell JM, Rai A, Foy MA, Casey A, Dabke H, Gibson A, Hutton M (2017) The “three legged stool” A system for spinal informed consent Bone Joint Journal 98-B (11) 1427-30.

6. Sokol D (2016) Who will operate on you? A late change of surgeon may invalidate patient’s consent BMJ