2.30pm – 4pm BST, 17 September 2025 ‐ 1 hour 30 mins
Room: Room 3A
BOA Session
Session Title: BOA Trauma Committee Session
Session Description: Join us for an encompassing session on surgical and peri-operative management of the hyperfrail and the challenges of their management and care. Encompassing surgical, peri-operative and recovery strategies in the hyper-frail this session will focus on what can be optimised now.
Agenda:
14:30 - 14:35 Introduction Ben Ollivere
14:35 - 14:50 The demographics and specific problems. ERAS and the optimising outcomes in the frail patient group Ben Ollivere
14:50 - 15:05 Optimising the peri-operative journey: what you can do now Iain Moppet
15:05 - 15:20 Tricky problems – surgical management of periprosthetic fractures Paul Tornetta
15:20 - 15:45 Frailty fractures in the upper limb – what could/should we do Andrew Duckworth
15:45 - 16:00 Open fractures of the frail – an increasing and complex problem Skaria Alexander
16:00 Wrap up and Q&A

Associate Pro-Vice Chancellor, Faculty of Medicine and Health Sciences, Chair of Orthopaedic Trauma, School of Medicine, University of Nottingham & Nottingham University Hospital



Honorary Consultant Orthopaedic Trauma Surgeon, Edinburgh Orthopaedics, Royal Infirmary of Edinburgh

Consultant Plastic Surgeon, Nottingham University Hospitals NHS Trust; Honorary Assistant Professor, University of Nottingham

Associate Pro-Vice Chancellor, Faculty of Medicine and Health Sciences, Chair of Orthopaedic Trauma, School of Medicine, University of Nottingham & Nottingham University Hospital
Ben OIIivere is a clinical academic trauma surgeon (one of just a handful in the UK) working at Nottingham University where he is Professor of Orthopaedic Trauma, Head of Department. He is Deputy Pro-Vice Chancellor where he leads on Academic Performance and Reputation for the University. He trained in Oxford, London and later Cambridge before coming to Nottingham as a clinician in 2011 and then moving to the University in 2016. He was subsequently appointed to a Chair in 2020.
Professor Ollivere works at the Queens Medical Centre, Nottingham with a special interest in trauma, non-union and complex peri-articular work. He is a limb reconstruction surgeon and undertakes over 100 limb reconstruction cases for infection, bone defects, deformity and complex injuries a year.
He is a world leader in his field and has achieved a total personal research portfolio of £59M (>£8M as CI) with research funding from the MRC, NIHR (HTA, EME, DRF, RfPB and BRC programmes) and InnovateUK. He takes a big picture approach to research with themes established in injury and recovery, frailty and decline and chest injury. During the Covid-19 pandemic the MRC funded Panther programme for which he was CI generated the data responsible for introduction of booster vaccine doses.

Iain Moppett is Professor of Anaesthesia and Perioperative Medicine at the University of Nottingham, a consultant anaesthetist at Nottingham University Hospitals, and Chair of the Centre for Research and Improvement at the Royal College of Anaesthetists.
Iain is Chief Investigator for the 3rd Sprint National Audit Project (SNAP3) investigating the associations between frailty, multimorbidity and outcomes after surgery in older people.
He worked for many years to improve care for people with hip fracture through research, audit and quality improvement. His research includes the Nottingham Hip Fracture Score and clinical trials of goal-directed fluid therapy, femoral nerve blocks, intravenous iron, intravenous lidocaine and dexamethasone. He has co-authored guidelines for perioperative management of people with hip fracture for the Fragility Fracture Network and the Association of Anaesthetists.
He has a long-standing interest in safety around the time of surgery and is chair of the Centre for Perioperative Care (CPOC) working group revising the National Safety Standards for Invasive Procedures.

President, American Academy of Orthopaedic Surgeons ( AAOS)
Dr. Tornetta is the director of orthopaedic trauma at Boston Medical Center, and professor and chair of the Department of Orthopaedic Surgery at the Chobanian & Avedisian School of Medicine of Boston University. He describes himself as a “blue-collar surgeon” who takes pride in promoting a shared decision-making model with patients and fostering lifelong professional learning for surgeons.
Dr. Tornetta is a highly respected professor known for his passion for teaching and efforts to advance orthopaedic education, training, and surgical techniques. His reputation for fairness and transparency has earned him numerous recognitions. At Boston University, orthopaedic residents selected him four times to receive the annual Robert E. Leach, MD, Resident Teacher of the Year Award. He earned distinction as a Castle Connolly Top Doctor every year since 1999 and a Boston Magazine Top Doc since 2006. He is past president of the Orthopaedic Trauma Association (OTA) and served on the executive committee of the American Orthopaedic Association (AOA) for more than a decade.
“I am deeply grateful to the AAOS Board of Directors for entrusting me to take on this role and look forward to working alongside them and with the many volunteer and staff leaders in the organization to move our profession forward in the service of our patients,” added Dr. Tornetta. “We succeed only with each other, and I am optimistic about the future for our patients – and for us.”
Among his many AAOS volunteer positions, he previously served as a member-at-large on the Board of Directors, chaired the Education Council for four years, was past chair of the Annual Meeting Committee and former Evaluations Committee. In 2022, his leadership in the collaboration between the AAOS, American Board of Orthopaedic Surgery (ABOS), the Council of Orthopaedic Residency Directors (CORD) and AAOS Resident Assembly was instrumental in launching the AAOS Resident Orthopaedic Core Knowledge (ROCK) Curriculum.
Dr. Tornetta has published more than 350 peer-reviewed papers and leads the Orthopaedic Trauma Research Consortium. The consortium focuses on large-scale studies to improve surgical best practices for some of the most common musculoskeletal diseases. He has been a steering committee member for trials that were recognized with the Orthopaedic Research and Education Foundation (OREF) Clinical Research Award (2010) and the Kappa Delta Ann Doner Vaughn Award (2020, 2023). He is also the recipient of multiple Bovill Awards, given to the top paper at the OTA annual meeting.
Dr. Tornetta earned his medical degree and completed his internship and orthopaedic residency training at the State University of New York Health Science Center at Brooklyn, N.Y. After a fellowship at Hospital of the Good Samaritan in Los Angeles, he was appointed director of orthopaedic trauma at Kings County Hospital Center and the University Hospital of Brooklyn before moving to Boston Medical Center.

Honorary Consultant Orthopaedic Trauma Surgeon, Edinburgh Orthopaedics, Royal Infirmary of Edinburgh
Andrew Duckworth is Professor of Trauma & Orthopaedics at the University of Edinburgh and is Honorary Consultant Orthopaedic Trauma Surgeon at the Royal Infirmary of Edinburgh. His undergraduate and postgraduate study was undertaken at the University of Edinburgh, with the award of his PhD in 2016. Following completion of his training in Edinburgh, he was an Upper Limb Fellow at the Wrightington Upper Limb Unit.
Andrew’s clinical and research interests are in trauma and upper limb surgery, with a focus on injuries around the elbow, wrist and hand. His current research includes multi-centre clinical trials in orthopaedic trauma, large data studies and the efficacy of patient reported outcome measures. He is the Co-CI for the NIHR funded FOREST and MOTION trials and is a co-app and PI on several other NIHR funded clinical trials. He is an Editorial Board Member for the Bone and Joint Journal (BJJ), Bone and Joint Research (BJR), Bone & Joint360 and the Journal of Orthopaedic Trauma (JOT). He is also on the Research Committees of the Orthopaedic Trauma Association (OTA) and the Orthopaedic Trauma Society (OTS). He is a co-director of the world-renowned Edinburgh International Trauma Symposium and is a member of the Edinburgh Sports Medicine Research Network and the UKCCIIS IOC Research Centre of Excellence.

Consultant Plastic Surgeon, Nottingham University Hospitals NHS Trust; Honorary Assistant Professor, University of Nottingham
Skaria studied at the University of Edinburgh, did Basic Surgical Training in London and Higher Surgical Training in Yorkshire. He did two years of fellowships in Melbourne, in Burns and Microsurgery, before starting in Nottingham as a consultant in 2018. His main subspecialty interests are Burns and Orthoplastic Surgery. He is the plastics clinical lead for Governance and for Orthoplastics.