Volume 3 Issue 4
From the Editor
Welcome to the December issue of JTO. There is an air of apprehension as we move into the winter months as to where will we be in the spring. Winter pressures are going to affect many units, the juniors are understandably eyeing up a fight and there is an increasing feeling that the consultant negotiations are panning out like a bad version of Groundhog Day.
Looking at our front page you could speculate that this is some form of tribute to our spinal colleagues, but could it be some allusion to the “bare to the bone” health service?
We move forward and having had one excellent deputy in Ananda Nanu, we have managed to target a man of experience and resolution in Fred Robinson to take over. Welcome aboard Fred!
JTO continues to target content which looks at our wider professional needs and skills; the guest editorship of Mez Acharya allows expression from one of our active trauma educationalists.
Looking at our data is an important issue both generic and individual. Objectivity in diagnosis and coding issues are also covered.
Of course, the annual quiz has been carefully engineered to give you an excuse to sit aside from the festivities and do something really vital.
It remains important that we increasingly take control of our orthopaedic world; we look forward to building upon last year’s successes together in 2016.
Season’s Greetings
Ian Winson – BOA Vice President
Reference Lists
Lessons of War
References
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2. Military Application of Tranexamic Acid in Trauma Emergency Resuscitation (MATTERs) Study. Morrison JJ et al. Arch Surg. 2012 Feb; 147(2) 113-119
3. Association of cryoprecipitate and tranexamic acid with improved survival following wartime injury: findings from the MATTERs II Study. Morrison JJ et al JAMA Surg. 2013 Mar; 148(3): 218-225
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5. Diagnosis and management of coagulopathy after major trauma. Brohi K (BJS 2009; 96: 963-964)
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7. Management of Massive Haemorrhage on Operations. Surgeon General’s Operational Policy Letter. 08/09; 10 Jun 2009
8. Feasibility of using rotational thromboelastometry to assess coagulation status of combat casualties in a deployed setting. Doran CM et al. J Trauma 2010 Jul; 69 Suppl 1 S40-48
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Clinical Coding Explained
References
1. Monitor and NHS England took on responsibility for the NHS payment system from the Department of Health following the introduction of the Health and Social Care Act 2012 www.gov.uk/government/collections/the-nhspayment-system-regulating-prices-for-nhs-funded-healthcare
2. The National Clinical Coding Standards ICD-10 and OPCS-4 reference books are available as a free PDF download, subject to registration, on the Technology Reference Data update Distribution website at: https://isd.hscic.gov.uk/trud3/user/guest/group/0/home
3. The Coding Clinic is a technical supplement published on the HSCIC website at: http://systems.hscic.gov.uk/data/clinicalcoding/codingstandards/publications/codingclinic
4. www.who.int/classifications/icd/revision/en/ 5. www.hscic.gov.uk/isce
Over-Diagnosis, Over-Screening and Over-Treatment: an Orthopaedic Problem?
References
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2. Heath I, Role of fear in over-diagnosis and over-treatment, BMJ, 349: g6123 2014
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6. Barkatali BM, Heywood N ,White R, Paton RW, MRSA screening in orthopaedic surgery: clinically valuable and cost effective? A prospective study of 8,867 patients Acta Orthop Belg 79 (4): 463-9, 2013
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8. Paton RW, Does selective ultrasound imaging of at risk hips & clinically unstable hips in DDH produce an effective screening programme, PhD Thesis, University of Lancaster, 2011
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15. Choosing Wisely®, the American Academy of Orthopaedic Surgeons (AAOS). 2014
16. Less is more medicine, www.lessismoremedicine.com
17. Too much medicine: from evidence to action, BMJ 347:f7141, 2013
18. Carpal tunnel syndrome, BMJ 349:g6437, 2014
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20. Moseley JB. A controlled trial of arthroscopic surgery for osteoarthritis of the knee. N Engl J Med.347:81– 88.2007
21. NICE, arthroscopic knee washout, with or without debridement in the treatment of osteoarthritis, Interventional procedures guidance (IPG230), 2007
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23. Boden RA, Nuttall GH, Paton RW, A 14 year longitudinal comparison study of two treatment methods in clubfoot: Ponseti versus traditional, Acta Orthop Belg 77(4): 522-8, 2011
24. Toros T, Sugun TS, Ozaksar K, Complications of distal radius locking plates, Injury 44: 336-9, 2013
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