Speakers
Ansar Mahmood
Janardhan Rao
Usman Ahmed
Thayasivam Gobyshanger
Specialist Society
Session Title: BTS Revalidation Session
Chair & Co-Chair: Ansar Mahmood and Anna Clarke
Agenda:
16:10 - 16:40 Principles of surgical fixation of fragility fractures Peter Giannoudis
Objectives:
a) Aim to establish principles of management for fractures of long bones, femur, tibia, humerus, forearm. Nail/plate/external fixator. Type of plate, type and number of screws. Role of cement augmentation
b) Joint fractures, quite disabling discussion fix or replace. For fixation there is a vast increase in hardware
For replacement improved prosthesis eg shoulder, reversed polarity allows almost immediate use of the arm, irrespective of the state of rotator cuff
For knee joint fractures full weight bearing as soon as soft tissue injury settled
In the elbow early mobilisation and return to function
c) Ankle fractures surgical tactic to permit full weight bearing as soon as possible-im nail or ex-fix
16:40 - 17:05 Management of long bone fractures in a District General Hospital Usman Ahmed
Objectives:
The session should include long bone fractures in both non-polytrauma patients and in polytrauma patient. The aim is to allow delegates, particularly senior members to openly discuss their concerns as they feel deskilled to manage these injuries. The discussion should include traction, both skin and skeletal, IM nail, plate, and external fixator.
17:05 - 17:20 Road to trauma registry-for sustainable model of trauma prevention T Gobyshanger
a) To highlight the absence of a centralised trauma registry in Sri Lanka and its impact on trauma care planning and policy development.
b) To present a stepwise model of trauma data collection and analysis from hospital-based studies in the Northern Province as a scalable national framework.
c) To demonstrate regional variations in trauma patterns and injury types through real-world data from road traffic accidents and falls.
d) To advocate for data-driven trauma prevention and response systems by showcasing the social, economic, and functional consequences of injuries.
e) To propose a sustainable national trauma registry model that supports public health policy, emergency preparedness, and injury prevention strategies.
17:20 - 17:40 Clinical case presentation FRCS (Orth) Ansar Mahmood and Anna Clark
'Impartial' arbitrator Janardhan Rao (Consultant Trauma and Orthopaedic surgeon and examiner)
Clinical case presentation by the Chairman and co-chairman for discussion with the delegates and the guest speakers.
Included will be a FRCS examiner as 'impartial' arbitrator who will see fair play and also summarise sessions and tease out learning points.
Mr. Ansar Mahmood serves as a Consultant Trauma and Orthopaedic Surgeon at University Hospital Birmingham. Specializing in the treatment of complex musculoskeletal injuries, Mr. Mahmood provides comprehensive, patient-focused care. His work not only enhances clinical outcomes but also contributes significantly to the field of orthopaedic surgery through ongoing research and the training of future surgeons.
Mr. Janardhan Rao
Qualifications: BSc (Hons), MB ChB (Vic), FRCS (Ed), FRCS (Tr&Orth)
Mr. Janardhan Rao was the Lead Orthopaedic Examiner for the National and International Exam, Chair JCIE T&O since 2020 taking the exam throughout covid. He has been a Senior Intercollegiate Examiner for more than half of his 23 years as a consultant. Also acting as an assessor of all the surgical exams to promote fairness.
He is on the board of the Orthopaedic Data Evaluation Panel which scrutinises orthopaedic implants published data for survival, this ensures a quality rating for implants. He has been the Lead Clinician and Divisional Medical Director in his Trust, innovating the use of a neighbouring hospital spare operating theatre capacity and promoting day case hip and knee replacement. Continuing elective cases during the COVID lockdown.
He is a Senior Honorary Clinical Lecturer at the University of Liverpool, moving the teaching online and continuing lectures on a weekly basis throughout covid. He also provided teaching for nursing and paramedics via the University of Chester. He is the President of the Chester and North Wales Medical Society, originally founded in 1883.
Mr Rao, originally went to a Quaker school in York before graduating with an intercalated honours degree from the University of St. Andrews. He completed his post graduate surgical training in Cambridge and Norwich. He completed his fellowship at the Rocky Mountain Trauma Centre in Denver before taking up the post of Consultant Orthopaedic Surgeon in Chester. He is a Regional Surgical Ambassador for the Royal College of Surgeons of Edinburgh.
Mr Usman Ahmed is a Consultant Orthopaedic Surgeon at Worcestershire Acute Hospitals NHS Trust, where he also serves as Clinical Director for Trauma & Orthopaedics. His clinical interests include hip and knee arthroplasty, alongside a wider commitment to improving patient care through service development and collaborative leadership.
Usman has a strong interest in education and workforce development. He is the founder of the Postgraduate Virtual Learning Environment (PGVLE) – an NHS digital learning platform initially created to support core surgical trainees during the COVID-19 pandemic. It has since expanded to support learners across multiple specialties, with national-level implementation underway.
Dr. Thayasivam Gobyshanger, MBBS, MS, FCSSL, FICS, FRCS (Edin), is a Consultant Orthopaedic Surgeon at the National Hospital of Sri Lanka and current President of the Sri Lanka Orthopaedic Association (SLOA). With over 18 years of clinical experience, he has played a pivotal role in advancing trauma care, sports medicine, and rehabilitation in Sri Lanka.
A graduate of the University of Jaffna, Dr. Gobyshanger ranked among the top of his class, receiving multiple gold medals including the Professor Milroy Paul Gold Medal for Clinical Surgery and the Dr. Varasapillai Gabriel Memorial Gold Medal. He later earned his MS in Surgery, MRCS (Edinburgh), FCSSL, FICS, and most recently, FRCS (Edinburgh). His research contributions have been recognized nationally, including the prestigious President’s Award for Research in 2023.
He is the Founder President of the International College of Surgeons – Sri Lanka Chapter, Country Representative of the Asia Pacific Spine Society, and a faculty member of AO Trauma, AO Spine, and APSS Trauma & Spine. His academic influence extends globally, having presented and published research at international forums including the European Orthopaedic Association, American College of Surgeons, and global health hackathons.
Currently, Dr. Gobyshanger spearheads the Trauma Registry initiative for Northern Province and leads national studies on proximal femur fractures and fall prevention. His career reflects a strong commitment to innovation, collaboration, and capacity building in orthopaedic trauma, with a vision of reimagining orthopaedics beyond surgical care into holistic patient recovery.
Objectives:
- To highlight the absence of a centralized trauma registry
in Sri Lanka and its impact on trauma care planning and policy development.
- To present a stepwise model of trauma data collection and analysis
from hospital-based studies in the Northern Province as a scalable national framework.
- To demonstrate regional variations in trauma patterns and injury types
through real-world data from road traffic accidents and falls.
- To advocate for data-driven trauma prevention and response systems
by showcasing the social, economic, and functional consequences of injuries.
- To propose a sustainable national trauma registry model
that supports public health policy, emergency preparedness, and injury prevention strategies.
Anna Clarke is a paediatric orthopaedic consultant in Bristol. She is a keen educator and co-chair of the AO paediatric trauma course.
She is also the clinical lead for the Bristol paediatric MTC, one of only 5 standalone paediatric centres in the UK.
Her special interests include all aspects of trauma but particularly upper limb. She has developed a niche practice in managing complex elbows in children which has taught her much about the difficulties in managing the rarer injuries and their consequences.
Her elective practice is wide ranging but with a focus on cerebral palsy and upper limb conditions.