JTO
01 Jun 2025

JTO - June 2025

Volume 13 Issue 2

From the Executive Editor

Talent acquisition, training opportunities, and the working environment are the three pillars for any organisation to flourish. They are particularly pertinent at this crucial time for our specialty, which faces many challenges. The national medical training review that is currently under way creates an opportunity to enhance trauma and orthopaedic training alongside other national medical training pathways. I would like to draw your attention to the features in this issue of JTO that focus on these key aspects – these include initiatives to engage the future generation early in schools (Emily Schenk and co-authors), a perspective on orthopaedic training from a final year medical student (Matthew Bellamy), current challenges with training in the independent sector (Oliver Townsend), and enhancing practice through peer support (Deiary Kader and Philip Mitchell).

Dominic Meek, as the guest editor for the subspecialty section, provides his engaging commentary on advances in hip surgery in the subspecialty section that cover hip preservation (Ryan McWilliams and Vikas Khanduja), resurfacing (Amy Firth and Andrew Manktelow), and revision networks (Matt Wilson et al.). I would like to say a special thanks to Mehak Kakwani, an orthopaedic FY2 working in Sunderland, who has continued our artistic theme by highlighting the multifaceted talents of our trainees. The front cover cleverly incorporates the hip subspecialty theme in an unexpected and imaginative way!

The surgical hubs programme, led by GIRFT, is likely to be crucial in tackling the unprecedented pressures on surgical waiting lists in orthopaedics and other surgical specialties. In order to conduct an objective appraisal of its benefits, the National Institute for Health and Care Research (NIHR) has commissioned an independent evaluation of the surgical hubs programme called the MEASURE study. Peter Sivey and colleagues outline the purpose and the methods being used in the study, and the opportunities to get involved.

International engagement by the T&O community remains strong. David Limb provides an interesting overview of the history, evolution, and current strengths of EFORT. Of particular note is that the EFORT Board has always had a BOA representative, and four of its Presidents have been from the UK. James Allen and co-authors report on one of the biannual FHA trips to Nyabondo Medical Centre in Kenya, highlighting the challenges around the complex, resource-limited care required.

The merits and challenges of using social media in orthopaedic surgery practice (Mohamed Hashem et al.), and the BOA Medico-legal Committee update provide additional dimensions to the features in this issue.

I wish you all an enjoyable summer and hope you will take the time to rest and refresh over the summer holidays!

Amar Rangan, Vice-President elect

 

Subspecialty Section

References

The double-edged sword: Merits and challenges of social media in orthopaedic surgery practice

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  2.  Mallin, M. and Schlein, S., 2014. A primer for Free Open Access Medical Education (FOAMed). Advances in Medical Education and Practice, 5, pp.297–300.
  3. Zimba O, Radchenko O, Strilchuk L. Social media for research, education, and practice in rheumatology. Rheumatol Int. 2020;40(2):183–90.
  4.  MedAll, 2024. MedAll: Medical Education for Everyone. [online] Available at: https://www.medall.org 
  5.  OrthOracle, 2024. Orthopaedic Surgery e-learning platform. [online] Available at: https://www.orthoracle.com
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  7. Kilic Y, Chauhan D, Avery P, Horwood N, Nakov R, Disney B, et al. The public’s attitude towards doctors’ use of Twitter and perceived professionalism. Clin Med (Lond). 2021;21(6):e475–9.
  8. Lu, D. and Rosenblum, R., 2021. Utilizing spaced repetition with Anki in medical education. MedEdPublish, 10, pp.1–9.
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  13. American Academy of Orthopaedic Surgeons (AAOS), 2021. Code of Ethics and Professionalism for Orthopaedic Surgeons. [online] Available at: https://www.aaos.org/globalassets/about/bylaws-and-code-of-ethics/code-of-medical-ethics-and-professionalism.pdf
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The growth and future of hip preservation surgery

  1. Ganz R, Parvizi J, Beck M, Leunig M, Nötzli H, Siebenrock KA. Femoroacetabular impingement: a cause for osteoarthritis of the hip. Clin Orthop Relat Res. 2003(417):112-20.
  2. Griffin DR, Dickenson EJ, Wall PDH, Achana F, Donovan JL, Griffin J, et al. Hip arthroscopy versus best conservative care for the treatment of femoroacetabular impingement syndrome (UK FASHIoN): a multicentre randomised controlled trial. Lancet. 2018;391(10136):2225-35.
  3. Palmer AJR, Ayyar Gupta V, Fernquest S, Rombach I, Dutton SJ, Mansour R, et al. Arthroscopic hip surgery compared with physiotherapy and activity modification for the treatment of symptomatic femoroacetabular impingement: multicentre randomised controlled trial. BMJ. 2019;364:l185.
  4. Smith C, Khanduja V, Malviya A. The non-arthroplasty hip registry of the UK: a decade on. J Hip Preserv Surg. 2023;10(3-4):135-6.
  5. Holleyman R, Sohatee MA, Lyman S, Malviya A, Khanduja V, Group NU. Hip arthroscopy for femoroacetabular impingement is associated with significant improvement in early patient reported outcomes: analysis of 4963 cases from the UK non-arthroplasty registry (NAHR) dataset. Knee Surg Sports Traumatol Arthrosc. 2023;31(1):58-69.
  6. Holleyman RJ, Lyman S, Bankes MJK, Board TN, Conroy JL, McBryde CW, et al. Comparison of early outcomes of arthroscopic labral repair or debridement : a study using the UK Non-Arthroplasty Hip Registry dataset. Bone Jt Open. 2022;3(4):291-301.
  7. Pettit MH, Hickman SHM, Malviya A, Khanduja V. Development of Machine-Learning Algorithms to Predict Attainment of Minimal Clinically Important Difference After Hip Arthroscopy for Femoroacetabular Impingement Yield Fair Performance and Limited Clinical Utility. Arthroscopy. 2024;40(4):1153-63.e2.
  8. Sohatee MA, McBryde C, Andrade T, Gaston P, Hutt J, Khanduja V, et al. Feasibility of embedding orthopaedic clinical trials into national registries: a pilot quality improvement study for the UK Non-Arthroplasty Hip Registry (UK-NAHR). J Hip Preserv Surg. 2024;11(3):216-22.
  9. Khanduja V, Hølmich P. Hip and Groin Pain in Physically Active Adults:  A Formal ESSKA-EHPA-ESMA Consensus 2024 [Available from: https://cdn.ymaws.com/www.esska.org/resource/resmgr/docs/consensus_projects/2024_groin_summary.pdf.
  10. Palmer AJ, Malak TT, Broomfield J, Holton J, Majkowski L, Thomas GE, et al. Past and projected temporal trends in arthroscopic hip surgery in England between 2002 and 2013. BMJ Open Sport Exerc Med. 2016;2(1):e000082.
  11. Sienko A, Ekhtiari S, Khanduja V. The growth of hip preservation as a speciality. Knee Surg Sports Traumatol Arthrosc. 2023;31(7):2540-3.
  12. Heikenfeld J. “Please learn from my mistakes”: the acute need for an entrepreneurial mindset in academic biosensor research. Frontiers in Sensors. 2024;Volume 5 - 2024.
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