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RSM Orthopaedic Section Podcast

RSM Orthopaedic Section Podcast

By RSM Ortho
This podcast features global experts and key opinion leaders discussing innovation, progress and current practice within their subspecialties.

All views expressed in this podcast are of the speakers themselves and not of the RSM.

Produced by Mr Akib Khan (Orthopaedic Registrar) on behalf of the Orthopaedics Section Council at the RSM.

Join in the conversation #RSMOrtho
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Ep 39: Professor Martin McNally: Fracture Related Infections
Professor McNally (Oxford, UK) has been an influential force in the world of fracture related infections. This episode highlights some of the key points we should all be aware of when managing orthopaedic patients with bone infection. 
16:10
August 01, 2022
Ep 38: Ms Deepa Bose: Tibial Nails and Circular Frames
Ms Deepa Bose (Birmingham, UK) discusses the indications for using tibial nails and circular frames. We also discuss the management of infected tibial nails. 
08:04
July 18, 2022
Ep 37: Mr Mike Walton: Clavicle, ACJ and Scapula injuries and Shoulder Instability in Athletes
Mr Mike Walton (Wrightington, UK) is an experienced shoulder surgeon with a vast experience in treating high performance athletes. We speak through his mantra for managing patients with injuries to the shoulder girdle. 
23:36
July 11, 2022
Ep 36: Mr Tom Quick: Peripheral Nerve Injuries
We speak with Mr Quick (Peripheral Nerve Injury Unit, Stanmore) about the management of peripheral nerve injuries. 
15:37
June 13, 2022
Ep 35: Professor Steve Gwilym: Humeral fractures and the HUSH trial
Professor Gwilym (Oxford, UK) discusses the optimal management of humeral shaft and proximal humeral fractures. We also discuss the HUSH and FISH trials. 
20:18
June 06, 2022
Ep 34: Professor Lyndon Mason: Fractures of the calcaneum and ankle
We sat down with Professor Lyndon Mason (Liverpool) to discuss the optimal management of calcaneal fractures and ankle fractures. Prof Mason dispels commonly held myths in this high yield episode. 
14:47
May 30, 2022
Ep 33: Professor Justin Cobb: How to introduce new skills into the arthroplasty workforce
We invite Professor Cobb back to discuss the latest in surgical education with particular focus on arthroplasty surgery. Questions include: - How has hip arthroplasty practice changed globally in the last 20 years? - How this compares to UK practice and explanations behind the difference? - Which practice is more effective and which is more cost-effective? - Is there a large learning curve to direct anterior approach and if so how can it be mitigated? - How does cognitive task analysis, virtual reality and team simulation address this?
24:32
April 18, 2022
Ep 32: Professor Justin Cobb: Outcome of Arthroplasty
Professor Justin Cobb (Imperial College London) speaks with us about approaches to the hip joint, patient reported outcome measures and the outcome of arthroplasty surgery. Specific points we cover are: - When trying to determine the outcome is between different hip approaches, can we rely on patient reported outcome measures?  - What is the ceiling affect of patient reported outcome measures? - Are walking speed and gate potentially outcome measures? - Does the approach to the hip matter?  - Does implant choice matter and why? - Who stands to potentially benefit the most from the direct anterior approach?
22:29
April 11, 2022
Ep 31: Professor Sébastien Lustig: Dual Mobility Hip Replacements
We speak with Professor Sébastien Lustig (Lyon, France) about the latest evidence surrounding dual mobility hip replacements. This high yield 20 minute episode covers a range of questions including: How do dual mobility hips differ from convention? Are there still concerns about loosening with dual mobility because of forces at bone-implant interface? What was the evolution of implant design in dual mobility hip replacements and what was the rationale for changes? Is the clinical range of movement less? What are your indications for use in a primary THA? Do dual mobility implants help in the revision setting? Is the placement of the cup less critical in dual mobility THAs? There has been an evolution in design over the years, what is next for dual mobility?
20:51
April 04, 2022
Ep 30: Mr Aresh Hashemi-Nejad: Young Adult Hip Pathology
Mr Aresh Hashemi-Nejad (Royal National Orthopaedic Hospital) joins us to discuss the common pathologies affecting the young adult hip. We cover: - What are the sites of hip pain in the adolescent hip & do they differ from adult arthritis? - What clinical features are indicative of underlying hip deformity? - What makes a good X-Ray of the Hip? - What are your tips for a good arthrogram? - What are the different surgical options for achieving hip congruency? - What are the long-term outcomes of Adolescent hip reconstruction? - Should one be mindful of the future need for a THR? - What is the role of non-arthroplasty intervention in the young adult hip?
33:32
January 24, 2022
Ep 29: Mr. Matthew Wilson: Spinopelvic Mobility and Hip Replacements - What do we need to know?
Mr. Matthew Wilson (Exeter Hip Unit) speaks with us about the important relationship between the spine and the pelvis when performing total hip arthroplasty. In this engaging talk he breaks down the complexities of this subject into very easy to digest core knowledge which we hope will be beneficials for all of our listeners. This is a great episode and we're really excited to bring it to you. 
18:03
January 17, 2022
Ep 28: Dr Louis Koizia: Peri-operative Care of Neck of Femur Fracture Patients
Dr Louis Koizia (Imperial College London) is a consultant physician and geriatrician with a specialist interest in the medical management of older surgical patients. In this episode he discusses the pre, peri and post operative care for these patients - and what evidence supports these strategies. 
24:59
January 10, 2022
Ep 27: Mr Michael Pearse: Fractured Neck of Femur - Trends in Management
We speak with RSM Orthopaedic Section President Mr Michael Pearse (Imperial College London) about the management of fractured neck of femur patients. We cover the evidence and best practice guidelines. 
24:09
January 03, 2022
Ep 26: Professor Cecilia Rogmark: Hip Fractures in Younger Patients
Professor Cecilia Rogmark (Lund University, Sweden) is featured on the podcast. She has an extensive experience in managing patients with hip fractures and has published widely in the field. In this episode we discuss hip fractures in younger patients and the HFU-60 trial. 
20:32
December 20, 2021
Ep 25: Mr. Khaled Sarraf: Paediatric Hip - Infection or Inflammation?
Mr. Khaled Sarraf (Imperial College London and The Cromwell Hospital) speaks with us about how we can differentiate between infection or inflammation in the paediatric hip. 
19:47
December 13, 2021
Ep 24: Professor Deborah Eastwood: Late DDH
Professor Deborah Eastwood (Great Ormand Street Hospital and Royal National Orthopaedic Hospital) speaks with us about late developmental dysplasia of the hip. 
21:43
December 06, 2021
Ep 23: Mr Greg Firth: Perthes and the Neurological Hip
Mr Greg Firth (Royal London Hospital) speaks with us about Perthes and the Neurological Hip. A great episode that covers these important concepts. 
24:35
November 29, 2021
Ep 22: Professor Dan Perry: DDH, SCFE and Paediatric Trials
Professor Dan Perry (NIHR Research Professor) speaks with us about developmental dysplasia of the hip, slipped capital femoral epiphysis and paediatric trauma trials. In this engaging and high-yield episode, he describes all the important factors we should be aware of in these common paediatric orthopaedic conditions. 
29:47
November 22, 2021
Ep 21: Professor Matt Costa: Research in Orthopaedics
We speak with Professor Matt Costa (Oxford, UK) about the importance of research in orthopaedics. Is it still important for trainees? How can you get involved? What are the tips and tricks? This lively discussion also covers his own path into pursuing an academic orthopaedic career. A great episode that helps demystify the world of academic orthopaedics. 
19:48
June 21, 2021
Ep 20: Professor Bert Perey: The WRIST trial and Distal Radius Fractures
We speak with Professor Bert Perey (Vancouver, Canada) about the WRIST trial. We discuss the implications of it's findings and the follow-up studies that may also change practice in the management of distal radius fractures. This lively discussion covers the latest evidence and how to apply it to the patients being treated. 
20:21
June 14, 2021
Ep 19: Mr. Lee Van Rensburg: Mischief around the Elbow
Mr. Lee Van Rensburg (Cambridge, UK) takes us through elbow trauma including how to keep the elbow stable, tips and tricks for managing the unstable elbow, when to fix or replace a radial head fracture and how to avoid stiffness after elbow trauma. This in-depth discussion covers the evidence and rationale behind different treatment strategies to improve patient outcomes following elbow trauma. 
31:11
June 07, 2021
Ep 18: Mr. Jamie Nicholson: Clavicle Fractures - What's the evidence?
Mr. Jamie Nicholson (Edinburgh, UK) provides us with the latest evidence in the management of clavicle fractures. This is a very detailed discussion that covers all of the key papers and decision making algorithms employed in their unit.  
13:09
May 31, 2021
Ep 17: Mr. Michael Pearse: Open Fractures and Managing Bone Loss
Mr. Michael Pearse (Imperial College, London & President-Elect of the RSM Orthopaedic Section) is no stranger to managing patients with significant bone loss and open fractures. He established one of the first orthoplastic centres in the 1990s and has a breadth of experience in improving patient outcomes. This podcast episode will given the listener a detailed insight into how to approach these injuries.
24:53
May 24, 2021
Ep 16: Professor Robert O'Toole: FIXIT Study and Management of Open Fractures in the Tibia
Professor Robert O'Toole from the SHOCK trauma centre in Baltimore joins us to discuss the results of the FIXIT Study. This was a Prospective Randomized Trial to Assess Fixation Strategies for Severe Open Tibia Fractures: Modern Ring External Fixators Versus Internal Fixation. We also discuss his experience in managing open fractures in the tibia. 
13:31
May 17, 2021
Ep 15: Mr. Fergal Monsell: Open Fractures in Kids
Mr. Fergal Monsell (Bristol, UK) takes us through how to manage open fractures in kids. He also discusses the paediatric trauma network and what he thinks will be the next big thing to improve outcomes for patients.  Fergal Monsell has been a Consultant Paediatric Orthopaedic surgeon at the Royal Hospital for Children Bristol since 2005. He has a broad-based practice with a special interest in the management of patients with congenital limb abnormally and deformity following trauma and septicaemia. He is active in all aspects of paediatric trauma. He is involved in education at all levels, is Visiting Professor at Cardiff University, Director of the Avon Centre for Musculoskeletal Education and Projector at the Grand Academy. He has an active clinical and basic science research portfolio and is widely published.
15:58
May 10, 2021
Ep 14: Mr. James Hunter: Paediatric Trauma Trials and Improving Paediatric Trauma Care
Mr. James Hunter (Nottingham, UK) discusses the FORCE, CRAFFT and SCIENCE studies. What are these trials? What should we know about them? And should these change our practice? We also discuss his role as the GIRFT (Get-It-Right-First-Time) paediatric orthopaedic lead for England. 
18:11
April 21, 2021
Ep 13: Ms. Anna Clarke and Mr. Martin Gargan: Paediatric Upper and Lower Limb Injuries
We speak with Ms Anna Clarke and Mr. Martin Gargan (Bristol, UK) who highlight several important tips, tricks and traps in managing paediatric patients with upper limb and lower limb injuries. This high yield episode is a must listen for any orthopaedic surgeon involved in treating children. 
25:12
April 13, 2021
Ep12: Mr. Abtin Alvand: Prosthetic Joint Infections
In episode 12, we speak with Mr. Abtin Alvand (Oxford) who is an expert in treating patients with prosthetic joint infections (PJI). He delivers a powerful and comprehensive review of everything from identifying PJI to the management options. He also speaks about what the future holds in what some consider to be the 'next frontier' in arthroplasty surgery.  We cover the following questions: 1.  What are the main methods for prevention of peri-prosthetic joint infections? 2.  Have we solved the problem of diagnosing infection? 3.  Should revision arthroplasty be a one or two stage procedure? 4.  What is the role of plastic surgery in revision knee arthroplasty? 5.  What advances do you see in the field of prosthetic joint infections? Mr Abtin Alvand is a Consultant Orthopaedic Knee Surgeon in Oxford who undertook specialist clinical fellowships in complex hip and knee surgery in Oxford and Stanmore before completing a Fellowship focusing on peri-prosthetic joint infection at the Rothman Institute (Philadelphia, USA) with Professor J Parvizi. Abtin has an unrivalled experience in the management of peri-prosthtic joint and he is a member of the International Consensus Group for the management of peri-prosthetic joint infection and he also sits on the UK Revision Knee Surgery and Peri-prosthetic Joint Infection Working Groups. Abtin also has an interest in simulation-based training methods for teaching and assessing surgical skills.
30:33
August 18, 2020
Ep11: Mr. Peter James: Revision Knee Surgery
We discuss revision knee surgery with Mr. Peter James (Nottingham). Peter James is a consultant surgeon in Nottingham who undertakes a large number of hip and knee replacement operations each year both in the NHS and privately at the Park Hospital and has developed a national and international reputation for revision and complex knee replacement. He has particular expertise and experience in high performance knee replacements for active patients and difficult revision knee surgery. In September 2010 he was recognised by his peers as being amongst the UK’s top knee replacement surgeons in a survey conducted by the Daily Mail. Questions that we cover include: 1.  Is some pain almost inevitable after TKR and how do you assess the painful TKR? 2.  Should revision TKRs be done at specialist centers and what have we learnt from the NJR? 3.  What are the key surgical steps in revision TKR and is there a role for robotics? 4.  Do you think robotic assisted surgery will reduce revision TKRs? 5.  What advances do you anticipate in the field of revision TKRs?
17:55
August 09, 2020
Ep 10: Mr. Matthew Dawson: Knee Osteotomy Surgery and Joint Preservation
In this episode we cover knee osteotomy surgery and joint preservation with Mr. Matthew Dawson.  Matthew Dawson is one of the leading authorities on osteotomy surgery in the UK and he is a founder member of the Osteotomy Expert Group. Mr Dawson is a strong advocate of the principle of joint preservation in order to prolong knee activity and knee function to the highest level. He launched the annual Northern Osteotomy Masterclass. in June 2015 and he is a founder member of UKKOR, the world’s first national osteotomy registry. He is the current chair of ESSKA’s Osteotomy committee. Questions that we cover include: 1.  Is there an age or functional cut off for knee osteotomy and what pre-operative tests are essential? 2.  Is osteotomy ever a temporary solution? 3.  What are the recent technical advances in osteotomy surgery? 4.  What are the key intraoperative steps? 5.  How do you rehabilitate your patients?
21:60
July 21, 2020
Ep9: Mr. Dinesh Nathwani: Robotic Technology in Total Knee Replacement
Mr Dinesh Nathwani (Imperial College) discusses robotic technology in total knee replacement.  Mr Dinesh Nathwani is a consultant orthopaedic surgeon at Imperial Healthcare Trust with extensive experience in computer assisted knee surgery in partial and total knee replacement, using both the NAVIO and the MAKO systems. Dinesh is the president elect of the computer assisted orthopaedic surgery uk society (https://www.caosuk.org) and he is a firm believer in the use of computer assisted navigation to increase the accuracy of bony resection and decreasing the chance of implant malposition, thereby maximising the likelihood of a successful outcome in knee replacement surgery.
13:19
July 14, 2020
Ep8: Mr Alex Liddle: Improving Outcomes in Total Knee Arthroplasty
Mr. Alex Liddle (Imperial College) discusses how we can improve outcomes in Total Knee Replacement surgery. Mr Alex Liddle is a Clinical Senior Lecturer in Orthopaedic Surgery at Imperial College whose principal interest is in the improvement of joint replacement surgery through the use of big data and new technologies. He previously undertook a DPhil (PhD) at the Univeristy of Oxford before becoming NIHR Clinical Lecturer at University College London, based at the Institute of Orthopaedics and Musculoskeletal Sciences at the Royal National Orthopaedic Hospital.
18:33
July 09, 2020
Ep7: Mr Henry Bourke: Knee Ligament Injuries
Mr. Henry Bourke (Heatherwood and Wexham Park Hospitals) discusses knee ligament injuries including: Henry Bourke completed fellowships at the North Sydney Orthopaedic and Sports Medicine Centre and The Park Clinic in Melbourne before becoming a dedicated knee consultant at Heatherwood & Wexham Park Hospitals in 2013. Appointed on the retirement of Robin Allum, Henry inherited an established knee ligament practice. He has quickly gained extensive experience in all aspects of ligament repair and reconstruction including a growing series of complex multi-ligament knee injuries. Henry is the Director of the renowned Wexham Park International Cruciate Ligament Meeting. 01:33: How to approach patients with acute ACL tears compared with chronic ACL tears 04:57: Why he selected his preferred technique for ACL reconstruction 07:00: Is success dependent on rehabilitation? 08:24: What are the key features of managing multi-ligament injuries? 11:34: What does the future hold for knee ligament surgery?
13:47
June 29, 2020
Ep6: Mr. Tim Spalding: Meniscal and Chondral Knee Injuries
In this episode we discuss meniscal and chondral knee injuries with Mr. Tim Spalding.  Tim Spalding is a renowned Consultant Orthopaedic Surgeon based at the University Hospitals Coventry whose expertise includes autologous chondrocyte transplantation as well as an unrivalled experience in meniscal transplantation. He is also one of the lead developers of the National Ligament Registry. Questions: 00:46: Introduction 01:24: How do you approach a patient with a meniscal tear?  03:06: What is the rule of fours? 04:21: What do you tell the athletic patient with a meniscal tear in clinic? 05:31: What are the technical considerations for performing meniscal repair? 07:21: How do you diagnose a meniscal root tear? 09:01: Who are the main beneficiaries and what is the cost effectiveness of meniscal transplantation? 12:51: How would you summarise meniscal surgery? 13:01: Articular cartilage from aetiology to management of injuries 15:21: NICE Guidelines on ACI vs microfracture including the cost effectiveness
18:15
June 25, 2020
Ep5: Mr Rajarshi Bhattacharya: Trauma Symposium
Mr. Raj Bhattacharya (Imperial College Healthcare NHS Trust, London, UK) discusses the Royal Society of Medicine Trauma Symposium and his vision during his tenure as president of the Trauma and Orthopaedics section of the society.  All views expressed in this podcast are of the speakers themselves and not of the RSM. Produced by the Orthopaedics Section Council at the RSM. Join in the conversation #RSMOrtho
09:26
March 23, 2020
Ep4: Mr. Bob Handley: Get It Right First Time
Mr Bob Handley (Oxford University, UK) discusses Getting It Right First Time (GIRFT) and its importance in Trauma and Orthopaedics. All views expressed in this podcast are of the speakers themselves and not of the RSM. Produced by the Orthopaedics Section Council at the RSM. Join in the conversation #RSMOrtho
16:03
March 23, 2020
Ep3: Professor Xavier Griffin: VTE Guidelines, resuscitation in trauma and optimal hip fracture care
We discuss the latest VTE Guidelines, resuscitation in trauma and optimal hip fracture care with Professor Xavier Griffin (University of Oxford, UK) All views expressed in this podcast are of the speakers themselves and not of the RSM. Produced by the Orthopaedics Section Council at the RSM. Join in the conversation #RSMOrtho
17:33
March 23, 2020
Ep2: Professor Roger van Reit: Elbow Trauma
We discuss the topics of elbow instability and elbow replacement surgery in trauma with Professor Dr. Roger van Reit (AZ Monica, Belgium)  All views expressed in this podcast are of the speakers themselves and not of the RSM. Produced by the Orthopaedics Section Council at the RSM. Join in the conversation #RSMOrtho
11:14
March 23, 2020
Ep1: Dr. Bill Ricci: Peri-prosthetic Femoral Fractures
Discussions with Dr. Bill Ricci (Hospital for Special Surgery, USA) regarding peri-prosthetic femoral fractures.  All views expressed in this podcast are of the speakers themselves and not of the RSM. Produced by the Orthopaedics Section Council at the RSM. Join in the conversation #RSMOrtho
11:23
March 23, 2020