Modern humanitarian crises and conflict environments present some of the most demanding challenges in trauma and orthopaedic surgery. Surgeons working in these settings must manage complex high-energy injuries, mass casualty scenarios, delayed presentations, limited resources, and disrupted healthcare infrastructure, often while operating in austere and high-risk conditions.
This session will explore the evolving role of trauma and orthopaedic surgery in humanitarian and conflict settings, examining how principles of damage control, limb salvage, fracture stabilisation, infection management, and rehabilitation are adapted when conventional systems of care are compromised. It will consider the unique clinical, logistical, and ethical challenges faced by orthopaedic teams delivering care in field hospitals, resource-limited environments, and areas affected by war or displacement.
The session will also discuss how innovation is shaping practice at the frontline, including the use of telemedicine, digital health platforms, remote decision support, and artificial intelligence to extend specialist expertise, improve triage and planning, and support safe surgical care in challenging environments.
By highlighting the realities of orthopaedic practice at the edge of conventional healthcare delivery, this session will provide insight into the lessons, innovations, and future directions of trauma surgery in humanitarian and conflict settings, and their relevance to both military and civilian trauma systems worldwide.
Chairs: Prof Tahir Khan – BPOS President and Mr M Adeel Akhtar – BPOS Secretary
Agenda
08.30 - 08.35 – Prof Tahir Khan - Consultant Orthopaedic Surgeon, Royal National Orthopaedic Hospital in Stanmore, President British Pakistani Orthopaedic Society (BPOS)
Welcome
08.40 – 09.20 - Short Free Paper Session – (7 papers x 5 min each - 35 min)
09.20 - 09.40 - Amir Qureshi - Consultant Knee and Limb Reconstruction Surgeon, University Hospital Southampton, President British Limb Reconstruction Society (BLRS)
Orthopaedics at the Edge: Trauma Surgery in Humanitarian and Conflict Settings
09.40 - 10.00 - Richard Villar, Orthopaedic Surgeon Villar-Bajwa Practice, London
The Changing Face of Trauma and Orthopaedics in Modern Conflict
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Tahir Khan
Consultant Orthopaedic Surgeon, Royal National Orthopaedic Hospital Stanmore
Professor Tahir Khan is a distinguished consultant orthopaedic surgeon currently based in the Young Adult Hip Unit at the Royal National Orthopaedic Hospital. He holds a specialist interest in paediatric orthopaedics and routinely carries out hip and knee procedures, including arthroscopy and realignment osteotomies.
His clinical work primarily focuses on treating children, adolescents, and young adults, with particular expertise in hip preservation surgery.
Appointed as a consultant in 2002 at Central Manchester University Hospitals, Professor Khan brings over two decades of experience to his role. While at Manchester, he established clinics dedicated to lower limb and paediatric orthopaedics before transitioning to his current position.
His medical training took place across leading institutions in Sheffield, Birmingham, and Manchester, and he further enhanced his expertise through prestigious international fellowships in the USA, Toronto (Canada), and Mainz (Germany). Notably, he was awarded the highly regarded American-British-Canadian (ABC) fellowship by the British Orthopaedic Association during his time in Canada.
In addition to his clinical work, Professor Khan is actively involved in research, focusing on arthroscopic hip surgery in both paediatric and adult populations, joint replacement in younger adults, and gait analysis for children with cerebral palsy. He frequently shares his research at international conferences and contributes to professional education by teaching on various specialist courses.
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Muhammad Adeel Akhtar
Consultant Orthopaedic Surgeon, NHS Fife
Mr. Akhtar is a fellowship-trained Orthopaedic surgeon at NHS Fife, specializing in lower limb arthroplasty, arthroscopy, trauma, and sports injuries. He undertook his higher surgical training in Orthopaedics in the Northeast of England followed by an "Australian Orthopaedic Association" recognised Lower limb arthroplasty fellowship from Sydney. He was awarded an MD by the University of Edinburgh and completed a post-graduate diploma in Computer Assisted Orthopaedic Surgery. He recently completed an "NRS fellowship" studying the role of Digital Health in Obese patients undergoing lower limb arthroplasty. He is currently the "Research and Innovation champion" at NHS fife and a Principal Investigator for an international trial on the "MobileLink uncemented acetabular cup".
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Richard Neville Villar
Orthopaedic Surgeon
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Richard is an author and surgeon, based between London and the Lake District. He was formerly doctor to the Special Air Service and has undertaken more than three decades of work in many of the world’s conflict and disaster zones, and in over 35 countries. He was a consultant orthopaedic surgeon in Cambridge, London, and Dubai and has cared for many of the world’s premier athletes.
His theatres of operation have included the United Kingdom, the siege of Sarajevo, the Falklands War, the North-West Frontier of Pakistan, Afghanistan, Central India, the Far East, Africa, Central America, Great Earthquake of Kashmir, Java, Haiti, the desert conflict in Libya, the Philippines after Typhoon Haiyan, Oman, Ethiopia, Somalia, Lebanon, and Gaza during the 2018 Great March of Return and the 2023-26 Israeli-Palestinian conflict. He has also evacuated casualties from the North Face of Mount Everest after a disastrous avalanche.
Through all these activities, Richard has written and lectured extensively. He has appeared on television and radio numerous times and has published widely for both academic and general readerships. He is a Board member of the British Guild of Travel Writers, an SAS Sentinel, a landowner, a founding member of the International Society for Hip Arthroscopy, and the Founding Editor of the Journal of Hip Preservation Surgery.
Richard is married with three children and five grandchildren, is a committed environmentalist and can frequently be found at the top of the nearest mountain. His blogs may be found at www.neverastraightline.com and www.thebitoutside.com.
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Amir Qureshi
Consultant Orthopaedic and Trauma Surgeon
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Mr Amir Qureshi is a Consultant Knee and Limb Reconstruction Surgeon at University Hospital Southampton, a major trauma centre serving the Wessex region. His clinical practice includes complex knee surgery, sports injuries, osteotomy, cartilage restoration, limb reconstruction, deformity correction, problem fractures, bone infection, and primary and revision knee replacement.
He is President of the British Limb Reconstruction Society and has previously served as Education Secretary. He is actively involved in surgical training, national education and service development within limb reconstruction and complex trauma.
Alongside his UK practice, Mr Qureshi has worked with NGO and humanitarian teams in austere and resource-limited environments, giving him direct experience of trauma and orthopaedic care outside standard surgical infrastructure.
His wider interests include complex limb salvage, pragmatic decision making in difficult environments, and developing safe reconstructive pathways for patients with challenging injuries.
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