8.30am – 10am BST, 18 September 2024 ‐ 1 hour 30 mins
Room: Hall 9
Specialist Society
Case-based Discussion - Decision-making in Orthopaedic Surgery - To Operate or Not to Operate!
Chair: Sunil Garg, Co-Chair: Amit Tolat
Every day in the clinic and theatre, we come across situations where we are not sure of the right management plan to deliver the best clinical outcome for the patient.
In this interactive session, consisting of case presentations by our expert faculty, we will discuss common clinical dilemmas, and preferred treatment strategies in these situations and explore the evidence supporting such a treatment plan.



Consultant Arthroplasty, Pelvic and Acetabular Surgeon, Barts Health NHS Trust


Consultant Orthopaedic Surgeon , Northern Lincolnshire and Goole NHS Foundation Trust

Consultant Orthopaedic Surgeon; President, BIOS, James Paget University Hospital NHS Foundation Trust

Consultant Orthopaedic Spinal Surgeon, Royal Orthopaedic Hospital Birmingham

Consultant Orthopaedic Foot and Ankle Trauma and Reconstruction Surgeon , University Hospitals of Leicester



Consultant Orthopaedic Surgeon & Past President, BIOS, Medway Maritime NHS Foundation Trust

Consultant Orthopaedic Knee Surgeon, Leeds Teaching Hospitals NHS Trust
Mr Anand is a Consultant knee surgeon with a tertiary referral practice at Leeds Teaching Hospitals NHS Trust.
He is a founder member and Executive Director of the International Society for Knowledge for Surgeons on Arthroscopy and Arthroplasty (ISKSAA), and serves as Executive Editor of the Journal of Arthroscopy and Joint Surgery. He is currently Academic Secretary for BOSTAA, and an Executive Member of the British Patellofemoral Society (BPFS). He is immediate Past-President of BIOS.
He has played a leading role in developing national guidelines for ACL reconstruction and has contributed to guidance on patellofemoral disorders and arthroscopic meniscal surgery.

President, Asia Pacific Orthopaedic Association
Dr. Jamal Ashraf is a trauma and arthroplasty surgeon with an extensive career spanning over 24 years. His commitment to advancing orthopaedic surgery is evident through his active involvement in academic and professional circles. He has delivered faculty lectures in over thirty countries, sharing his insights and advancing global understanding of complex lower limb, periprosthetic and pelvi acetabular trauma.
Currently, Dr Ashraf serves as the President of the Asia Pacific Orthopaedic Association (APOA), where he leads initiatives to enhance orthopaedic practices and education across the region. His leadership extends to his previous role as President of the Asia Pacific Trauma Society, where he championed advancements in trauma care. Additionally, he is a dedicated Council Member of AO Trauma India, contributing to the organization’s mission of improving trauma care and outcomes in the country.
He is a die-hard Manchester United fan.

Consultant Arthroplasty, Pelvic and Acetabular Surgeon, Barts Health NHS Trust
My professional practice is in pelvic and acetabular trauma surgery and primary, complex and revision hip and knee arthroplasty. I have an interest in unusual or challenging hip and knee replacement surgery and arthroplasty as an immediate solution for traumatic injuries and fractures.
I graduated from Cambridge University and trained on the prestigious Percivall Pott Rotation.
Completed revision hip fellowship in Norfolk, working with John Nolan, and fellowships in Germany with Professor Michael Raschke, Head of AO, and in Denmark with Professor Kjeld Sobelle who pioneered minimally invasive periacetabular osteotomy.
Current ATLS instructor, teaching also on the national instructor’s faculty course and an active recruiter of new faculty. Also teaches as faculty for AO, the Orthopaedic Trauma Society and the London Pelvic Course.
Honorary Senior Clinical Lecturer and tutor for the International Orthopaedic Trauma Sciences MSc at Queen Mary University of London and a reviewer for BJJ.
2022 was recruited to the Women in Surgery Working Party against Sexual Misconduct, following my publications relating to dysfunctions in four regions of the UK.
Research interests include patient outcomes, pelvic and acetabular trauma and enhanced recovery.

Consultant Orthopaedic Surgeon, Lewisham and Greenwich NHS Trust
Mr Sunil Kumar Bajaj is a Consultant Orthopaedic Surgeon with specialist expertise in Foot & Ankle Surgery and Paediatric Orthopaedics. He completed his orthopaedic training in London through the South East Thames Orthopaedic Training Programme based at Guy’s and St Thomas’ Hospital, followed by advanced fellowships at Sheffield Children’s Hospital and the Royal National Orthopaedic Hospital, Stanmore. He has also undertaken international travelling fellowships in Switzerland and the Netherlands, focusing on advanced foot and ankle surgery and arthroscopy.
A Gold Medallist in medical school, Mr Bajaj has combined a distinguished clinical career with a longstanding commitment to orthopaedic education, training, research, and academic publishing, including textbook chapters in leading references such as Mercer’s Textbook of Orthopaedics.
Mr Bajaj has been an active member of the British Indian Orthopaedic Society for over 15 years and has served the Society in several leadership roles, including Education Committee Member, Treasurer, and Education Secretary. He currently serves as President Elect of the Society.

Consultant Orthopaedic Surgeon , Northern Lincolnshire and Goole NHS Foundation Trust
Mr Desai completed his Orthopaedic training in India and obtained further higher surgical training in Trauma and Orthopaedics from Northern Deanery, Newcastle.
Consultant Orthopaedic Surgeon; President, BIOS, James Paget University Hospital NHS Foundation Trust
Mr Sunil Garg works as a Consultant Orthopaedic Surgeon at the James Paget University Hospital Foundation NHS Trust, Great Yarmouth with a special interest in Shoulder and Upper Limb Surgery. Mr Garg is the current President of the British Orthopaedic Indian Society and actively supports exchanging Orthopaedic knowledge, training, education and research in the UK.

Consultant Orthopaedic Spinal Surgeon, Royal Orthopaedic Hospital Birmingham
Mr Haleem is a triple fellowship trained Consultant Spinal surgeon, a specialist whose training fellowships covered the whole breadth of adult and paediatric spinal surgery including deformity, degenerative, tumours, inflammatory and musculoskeletal presentations. His adult degenerative and deformity practice is based at the Royal Orthopaedic Hospital. He has performed dual-surgeon paediatric deformity correction operative procedures in the Birmingham Children’s Hospital.
Mr Haleem completed his Higher Orthopaedic Training Programme obtaining his Certificate of Completion of Training (CCT) from the prestigious London Deanery where he was inspired to take up a career in Spinal Surgery. He has consequently actively worked towards developing and enhancing his specialist skills in world class training centres both in the United Kingdom and worldwide. He has also gained the EUROSPINE Spine Diploma and the EUROSPINE Advanced Spine Diploma during this process.
He has travelled overseas on prize-winning fellowships to Hong Kong and Istanbul to improve his spinal and paediatric spinal skills at renowned centres where he gained immensely from leading spinal experts. He is known to be a thinking surgeon who always tries to find a safer and better way of improving patient care and outcomes. This is evidenced in his two eponymous classifications that improve patient safety and care worldwide.
Mr Haleem is known for his scientific approach and has authored, taught and presented worldwide. He is very active in research and his published research involves both adult and paediatric topics that are extending the boundaries of patient care in general and spinal surgery in particular. He is active with major spinal and orthopaedic societies and holds leadership roles where he enjoys interacting and improving the spread of knowledge in a bid to help patients worldwide.
He has been an active member of BIOS serving in various roles and is currently serving as the Education Secretary and President Elect of the society.

Consultant Orthopaedic Foot and Ankle Trauma and Reconstruction Surgeon , University Hospitals of Leicester
Jit Mangwani is a Consultant Orthopaedic Foot and Ankle Trauma and Reconstruction Surgeon at the University Hospitals of Leicester. He undertook higher specialist training in orthopaedics on the Royal London Hospital rotation.
He is Honorary Secretary of the British Orthopaedic Foot and Ankle Society (BOFAS) and has served as Chair of the Scientific Committee, BOFAS (21-23). He has been a member of National Joint Registry Research committee.
He has led and completed the BOFAS James Lind Alliance Priority Setting Partnership (BOFAS JLA PSP) project. This national project has set up ‘Top-10’ research priorities in foot and ankle surgery.
He has a keen interest in medical research and education. He is chief investigator for several outcome studies on ankle fractures, Achilles tendon rupture and other foot and ankle conditions. He is principal investigator for a number of multi-centre national studies.
He has been conferred the title of ‘Academic Champion and Honorary fellow’ by University of Leicester. He serves on the Editorial board of several reputable orthopaedic journals. His contribution towards research in foot and ankle conditions has been recognised with several national and international prizes(Chang Chan prize, Klenermann Prize).
He has published numerous articles in peer-reviewed journals and authored several chapters in books including AO manual of fracture management on Foot and Ankle Trauma. He is passionate about medical education and is involved in both undergraduate and postgraduate teaching and training.
He is regularly invited as a faculty to national and international courses and conferences. He is actively involved in the training and teaching of General Practitioners and Allied Health Professionals.

Consultant Orthopaedic Surgeon, North Tees and Hartlepool NHS Trust
Rajesh Nanda is a keen educationist working as a Consultant Orthopaedic Surgeon at University Hospital of North Tees & Hartlepool since 2010 with Subspecialty interest in Shoulder and Elbow surgery. He is affiliated as an Honorary Professor to the Teesside University. A member of BOA Education & Careers committee – Fellowships and Courses Lead.
He has a postgraduate certificate in Clinical Education, Fellowship of Northeast Leadership Academy and completed Education Leadership programme for surgeons (RCS England). He is a Fellow of the Faculty of Surgical Trainers of RCS Edinburgh. He is on the panel of Examiners for the FRCS(T&O) and Section 1 lead.
He has been a member of British Indian Orthopaedic Society and BESS Education committees.
Organises the MCh Orthopaedics course from Teesside University. Organises annual orthopaedic basic science course; shoulder and elbow symposium for physiotherapists and allied health professionals; joint injection courses for GP’s. He is an invited faculty to Orthopaedic courses and invited to speak at International and National conferences
He has an active research interest and reviewer for BJJ and Shoulder & Elbow Journal.
Is a college tutor and trainer for ST / CT trainees and offers SSC for medical students. Is involved in local and regional teaching programmes, ARCP panels and regional STC. He is the Guardian of safe working for doctors in training at his trust.

Consultant Orthopaedic Surgeon , United Lincolnshire Hospital NHS Trust
Mr Rohit Rambani is a Hip and Knee Reconstructive Surgeon at United Lincolnshire Hospital NHS Trust.
He graduated from the University of Punjab India and did his post graduation (MS Ortho) from India. . His basic training in hip and knee surgery and reconstruction started in Yorkshire and was subsequently enhanced by fellowship training in the Uk and Canada including fellowship in Toronto, Bristol and Leeds.
Mr Rambani's clinical and research endeavours have centred on hip and knee reconstruction. Mr Rambani has finished his PhD from University of Hull in simulation and computer sciences. His interests include the expansion of knee and hip arthroscopic techniques to deal with sports injuries, uncemented hip and knee prosthetic technology, new bearing surfaces and outcomes assessment in hip, knee and revision arthroplasty and use of allografting and other transplant and stem cell techniques in hip and knee reconstruction.
He Has worked extensively on enhance recovery and is regularly doing 24 hour joint replacements in one of the hospitals he works.
He has presented and published widely on key aspects of orthopaedics. He is on the editorial board of many journals and reviews for top orthopaedic journals. Mr Rambani has just published a book on Boot camp approach to surgical training.

Consultant Orthopaedic Surgeon & Past President, BIOS, Medway Maritime NHS Foundation Trust
Professor Amit Tolat is a highly qualified orthopaedic surgeon based in Maidstone, Kent, specialising in shoulder surgery, elbow surgery, and hand and wrist surgery. He is an expert in treating conditions such as tennis elbow, frozen shoulder, arthritis, and carpal tunnel. He has been an Honorary Professor at Bombay University since 2014 and has been a Royal College Tutor of Orthopaedics since 2009.