Oct 2014 – Sept 2015 | Brighton Orthopaedic Education

See below for the teaching timetable & relevant educational resources from Oct 2014. If any of the specific links/documents fail to work click here or here Teaching Feedback form BLANK Evidence

All documents/articles have been obtained/purchased via the membership/subscription to professional organisations and publishers.  They are for educational purposes only and copyright is held by the respective publishers.

Date – Fridays	Wk	Hot Week Cons	PT Cons	Reg	Topic
03/10/2014	4	MP	DC	DW	Management of Polytrauma Patients Presentation (DW 3 Oct 2014) Vallier et al J Orthop Trauma 2013 Tasker et al J Trauma Ortho 2014 Initial Assessment and Management of the Multiply Injured Patient (OTA) Damage Control Surg Principles Moran JBJS Br Review 2012 Chest Injuries in trauma beyond ATLS Pathophysiology of Polytrauma Tranexamic Acid Use in Trauma – CRASH 2 study Current Tx ARDS & SIRS ‘Second Hit’ Phenomenon Damage control Orthopaedics BMJ DCO – Trauma.org DCO – Slideshare Timing of frx fixation in Polytrauma Changes in Polytrauma treatment of femoral fractures Tranexamic Acid – CRASH 2 Traction vs Ex Fx in Polytrauma Femoral Nailing Timing of Open Fracture debridement JBJS Am Severe open tibial fractures in combat trauma Penn-Barwell et al. Bone Joint J January 2013 95-B:101-105. Decision-making in trauma (AO)
10/10/2014	5	SC	JG	IR	Fractures of the Tibial Plateau Teaching Presentation (IR) Post Med Approach (Paper) Balloon Osteoplasty for Tib Plat (IR) Documents Link Schatzker Classification (radiology) Bicondylar Tib Plat ORIF (VIDEO) AAOS ICL – Tib Plateau AAOS ICL – Complex Prox Tib Fractures of the Tibial Plateau(OTA) Teaching Presentation (IR) Balloon Osteoplasty for Tib Plat (IR) Post Med Approach (Paper) Postero-medial ORIF biomechanics Fibula head osteotomy (Op Tech) Arthroscopically assisted ORIF MIPO Tib Plateau (Curr Ortho) MIPO Tib Plat (injury) Literature (SWT Ortho) Current Evidence (AO) MIPO Tibial Plateau – Injury r/v MIPO Tibial Plateau – review Arthroscopically assisted ORIF Fibula Head osteotomy Op Tech 2011 AAOS ICl – Tibial Plateau Complex prox Tibial fractures (JBJS Am) New trends in tib Plat ORIF (JBJS 2009) Approaches 2 Posteromedial biomechanics (Prone)Posterior/medial approach
17/10/2014	6	NH	SN	WP	Ankle fractures $ankle fracture 1$ Teaching (WP) Cases OTA Lecture Foot & Ankle trauma NOTES Current Orthopaedics – Ankle Fracture Teaching Presentation (PP) Current Orthopaedics – Pilon Fracture Resident Teaching – ankle fracture 2 Resident Teaching – ankle fractures 1 Syndesmosis injuries review
24/10/2014	7	LT	SK	PP	Carpal Fractures and Dislocations Teaching Presentation (PP) Scaphoid Non-Union review (JAAOS, 2013) Surface Anatomy of Wrist Carpal Fractures and Dislocations (OTA) Carpal Dislocations – Hand Clinics 2006 Wrist Anatomy & Approaches Carpal Anatomy & Approaches Surg Approach to carpus Carpal Dislocation – Curr Orth 2007 Late Sequelae of Wrist Fracture Common UL Surgical Anatomy Operative Mm of Hand fry/dislocations Scaphoid fractures/non-union ICL Carpal & scaphoid injuries Distal Radius Fracture MR wrist Imaging Perilunate dislocations Scaphoid fractures Anatomy/Blood Supply Carpus Hand biomechanics Tendon Anatomy Wrist biomechanics Carpal Dislocations – principles Carpal Instability 1 Carpal Instability 2 – ICL Extensor tendon Injuries Flexor tendon injuries Teaching Presentation (IR) TFCC & Ulnar side wrist pain
31/10/2014	8	DMR	BR	AD	Research Update &Journal ClubPapers Peri-operative mortality after hemiarthroplasty for fracture of the hip DOES CEMENT MAKE A DIFFERENCE? Critique Letter Resources How to prepare & present at a journal club How to review a RCT BSUH Journal Club Template BSUH journal club webpage BJJ Journal Club List
07/11/2014	1	CH	EG	MG	Fractures and Dislocations about the Elbow in the Paediatric Patient Physeal Injuries Paediatric Elbow Fractures Lateral Condylar Fractures – OrthoBullets Lateral Condylar Fracture – overview Lateral Condylar Fracture – Surg Tech Supracondylar Fractures (overview) Overview 2 – Orthobullets # Supracondylar Humeral Kids SK3 Lateral vs Crossed Wires JBJS Am 2007 The difficult Supracondylar – Evidence JBJS Am review 2008 Supracondylar Fracture Guidelines (Curr Ortho) Supracondylar review US for predicting supracondylar complications (BJJ, 2013) Posterior intra-focal pinning supracondylar Compartment Syn in Supracondylar Frs Further Documents
14/11/2014	2	LL	ME	AK	Fracture-Dislocations of the Elbow in Adults Teaching Presentation (MCH) Surgical Approaches for Terrible triad Fracture-Dislocations of the Elbow(OTA) Elbow Instability AO San Fran Elbow biomechanics Radial head replacement Elbow instability JBJS Am ICL July2010 PIN anatomy/distribution (JBJS Am) Radial head & neck fracture(overview) OrthoBullets – Terrible Triad
21/11/2014	3	SB	PS	KB	BiomechanicsHip, knee, elbow and Fracture Principles Hip Knee PFJ Elbow Fracture &ORIF Biomechanics
28/11/2013	4	MP	DC	R6	Fractures and Dislocations of the Thoracolumbar Spine Treatment of Fractures and Dislocations of the Thoracic and Lumbar Spine(OTA) Thoraco-Lumbar Fractures review Sacral Insuff Fractures Cauda Equina review Pathological Spinal Fractures MRI Lumbar Spine Lumbar Stenosis Osteoporotic Spinal Fractures Prolapsed IVD Spinal Cord Injury review Spine anatomy – Notes Spinal Injury – Notes
05/12/2013	5	SC	JG	IR	Acute Management of Pelvic Ring Injuries Pelvic disruption & Classification (AO) Acute Management of Pelvic Fracture (AO) AAOS ICL Pelvic trauma Acute Management of Pelvic Ring Injuries(OTA) BOAST Guidelines OKU Pelvic Trauma CRASH-2 study (tranexamic acid in trauma) Corona Mortis, Bircher et al Fixation of Sacral U fractures Fluoro for SI screws, review Sacral Fractures – Injury Review SP Plate fixation Evolution of Pelvic Multip-Team (Ann Surg) Medium term outcome (BJJ 2013)
12/12/2013	6	NH	SN	DW	Fractures of the Talus and Subtalar Dislocations Fractures of the Talus and Subtalar Dislocations(OTA) Talar neck fractures JBJS Am 2004 p1616 Talar body fractures JBJS Am 2004 supp 2 p180 Talus & Calcaneal anatomy Talus Notes Talus FRCS Qs Basic Surgical Anatomy Hindfoot Trauma1 (CurrOrth) Hindfoot Trauma2 (CurrOrth) Talus Anatomy Notes Biomechanics – FOOT Talus blood supply (Pics) Hindfoot trauma Foot & Ankle Trauma Evid (SWT)
19/12/2014	7	LT	SK	CG	Fightbite injuries, tendon repair and healing Assessment of Hand Injuries (General) – Curr Ortho BJHM Review (Kieffer/Gallagher/Rogers/Leonard) Hand Examination (YouTube) Hand Infections (NOTES) Hand Infections (review) Hand Infections (for GP) Hand Infection (BMJ case report) Necrotising Fascititis (Hyperguide Review) Flexor Tendon injuries – OrthoBullets Acute Ligament & Tendon injuries (I) Flexor Tendon Anatomy & Injury (YouTube)
26/12/2014	8	DMR	BR	KM	Research Update &Journal ClubPapersi) Critique Letter ii) Critique Letter Resources How to prepare & present at a journal club How to review a RCT BSUH Journal Club Template BSUH journal club webpage BJJ Journal Club List
02/01/2015	1	CH	EG	IR	Biology of Bone Repair Biology of Bone Repair (OTA) Perren Strain theory Evidence Review (SWT) Bone repair biology (Review) Biologic Stimulation Biology of Fracture Healing (AO) Biomechanics Bone cells – Notes Biomechanics Bone Remodelling – Notes Biomechanics – Bone Composition – Notes BMP expression in non-union BMP4 in fracture healing – JBJS Am BMPs & trauma surgery Early femoral Fracture stabilisation Biology of Bone Grafting
9/01/2015	2	LL	ME	WP	Wound Coverage Wound Coverage Techniques for the Injured Extremity(OTA) Curr Ortho Review Modern Military Surgery (JBJS Br 2012) Fix & Flap (JBJS Br 2000) AAOS ICL – wound coverage Wound Coverage Techniques Microsurgical Recon post complex extremity trauma (Plast Recontr Surg 1986) Composite Tissue Transfer (injury) War Foot wounds (Foot clinics) War Foot wounds 2 (Foot clinics) Emergency wound care Hyperbaric O2 therapy Biomarkers for wound healing Negative Pressure Wound Therapy/Vac Dressings Vac Dressings – International Consensus (Injury 2011) NPWT with ROCF (JOT) Role of NPWT (JOT) Use of NPWT (JOT) Efficacy of NPWT (JOT)
16/01/2015	3	SB	PS	PP	External Fixation Principles of External Fixation (WK, 2013) Pin Site Care JOT Skeletal Traction vs ExFx Open distal tibial fractures – staged Tx Ex Fx in Paed Trauma Novel ankle spanning ExFx JOT 2012 Femoral pin placement Lower limb Temp ExFx JOT (2002) Diaphyseal Tibial Fracture ExFx Curr Orth(2003) Distal Tibial ExFx v IMN JOT (2011) Femoral distractor Op Tech Use of Large Universal (Femoral) distractor Further Documents
23/01/2015	4	MP	DC	AD	Physeal Injuries Original R Salter JBJS Am ICL Physeal Fractures Physeal Arrest Physeal Bridge Resection Physeal fractures – handout Physeal Injury – Green’s Physeal fracture 2 Physis embrol Physis pathology Zones of Physis Lat Condyle fracture Injuries to the Growth Plate Physeal Injuries Non-Accidental Trauma (NAI) in Paediatric Patients Non-Accidental Injury (NAI) in Paediatric Patients(OTA) NAI – Legal Aspects NAI – Radiology JBJS Br 2010 NAI review NAI in OI (J Paed Orth Feb 2013) GMC child protection guidance (2012) GMC – Good Medical Practice House of Commons (2003) V Climbie report Lord Laming (2009) Baby P report
30/01/2015	5	SC	JG	MG	Knee Dislocations Knee Dislocations Overview (OTA) Knee Dislocation – NOTES Knee dislocations & vascular injury (LEAP) – J Trauma 2007 Knee Dislocation (JOT 2007) Knee dislocation rv JBJS Am 2004 Knee Dislocation – Injury rv (2007) Knee Dislocation – JBJS Am 2005
06/02/2015	6	NH	SN	AK	Delayed/Non union of fractures & CIRCULAR FRAMES The Principles and the Management of delayed union and Nonunions (OTA) Review – Tibial NonUnion (Curr Ortho) Biologic Stimulation BMP expression in non-union
13/02/2015	7	LT	SK	KB	Carpal & Metacarpal fractures/dislocations Surface Anatomy of Wrist Carpal Fractures and Dislocations (OTA) Carpal Dislocations – Hand Clinics 2006 Wrist Anatomy & Approaches Carpal Anatomy & Approaches Surg Approach to carpus Carpal Dislocation – Curr Orth 2007 Late Sequelae of Wrist Fracture Common UL Surgical Anatomy Operative Mm of Hand fry/dislocations Scaphoid fractures/non-union ICL Carpal & scaphoid injuries Distal Radius Fracture MR wrist Imaging Perilunate dislocations Scaphoid fractures Anatomy/Blood Supply Carpus Hand biomechanics Tendon Anatomy Wrist biomechanics Carpal Dislocations – principles Carpal Instability 1 Carpal Instability 2 – ICL Extensor tendon Injuries Flexor tendon injuries TFCC & Ulnar side wrist pain Hand fractures (JBJS Am review) Hand (NOTES) Hand & wrist Trauma (NOTES) Sports – Hand & Wrist Trauma Hand Splints Clinical Examination
20/02/2015	8	DMR	BR	R6	Research Update &Journal ClubPapersi) Critique Letter ii) Critique Letter Resources How to prepare & present at a journal club How to review a RCT BSUH Journal Club Template BSUH journal club webpage BJJ Journal Club List
27/02/2015	1	CH	EG	IR	Fracture Healing & Bone Grafting Bone Grafting and Bone Graft Substitute (OTA) Curr Orth review Tibial Non-union Curr Orth 2008 BMP in non-union Curr Ortho 2007 BMP in Ortho surg Curr Orth 2006 Biology of intramedullary reaming Osteoinductive Bone grafting RIA info (Synthes) RIA Op Tech (Synthes) Bone grafting in revTHR Biology of Bone Grafting
06/03/2015	2	LL	ME	DW	Proximal Ulna Fractures Paediatric Monteggia Fractures Coronoid Frx Management JBJS Am Tension Band Wire evidence Elbow radiology Elbow trauma review Morrey Classification (Coronoid) Elbow – Biomechanics Elbow – Instability Elbow instability (JBJS Am review)
13/03/2015	3	SB	PS	CG	Soft Tissue Ankle InjuriesIncl Syndesmo & TA rupture Basic Surgical Anatomy Hindfoot Trauma1 (CurrOrth) Hindfoot Trauma2 (CurrOrth) CURRENT EVIDENCE Ligamentous and Tendon Injuries about the Ankle(OTA) Tendo-Achilles disorders Talus Anatomy Notes Biomechanics – FOOT Midfoot trauma 1 Midfoot trauma 2 Hindfoot trauma Ankle Sports injuries Syndesmosis review Foot & Ankle Trauma Evid (SWT) Achilles tendon rupture Genetics of TA History of Achilles Biomechanic strength of TA repairs Concepts of TA rehab op vs non-op TA repair Disorders of TA
20/03/2015	4	MP	DC	KM	Osteoporotic Fractures BOA Blue book Teaching Presentation (SY) Osteoporosis – Causes Osteoporosis – BASIC Osteoporosis – Screening Osteoporosis – Treatment Osteoporosis – Prevention Osteoporosis in MEN Secondary Osteoporosis Review presentation Osteoporosis prevention review JBJS Br Osteoporotic Fractures(OTA) NICE Guidance (CG146) NHS evidence – osteoporosis
27/03/2015	5	SC	JG	IR	Acetabular Fractures Radiology PW fractures (2) EUA of PW fractures – Moed JBJS Am PW outcomes – Moed JBJS Am PC & PW fractures PW Fracture Management (M Bircher) CT eval of PW fractures Improving outcomes of PW fractures – Moed JoT Long term acetabular fracture outcome (BJJ 2013)
03/04/2015	6	NH	SN	WP	BANK HOLIDAY
10/04/2015	7	LT	SK	PP	Intervertebral discs & spinal nerves General review Degenerative Spine Anatomy for discectomy Spine care Prolapsed disc MRI Spine Lumbar Stenosis- Spinal Muscular Atrophy Spinal Cord Injury Spinal Cord Injury review Spine anatomy – Notes Spinal Injury – Notes Further Reading
17/04/2015	8	DMR	BR	AD	Research Update &Journal ClubPapersi) Critique Letter ii) Critique Letter Resources How to prepare & present at a journal club How to review a RCT BSUH Journal Club Template BSUH journal club webpage BJJ Journal Club List
24/04/2015	1	CH	EG	MG	Trauma PhysiologyDCO, ARDS & VTE Current Concepts – DCO Current Concepts – Paeds Polytrauma ARDS, Fat Embolism, and Thromboembolic Disease in the Orthopaedic Trauma Patient Acute Polytrauma Management ARDS & SIRS (Injury 2009) Damage control ortho(JBJS Am 2005) DCO Pape et al, 2009 Teaching Presentation (IR) DCO & Trauma – NOTES DCO vs Early Total Care (ETC) – J.Trauma 2002 Death in trauma Delayed femoral fracture treatment JBJS 2009 Early Total Care, JOT review 2011 Fat Embolism – NOTES femoral IMN & Polytrauma SIRS, Injury 2005 Polytrauma Markers Systemic response in trauma VTE basics Thromboprophylaxis AAOS ICL NICE VTE guidelines SIGN VTE guidelines Hip fracture VTE VTE review, J Orth Trauma Further Documents
01/05/2015	2	LL	ME	AK	Wrist fractures Teaching Presentation (IR) Updated reading (April 2014) Wrist Fracture Reading List Knirk & Jupiter JBJS Am 1986 Diaz-Garcia Systematic Review (2011) Diaz-Garcia evidence review (Hand Clin 2012) McQueen et al 1996 Predicting Distal Radius instability Mackenney et al JBJS Am 2006 Distal radius fractures OTA AAOS guidelines Radiographic Predictors – Batra Distal Radius Notes Monteggia fractures Fracture distal radius Distal Malunion rv Wrist immobilization v ORIF review Colles fractures (Curr Ortho rv) Fixed angle plating r/v Jupiter review JBJS Am 2007 distal radius ORIF v POP JBJS Am 2009 Distal radius Fractures (JBJS Br 2008)
08/05/2015	3	SB	PS	KB	Intracapsular Hip fractures
15/05/2015	4	MP	DC	R6	Open Tibial Fractures of the Tibial Diaphysis Fractures of the Tibial Diaphysis BOAST Guidelines BOAST questions Gustillo & Tscherne Classifications (AO) Closed Treatment of Tibial fractures(JBJS Am) JAAOS Review 2012 Use of Plate fixation re Tibial Fractures (AO) Staged protocol for prox tibial fractures Surgical Technique for IMN Lower Extremity Assessment Project (LEAP) LEAP 1 – JBJS Am (2005) – Insensate Foot LEAP 2 – NEJM (2002) – Salvage v Amputation *Further documents* BSUH BJJ letter Severe open tibial fractures in combat trauma Penn-Barwell et al. Bone Joint J January 2013 95-B:101-105. Critique – V Voon BJJ Letter (v5)
22/05/2015	5	SC	JG	IR	Extra-capsular Hip Fractures
29/05/2015	6	NH	SN	DW	Fractures of the Patella & Distal FemurFemur Distal Femoral Fractures – AO Classification Distal femoral Fractures (OTA) Distal Femoral Fracture (AO) Distal Femoral Non-Union (AO) Patella Sleeve fracture management (AO) Tension Band Wire – Op Tech Patellar Dislocation (YouTube)
05/06/2015	7	LT	SK	CG	Fractures of the Shoulder GirdleSCJ, ACJ, Clavicle & Scapula
12/06/2015	8	DMR	BR	KM	Research Update &Journal ClubPapersi) Critique Letter ii) Critique Letter Resources How to prepare & present at a journal club How to review a RCT BSUH Journal Club Template BSUH journal club webpage BJJ Journal Club List
19/06/2015	1	CH	EG	IR	Paediatricupper limb fractures Fractures and Dislocations about the Elbow in the Paediatric Patient(OTA) Physeal Injuries Paediatric Elbow Fractures Lateral Condylar Fractures – OrthoBullets Lateral Condylar Fracture – overview Lateral Condylar Fracture – Surg Tech Supracondylar Fractures (overview) Overview 2 – Orthobullets # Supracondylar Humeral Kids SK3 Lateral vs Crossed Wires JBJS Am 2007 The difficult Supracondylar – Evidence JBJS Am review 2008 Supracondylar Fracture Guidelines (Curr Ortho) Further Documents Forearm Risk Factors for forearm bone displacement (BJJ, 2013) 3 point index for forearm bone displacement
26/06/2015	2	LL	ME	WP	Articular cartilage, tendon and ligament healing
03/07/2015	3	SB	PS	PP	Midfoot injuries
10/07/2015	4	MP	DC	AD	Amputations Amputations Review (Injury 2011) Fasciotomy predictors (Injury 2011) Vasc Injury in Trauma (Curr Orth 2003) Amputation Principles (NOTES) Leg Amputations (NOTES) Arm Amputations (NOTES) Foot Amputations (NOTES) Hand Replantation (NOTES) MESS score LEAP study Lower Extremity Assessment Project (LEAP) LEAP 1 – JBJS Am (2005) – Insensate Foot LEAP 2 – NEJM (2002) – Salvage v Amputation Further Documents Previous Journal Club paper Combat Unilateral Lower limb loss Bennett et al Bone Joint J February 2013 vol. 95-B no. 2 224-229 Critique – E Lindisfarne BJJ letter (v4)
17/07/2015	5	SC	JG	MG	Hip dislocations &femoral head fractures OTA lecture Acetabular Radiology OTA lecture Acetab Fract Management OTA lecture Surg Approaches Acetabular fractures Hip Dislocation (OrthoBullets) Radiology review Pipkin Paper 1957 JBJS Am Ganz Surg dislocation Op Tech – JBJS Br Radiology of PW fractures Radiology PW fractures (2) EUA of PW fractures – Moed JBJS Am PW outcomes – Moed JBJS Am PC & PW fractures PW Fracture Management (M Bircher) CT eval of PW fractures Improving outcomes of PW fractures – Moed JoT Bone density of Acetabulum 10 yr outcome (St Georges) – JBJS Br Pipkin classification (NOTES) PW reconstruction Surgical dislocation JOT 2002
24/07/2015	6	NH	SN	AK	Injuries to Syndesmosis & Tibial Plafond Reduction Techniques – JOT Surgical Approach to Posterior Pilon Management Decisions on Pilon Frx Synostosis (case report) TTC nail (Curr Orth) Incisions for pilon fracture surgery Ex Fx for Pilon fractures – JBJS Systematic Rv Anatomy of pilon fractures – JBJS Br 2005 TTC nail in DM patients ORIF v IMN JBJS Br 2010 Pilon Fractures (YouTube) Tendon & Ligamentous injuries around ankle
31/07/2015	7	LT	SK	KB	Fractures & dislocations of Cervical Spine Surgical AO Fracture Management Acute Neck review (BJHM) Lower C-spine fractures Pathological Spinal Fractures Cervical Spine injuries – review Curr Ortho – C spine injury review Sub-axial C-spine biomechanics C-Spine Op Tech Anterior C-spine approach Spine Cord Injury – Review Care of the Spinal Patient Referred Pain from C-spine Anatomy of Upper Cervical Spine ATLS c-spine1 Neck Instability Rheumatoid Neck Halo Vest stabilization (SPINE 2009) Halo v Dens ORIF (SPINE 2009) C Spine clearance Meta-Anal (JOT 2010) BOAST Guidelines Documents
07/08/2015	8	DMR	BR	R6	Research Update &Journal ClubPapersi) Critique Letter ii) Critique Letter Resources How to prepare & present at a journal club How to review a RCT BSUH Journal Club Template BSUH journal club webpage BJJ Journal Club List
14/08/2015	1	CH	EG	IR	Brachial Plexus Brachial Plexus Injuries – in depth Traumatic brachial plexus injuries (Curr Ortho) review Brachial Plexus Notes Management of Brachial Plexus Upper Root Plexus Injuries (INJURY 2002) B Plexus injury post shoulder disloc (Injury) Functional Outcomes of Nerve Transfers Surgical Options post BP injury Microsurg recon in orthopaedics (review)
21/08/2015	2	LL	ME	DW	Finger Infections & other injuries Hand Fractures (ICL) Suzuki Frame – Op Tech(McGill) Suzuki Frame outcomes Finger Fracture (NHS advice) Finger Fracture (AAOS advice) New technologies in finger trauma Selected Readings (Hand Infections) BJHM Review (Kieffer/Gallagher/Rogers/Leonard)
28/08/2015	3	SB	PS	CG
04/09/2015	4	MP	DC	KM
11/09/2015	5	SC	JG	IR	Avascular necrosis
18/09/2015	6	NH	SN	WP
25/09/2015	7	LT	SK	PP	Os Calcis Fractures / Achillles Tendon rupture
02/10/2015	8	DMR	BR		Research Update &Journal ClubPapersi) Critique Letter ii) Critique Letter Resources How to prepare & present at a journal club How to review a RCT BSUH Journal Club Template BSUH journal club webpage BJJ Journal Club List


					FRCS Ortho Exam Cases
					Statistics and survivorship curves
					MRI, X ray, US, CT, bone scan, DEXA scan

					Topics for early repetition:
					Ankle fractures
					Femoral neck fractures