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					                                          British Trauma Society
                                         Annual Scientific Meeting
                                             20-21 May 2010

20th May 2010

08:15           Registration

                1A: General Trauma                                   1B: Hip Fractures
                                          Halle Suite 1                                     Halle Suite 2
09:00           [1A.1] The efficiency of full body radiography       [1B.1] Variations in venous thromboembolism
                „Lodox - Statscan‟ in the detection of               (VTE) prevention in hip fracture: results from a
                peripheral skeletal fractures in adult trauma        multicentre audit in the UK
                                                                     Masud, S., Sahu, A., Cook, G., Todd, B. D.
                                   1,2         1           1         Stepping Hill Hospital, Stockport, UK
                Evangelopoulos DS , Deyle S , Brehmer T ,
                Benneker LM, Hasler R, Martinolli L
                               1                 1
                Zimmermann H , Exadaktylos AK
                University Hospital Bern, Switzerland

09:05           [1A.2] The impact of full body computed              [1B.2] What is the best management for patients
                radiography (Lodox-Statscan) in paediatric           on clopidogrel with a fractured neck of femur?
                trauma patients. Can it replace conventional         Nwachuku, M. Jones, T. Clough [Wrightington]
                radiography?                                         Wrightington Hospital, Wrightington, UK
                                    1               2            2
                Evangelopoulos DS , Von Tobel M , Cholewa D ,
                      3          1              1             2
                Wolf R , Hasler R , Martinolli L , Zachariou Z ,
                Exadaktylos AK
                University Hospital Bern, Switzerland

09:10           [1A.3] Are there protective and risk factors in      [1B.3] Initial Assessment and Management of
                horse riding? A case – control study                 Fracture Neck of Femur Patients in the
                           1         1               2
                RM Hasler , L Gyssler , LM Benneker , H              Emergency Department and the “Fast Track”
                             1                 1
                Zimmermann , AK Exadaktylos                          System
                University Hospital Bern, Switzerland                Dr J. Osei-Kufuor, Dr S. Roach and Dr A. Patel

09:15           [1A.4] Are there risk factors in                     [1B.4] Cancellous screw fixation for adult
                snowboarding? A case – control multicenter           inracapsular neck of femur fractures: Our 10
                study                                                years experience from a district general hospital
                           1         1               2
                RM Hasler , S Dubler , LM Benneker ,Martinolli       RW Westerman, J Moore, A Yousef.
                                  1                1
                L, H Zimmermann , AK Exadaktylos                     King’s Mill Hospital, Nottinghamshire, UK
                University Hospital Bern, Switzerland

09:20           [1A.5] Ankle fractures: Impact of swelling on        [1B.5] Cemented vs Uncemented
                timing of surgery, length of hospital stay and       hemiarthroplasty
                the economic burden                                  M Asif, D Withers, M Eldeen
                M. Sukeik, M. Qaffaf, G. Ferrier
                Cumberland Infirmary, UK

09:25           [1A.6] Does pre-operative dehydration mask           [1B.6] The use of outcome measures in patients
                anaemia in hip fracture?                             with proximal fermoral fractures
                G, J Love, P, K Rickhuss                             L Hutchings, R Fox, TJS Chesser
                Ninewells Hospital, Dundee                           Frenchay Hospital, North Bristol NHS Trust, Bristol,

09:30           [1A.7] Rehospitilisation following foot and          [1B.7] Hip Fracture: Albumin is a significant
        ankle trauma surgery                                 predictor of mortality in fractured neck of femur
        Rath NK, Guha AR, Khurana A, Thomas R,               patients whilst age, length of stay and time to
        Hemmadi S and O’Doherty D.                           operation are not
        University Hospital of Wales, Cardiff, UK            M. Jones, S. Akkena, T. Clough [Wrightington]
                                                             Wrigthington Hospital, Lancashire, UK
09:35   [1A.8] Functional Outcome following Talar            [1B.8] Fractured Neck of Femur: The effect of
        injuries                                             fracture fixation and timing on mortality?
        HB. Tan, O. Obakponovwe, E. Karadimas, N.            C R J Jowett, M Prime, I Basu, T Davies, B Levack
        Harris, N. Kanakaris, Professor P.V Giannoudis       Queen’s Hospital Romford, Essex, UK
        University of Leeds, U.K

09:40   [1A.9] Is the Young and Burgess Pelvic               [1B.9] Revision Surgery of Failed Dynamic Hip
        classification system still relevant? The            Screws
        Northern Ireland Perspective                         L McGonagle, K Randhawa, RA Stevenson, NJ
        G W McLean, D Kealey (T&O), K McDonald               Donnachie
        Royal Victoria Hospital, Belfast, Northern Ireland   Wirral University Teaching Hospitals, Merseyside, UK

09:45   [1A.10] Fixation of Tibial Plateau fractures         [1B.10] Improving surgical precision:
        with Synthetic Bone Graft versus Natural             The role of continuous surveillance - Tip Apex
        Bone Graft, a comparison study                       Distance measurements in a District General
        JCY Ong, A Mitra, JA Harty                           Hospital
        Cork University Hospital, Ireland                    T Southorn, M Porteous, M Wood
                                                             West Suffolk Hospital, UK

09:50   [1A.11] Surgical Management of Infected              [1B.11] Audit of pre-operative echocardiogram in
        Tibial Intramedullary Nails                          hip fracture patients with a cardiac murmur
        A Parkar, N Abhishetty, O Lahoti, S Phillips, G      P. Jettoo, S. Junejo, J. Macdonald, P. Dixon,
        Groom                                                I.Talkhani
        Limb Reconstruction Firm                             Sunderland Royal Hospital, UK
        King’s College Hospital, London.

09:55   [1A.12] Outcome of surgical management of            [1B.12] Total hip replacement in acute displaced
        post traumatic Tibial Osteomyelitis                  intracapsular proximal femoral fractures – The
        A Parkar, A Rashid, O Lahoti, S Phillips, G Groom    role of large diameter heads and their effect on
        Limb Reconstruction Firm                             dislocation rates
        King’s College Hospital, London                      G. Cox, S. Kazzaz, M. Deacon
                                                             John Radcliffe Hospital, Oxford, UK

10:00                                             30 Minutes of Questions
10:30   Refreshments
10:45   [1A.13] Anatomical Description of the Distal         [1B.13]Anticoagulation management in patient
        Tibial Anatomy in Relation to Fracture               undergoing elective and emergency orthopaedic
        Fixation Using Minimally Invasive Plating            procedures
        Techniques                                           KW Chan1, HC
        Ashique A Ali*, J Gregory, W Goude & NK
                                                             AI Zubairy
        Robert Jones & Agnes Hunt Orthopaedic
        Hospital, Shropshire                                 Burnley General Hospital, Burnley, UK
10:50   [1A.14] An orthoplastic experience of geriatric    [1B.14] Post-operative reduction in
        open tibial fractures                              Haemoglobin is related to rise in Troponin
        N Bali, K Alo, K Porter, D Chester                 T following hip fracture surgery
        Selly Oak trauma unit, Birmingham, UK              W Abdul, A Khurana, S Mukhopadhyay, K
                                                           University Hospital of Wales, Cardiff, UK

10:55   [1A.15] Knowledge of leg fasciotomy incisions      [1B.15] Bipolar Hip Arthroplasty – are
        amongst Plastics surgery and Orthopaedics          they ever converted to a THR?
        junior doctors                                     S Alazzawi*, W S Sprenger DeRover, J Brown,
        T Boutefnouchet*, R Jose, G Titley                 B Davis
        Selly Oak Hospital, University Hospital            Norfolk and Norwich University Hospital, UK
        Birmingham, UK
11:00   [1A.16] Decreasing Complications in Open           [1B.16] Acute renal dysfunction following
        Fractures with a Novel Bone Graft                  hip fracture
          1           2     1          2                               a,               b            c
        + Brown, K V; Li B; Guda, T; Guelcher S;           S. J. Bennet , O. M..B. Berry , J. Goddard
        1                                                                   d
         Wenke J C                                         and J. F. Keating
        Vanderbilt University, Nashville, TN                 Cheltenham General Hospital, Cheltenham
                                                           UK, Royal Army Medical Corps UK, Royal
                                                           Infirmary of Edinburgh Little France
                                                           Edingburgh UK

11:05   [1A.17] Risk factors for Infections in Combat-     [1B.17] Femoral Head Histology For Intra-
        related Open Fractures                             capsular Neck Of Femur Fractures
        Kate V. Brown, Maj RAMC, Clinton K. Murray,        Bhangoo N.S. , Westerman R.W. , Hatton M.
                       2                              3
        LTC, MC, USA, Prof Jon Clasper, Col L/RAMC         Nottingham University Hospitals
        Institute of Surgical Research, San Antonio, TX,

11:10   [1A.18] Evaluation of the West Riding Trauma       [1B.18] Delay to Surgery in Hip Fracture
        Skills Course                                      Patients: Effect on Mortality, Length of
        Davies J, Pilling R, Dimri, R, Chakrabarty G       Stay, and Post-operative Morbidity
                                                           R.Berber, C. Boulton, Professor C. Moran
                                                           University Hospital, Nottingham, UK

11:15   [1A. 19] Tibio-fibula transposition in high        [1B.19] Socioeconomic Status: Influence on
        energy closed fractures                            the Incidence, Outcome and Mortality of
        RA Gledhill, PR Loughenbury, N Evans               Hip fractures
        Scarborough General Hospital, UK                   C. Quah, C. Boulton, C. Moran
                                                           Nottingham University Hospitals, UK

11:20   [1A.20] The Outcome of Grade III Open Tibial       [1B.20] The socio-economic cost of
        Fractures treated at a District General            reoperation following initial surgical
        Hospital at 5 years                                management of proximal femoral fractures
        Guryel E, Hudd A & Khaleel A                       C.Thakar, T Hamilton, J. Alsousou, K. Willett
        The Rowley Bristow Orthopaedic Unit, Chertsey,     John Radcliffe Hospital, Oxford, UK

11:25   [1A.21] The Chertsey Classification of Tibial      [1B.21] Can I.V. Paracetamol Reduce the
        Plateau Fractures and a Comparison of the          Opiate Usage in Acute Fracture Neck of
        Outcome of Treatment with Internal Fixation        Femur Patients? A District General
        or an Ilizarov Fine Wire Circular Frame            Hospital Experience
        E. Guryel, S. Maret, R. Sharma, K. Newman, D.      J Page, K Tsang, P Mackenney
        Elliott, A. Khaleel                                James Cook University Hospital,
        The Rowley Bristow Orthopaedic Unit, Chertsey,     Middlesbrough, UK
11:30   [1A.22] End-to-side anastomosis for limb            [1B.22]Fibular Locking Nail in the
        salvage in the single artery of the traumatized     treatment of fragility fractures of the ankle
        extremity                                           Rajeev, A S                     ,
        Mohammad Reza Ghazisaidi MD, Naser                  Senevirathna S*, Radha S, Kashyap NNS
                 1                     1
        Mozafari MD, Masoud Yavari MD,                      Queen Elizabeth Hospital, Gateshead, UK
                              2, 3
        Seyed Nejat Hosseini MD .
        University of Medical Sciences, Tehran, Iran

11:35   [1A.23] An Epidemiological Study of                 [1B.23] Treatment of Hip fractures using
        Diaphyseal Tibial Fractures: The Belfast            minimal ivasive approach for bipolar
        Experience. Reasons for re-admission and            arthroplasty – A randomized trial
        treatment modalities                                F. Renken, A. Unger, C. M. S. Renken, M.
        A, James, D Kealey                                  Brahm, A. P Schulz
                                                            University of Lübeck, Germany

11:40   [1A.24] Availability of “in hours” trauma           [1B.24] Early Results for treatment of
        theatres and its effect on the management of        Unstable Pertrochanteric fractures in an
        open lower limb fractures: Experience from a        elderly population with a new Proximal
        level 1 trauma centre                               Femoral Locking Compression Plate
        Radha S, Senevirathna S, Aysha R, Baker P, Hui A,   Stevenson JD, Lever CJ, Ford DJ
        Rajeev A                                            Royal Shrewsbury Hospital, Shrewsbury,
        James Cook University Hospital, Middlesbrough,      Shropshire, UK

11:45   [1A.25] Internal Fixation of long-bone non-         [1B.25] The effect of delayed operative
        union: is bone graft necessary?                     management on hip fracture patients
        D Ramoutar, J Rodrigues, C Boulton, C Moran         taking clopidogrel
        Queens Medical Centre, Nottingham, UK               M Webb, B Purushothaman, A Tate, I
                                                            James Cook University Hospital,
                                                            Middlesbrough, UK

11:50   [1A.26] “Cut and Run”. Rapid life saving            [1B.26] Strategies to improve the
        amputation using fire service hydraulic cutting     management of hip fractures within a
        equipment in entrapped trauma victims               large teaching hospital
        S, Robinson, MJ McNicholas, FRCS (Tr & Orth), I     Dr S. Graham, N Frew, E Holloway
        Polyzois, I Dunbar, AP Payne, M Forrest             Leeds General Infirmary, UK
        Warrington Hospital, Warrington, UK

11:55   [1A.27] A robotic hexapod external fixator for     [1B.27] Subtrochanteric fractures of
        the correction of angular deformity of long        femur: fixation using proximal femoral
        bones                                              nailing
        Wendlandt, R; Seide, K; Schulz, A P; Mueller, N. ; R. Gupta, Y. Shenava, S. Orakwe
        Jürgens, C                                         Queen Elizabeth Hospital, Woolwich, London
        University Hospital Luebeck, Dep. Of Biomechanics and Academic Orthopaedics
        BG Trauma Hospital Hamburg

12:00                                       30 Minutes of Questions
12:30   Phillipe Hernigou – Key Note Lecture
13:00   Industrial Symposiums and Lunch
14:00   [1A.28] Implant development optimization            [1B.28] Fragility fractures and socio-
        using a real CT bone data base for a novel distal   economic status
        fibular plate (Lateral VariAx Fibula Plate)         T. W. Hamilton, K. M. Willett
        A P Schulz, V Burgherr, A Homeier, N Reimers,       John Radcliffe Hospital, Headington, Oxford,
        Prof. C Jürgens                                     UK

14:05   [1A.29] Successful Bilateral Lower Limb             [1B.29] Reverse oblique intertrochanteric
        Replantation Surgery                                femoral fractures treated with the
        Syed Shah                                          Intramedullary Hip Screw (IMHS)
                                                           D TS Chou, A M Taylor, C Boulton, C G Moran

14:10   [1A.30] Tibial nailing, An Innocent procedure      [1B.30] Outcome of Total Hip
        ? Ten year study                                   Replacement for Sub capital Neck of
        A.P Singh, Mahale, BK Singh                        Femur Fracture in Younger Active
                                                           Patients – Our Experience in a Non-
                                                           Specialized Centre
                                                           K Campbell, U Munir & N Emms
                                                           St Helens and Knowsley Teaching Hospitals
                                                           NHS Trust, Liverpool. U.K.

14:15   [1A.31] Outcome of single stage treatment of       [1B.31] Hip precautions after
        Chronic Osteomyelitis                              hemiarthroplasty for intracapsular
        J Singh, S Marwah, A Platt, G Barlow, R Raman, H   fractures– what is happening in the UK
        K Sharma                                           and at what cost?
        Hull and East Yorkshire Hospitals, UK              R. Fox, R Halliday, S Barnfield, J Roxburgh,
                                                           J. Dunford, TJS. Chesser
                                                           Frenchay Hospital, North Bristol NHS Trust,
                                                           Bristol, UK

14:20   [1A.32] Management of Open Tibial Fractures        [1B.32] Day 1 Surgical Failure in DHS
        – Implication of BOA/ BAPRAS guidelines to         fixation for intertrochanteric fractures
        acute trauma service in a district general         R Badge, A Whitehouse, H Mamoowala, J
        hospital                                           Doyle, B Ilango
        S Srinivas, H Versey, A N Murty                    Fairfield General Hospital, Bury, UK
        Northumbria healthcare NHS Trust

14:25   [1A.33] Prophylactic fixation of donor site in     [1B.33] The Cephalocervical Proximal
        radial forearm osteocutaneous free flaps using     Femoral Compression Nail - Early
        locking reconstruction plate augmented with        experience, complication
        mineral cement                                     rates and TAD comparison with the
        F Yaish, P Jettoo*, A Waton, H B’Durga, A Nanu     Dynamic Hip Screw
                                                           R. Barksfield, P. McCann, I. McFadyen
                                                           Gloucestershire Royal Hospital,
                                                           Gloucestershire, UK

14:30   [1A.34] The helicopter emergency service in        [1B.34] Percutaneous Femoral Nail
        the transport of trauma patients: a systematic     Failures Following Fixation of
        review of the evidence                             Extracapsular Fractures of the Hip -
        D P Butler, K Willett                              Incidence, Causes and Prevention
        John Radcliffe Hospital, Oxford, UK                Craik JD, Lloyd J, Koziol L, O’Hara L
                                                           Poole General Hospital, UK

14:35                                                      [1B.35] Correlation between MRI and
                                                           Arthroscopic findings in pathology of the
                                                           Menisci: Closing the loop with a Re-Audit
                                                                           1         2        3
                                                           W. S. De Rover , D. Klass , A. Toms , T.
                                                                    4         5             6
                                                           Marshall , J. Cahir , R. Goodwin
14:40   [1A.36] Intra- and Inter-observer Reliability   [1B.36] Establishing a new trauma and emergency
        of Jones Patellofemoral Assessment after        medicine department n a level 1 hospital covering 3
        medial compartment UKR                          million persons
                               1         2         3
        WB Sprenger De Rover , S Alazzawi , S.Kang ,    R Jafari , Z K Bamdad
                 4           5
        TO Smith ,NP Walton                             Beheshti University of Medical Sciences , Iran

14:45   [1A.37] Peripheral nerve injury following       [1B.37] The Fall of IM Nail. The Changing Pattern
        combat extremity trauma – does plantar          of Tibial Shaft Fracture Surgical Management and
        sensation return?                               the Impact on Training
        *              1          1              1
          Ramasamy A , Brown KV , Eardley WGP ,         K Tsang, J Page, P Mackenney
                      2           1                3
        Etherington J , Clasper JC , Stewart MPM ,      James Cook University Hospital, Middlesbrough, UK
        Birch R .
          Academic Department of Military Surgery and
        Trauma, RCDM, Birmingham.
          Defence Medical Rehabilitation Centre,
        Headley Court, Epsom, Surrey.
          James Cook University Hospital,
          Royal National Orthopaedic Hospital,
        Stanmore, Middlesex.

14:50   [1A.38] Intra-medullary nailing for tibial      [1B.38] Is “Softcast” (3M) strong enough for acute
        shaft fractures: should it only be done by      potentially unstable paediatric forearm fractures?
        trauma specialists?                             G Wansbrough, L Wilson, G Donald
        M A Nazar, B Narayan                            Queenland University of Technology, Brisbane,
        Royal Liverpool and Broadgreen University       Australia and Royal Children’s Hospital, Brisbane,
        Hospitals NHS Trust, Liverpool, UK              Australia

14:55   [1A.39] Do we always need 24 hour               [1B.39] Preparation and outcome of the emergency
        observation for patients with small             medical services in the hospital and prehospital
        intracranial bleeding?                          field during the EUFA Euro 2008 in Bern
        Martinolli L, Schaller B, Evangelopoulos DS,    Switzerland
        Müller C, Pouljadoff MP, Zimmermann H and       Martinolli L,Tanyeli E, Rupp P, Hasler R, Bähler H, Neff
        Exadaktylos AK                                  F, Exadaktylos AE
        University Hospital Bern, Switzerland           University Hospital Bern, Switzerland

15:00   [1A.40] Multipurpose use of Reamer              [1B.40] Outcome of distal tibial metaphyseal/pilon
        Irrigator Aspirator system: early experience    fractures treated with a polyaxial locked plating
        N.K. Kanakaris, HB Tan, S. Britten, P.V.        system
        Giannoudis                                      H B Tan, N K Kanakaris, N Harris, P V Giannoudis
        Leeds Teaching Hospitals NHS Trust, Academic    Leeds Teaching Hospitals NHS Trust
        Department of Trauma and Orthopaedics,          Leeds, UK
        Leeds, UK

15:05   [1A.41] Patients in an unstable/extremis        [1B.41] AO approved nailing system; is it effective?
        physiological state with femoral shaft          KW Chan , J
        fractures: An analysis of outcomes              Wong,
        Peter V Giannoudis, Ashish Soni, Hiang Boon     NW Thompson Altnagelvin Area Hospital,
        Tan, Nikoloas K Kanakaris                       Londonderry, Northern Ireland
        Leeds Teaching Hospitals NHS Trust University
        of Leeds, U.K.
15:10   [1A.42] Judet Osteo-Periosteal Decortication        [1B.42] Bone Defect Augmentation in
         For Treatment Of Non And Mal Union: The            Tibial Plateau Fracture
         Cornwall Experience                                J Kozdryk, R Muthukrishnan, P Griffiths
        K Naik, P M Guyver, C Wakeling, M Norton            Wirral University Teaching Hospital
         Royal Cornwall Hospital, Truro

15:15   [1A.43] Inter-surgeon variation in skin             [1B.43] Distal Tibial Fractures: is the role
        incisions for tibial nailing in relation to the     of locking plates understood?
        infrapatellar nerve                                 S McKenna, Prof AJ Johnstone
                     2             1                 2
        A.L.A. Kerver , M. Leliveld , H.P. Theeuwes ,       Aberdeen Royal Infirmary
                           1                   2
        M.H.J. Verhofstad , G.J. Kleinrensink
         Elisabeth Hospital, Tilburg, the Netherlands
        and the University Medical Center. Rotterdam,
        the Netherlands

15:20   [1A.44] Infrapatellar nerve damage, a possible      [1B.44] The relationship between time to
        cause for chronic anterior knee pain after          surgical debridement and incidence of
        tibial nailing                                      infection in grade III Open fractures
        M. Leliveld, M. Verhofstad                          J Singh, Z Hashim, S Marwah, R Raman, H K
        St. Elisabeth Hospital Tilburg, The Netherlands     Sharma
                                                            Hull Royal Infirmary, East Yorkshire, UK

15:25   [1A.45] Evaluation of delay in operative            [1B.45] Percutaneous management of
        fixation and outcome of closed ankle fractures      aseptic femoral fracture non union
                  1         2
        M Spiteri , M Abela                                 F Yaish, A Nanu, A Cross
        Mater Dei Hospital, Malta                           Sunderland Royal Hospital, UK

15:30                                        30 Minutes of Questions
16:00   Emil Schemitsch – Key Note Lecture

16:30   [1A.46] Complications associated with the use       [1B.46] Trimalleolar Fracture of Ankle
        of ilio-sacral screw fixation in posterior pelvic   Joint Clinical Outcome Study
        ring injuries                                       R A Stevenson, S Hakkalamani, M S Hennesy
        AJB Tasker, A Odutola, R Fox, C Morrey, AJ Ward,    Wirral University Teaching Hospitals NHS
        TJS Chesser                                         Trust, Wirral, UK
        Frenchay Hospital, North Bristol NHS Trust, UK

16:35   [1A.47] Management of simultaneous                  [1B.47] The Modified Brostrom Procedure
        fractures of the acetabulum and pelvic ring:        – early results using a newly described
        Clinical and functional outcomes                    surgical technique
        H Boon Tan, O Obakponovwe, N K Kanakaris, P V       H A Kazi, A P Molloy
        Giannoudis                                          Aintree university Hospitals NHS Foundation
        Leeds Teaching Hospitals NHS Trust, Leeds, UK       Trust, Long Lane, Liverpool, UK

16:40   [1A.48] Lower Limb Traumatic Amputation –           [1B.48] Wound Complications after Open
        the importance of pelvic binding for associated     Reduction and Internal Fixation of
        pelvic fractures in blast injury                    Calcaneal Fractures – A Case Series
        A M Cross, W de Mello, J J Matthews                 K Malhotra, T Nunn, C Mann

16:45   [1A.49] Haemorrhage Control in Emergency            [1B.49] The financial impact of diastasis
        Pelvic Fractures – A Survey of Surgical             screw fixation versus tight-rope fixation of
        Capabilities                                        injuries to the syndesmosis with fractures
        K.Davies, A.J.Metcalfe, B.Ramesh, A.O’Kelly,        of the ankle
        R.Rajagopal                                         Craik JD, Rajagopalan S, Lloyd J, Sangar A,
        North Wales NHS Trust (Central Division), Glan      Farrar MJ and Taylor HP
        Clwyd Hospital, North Wales, UK                     Poole General Hospital, UK
16:50   [1A.50] Loosening of anterior pelvic                 [1B.50] Fractures of the base of Vth
        metalwork following open reduction and               metatarsal- should we treat them?
        internal fixation of a traumatic pubic diastasis     R. Kakkar, P. Akimau, C Mitchell, P. Fearon
        S E Putnis, R Pearce, U J Wali, M D Bircher, M S     Northern Deanery, Newcastle upon Tyne, UK
        St. George’s Hospital, London, UK

16:55                                                        [1B.51] Jones fracture of the fifth
                                                             metatarsal base or an avulsion fracture –
                                                             do we really need to distinguish between
                                                             R. Kakkar, P Akimau, P. Fearon
                                                             Northern Deanery, Newcastle upon Tyne, UK

17:00   [1A.52] The Biomechanics Of Lag Screw                [1B.52] Evaluation of the syndesmotic-only
        Insertion: A Comparison Of The Synthes               fixation for Weber-C ankle fractures
        Dynamic Hip Screw, Dynamic Helical Hip               associated with syndesmotic injury
        Screw, Proximal Femoral Nail Antirotation            R Mohammed, S Syed, S A Ali
        And The Stryker Gamma 3 Lag Screws                   Selly Oak Hospital, University Hospital
        M J H McCarthy, J McFarlane, R Long, R Weston,       Birmingham NHS Trust
        S Gheduzzi, J Keenan and A Miles
        Royal Devon and Exeter Hospital, UK

17:05   [1A.53] A Biomechanical Analysis of Lag              [1B.53] Pragmatic treatment of ankle
        Screw Position in the Femoral Head for               fractures of uncertain stability: clinical
        Cephalomedullary Nails used to fix Unstable          features and risk of displacement
        Peritrochanteric Fractures                           S Akhtar, A Fox, J Barrie
        1             1          2         2
         Kuzyk, PRT; Higgins, G; Zdero, R; Shah, S;          East Lancs Hospitals Trust, UK
        2          1             1
         Olsen, M; Waddell, JP; Schemitsch, EH
        University of Toronto, and St. Michael’s Hospital,
        Toronto, ON, Canada

17:10   [1A.54] A Biomechanical Comparison of Static         [1B.54] Evaluation of Variable Locking
        versus Dynamic Lag Screw Modes for                   Plate (VLP) fixation of lateral malleolus
        Cephalomedullary Nails                               fractures of the ankle
        1             1          2         2
         Kuzyk, PRT; Higgins, G; Zdero, R; Shah, S;          N Peterson, G Kumar, B Narayan
        2          1             1
         Olsen, M; Waddell, JP; Schemitsch, EH               Royal Liverpool University Hospital,
        University of Toronto, and St. Michael’s Hospital,   Liverpool, UK
        Toronto, ON, Canada

17:15   [1A.55] Fixing Eggshells? – some comparative         [1B.55] Should the Posterior Tibial Tendon
        results for the performance of three different       be routinely explored for damage in
        condylar fracture fixation devices.                  displaced medial malleolar fractures?
        C.J.Brown, R.A.MacInnes, P.Procter,                  A James, A Wilson
        G v.Oldenburg, I.D.McDermott,
        Brunel University, Uxbridge, UK

17:20   [1A.56] A novel form of electrical stimulation       [1B.56] How good is our ankle fix?
        increases osteoblast activity: potential             Rowan C, Geddis C, Wilson A
        implications for enhanced fracture healing           Royal Victoria Hospital Trauma Unit,
        M. Griffin BSc; Dr A, Sebastian, PhD; Dr A, Bayat
        MD, PhD
        University of Manchester, Manchester, UK
17:25   [1A.57] Can DCP and LCP plates generate             [1B.57] Do undisplaced stable ankle
        more compression?                                   fractures ever displace?
        F Yaish, M Sukeik, A Nanu, A Cross                  V Selvaratnam, V Shetty, T Manickavasagar,
        Sunderland Royal Hospital, UK                       V Sahni
                                                            Southport and Ormskirk Hospital NHS Trust,

17:30   [1A.58] Extraction of high numbers of               [1B.58] Management of geriatric Ankle &
        Mesenchymal stem cells (MSCs) from                  Distal Tibial Fractures with Percutaneous
        intramedullary cavities of long bones               Tibiotalocalcaneal Nail
        G.Cox BMBS, P. V Giannoudis MD, S. Boxall PhD,      V Upadhyay, S Rajagopalan, D Panchal, A
        C. Buckley PhD, E. Jones PhD, D. McGonagle PhD      Sangar, M Dunning, M Farrar, H P Taylor
        University of Leeds, NIHR Biomedical Research       Department of Trauma and Orthopaedics
        Unit and Trinity College, Dublin                    Poole Hospital NHS Foundation Trust, UK

17:35   [1A.59] The Reamer- irrigator-aspirator             [1B.59] Rupture of Achilles tendon:
        (RIA): A systemic review                            Operative and non-operative management
        G. Cox, E. Jones, D. McGonagle, P.V Giannoudis      R Kearney, ML Costa, J Achten, N Parsons
        University of Leeds and Leeds NIHR Biomedical       University Hospitals Coventry &
        Research Unit                                       Warwickshire/ University pf Warwick*
17:40   [1A.60] Comparing the Prognostic                               40 Minutes of Questions
        Performance of S100B with Prognostic Models
        in Traumatic Brain Injury
                    1         2        2            1
        M M Lesko , T Rainey , C Childs , O Bouamra , Sa
                3         1
        O’Brien , F Lecky
        Salford Royal NHS Foundation Trust, Salford, UK
        Salford, UK

17:45   [1A.61] Massive blood transfusion practice in
        the UK
        G. Fuller, O. Bouamra, M. Woodford, F. Lecky
        University of Manchester, Hope Hospital, Salford,

17:50   [1A.62] Comparing Model Performance for
        Outcome Prediction Using Total GCS and Its
        Components in Traumatic Brain Injury
                             1            1
        Mehdi Moazzez Lesko , Tom Jenks , Sarah J
                2                 3                  1
        O’Brien , Charmaine Childs , , Omar Bouamra ,
        Fiona E Lecky
        Salford Royal NHS Foundation Trust, Salford, UK
        Salford, UK

17:55   [1A.63] Major incident tabletop exercises: a
        high tech, low cost evolution
                    +                            +
        JS Mooney* ; PA Driscoll* & LS Griffiths
        Salford Royal Hospital Foundation Trust
        University of Salford, UK

18.00                20 Minutes of Questions
18:20   AGM of BTS
19:35   Symposium Dinner
21st May 2010

08:15           Registration

                2A: General Trauma                                   2B: Hip Fractures
                                         Halle Suite 1                                      Halle Suite 2
08:30           [2A.1] Failure analysis of the arthroscopic          [2B.1] Volar Locking Plates: How much
                tightrope technique for ACJ dislocation              rigidity is needed for adequate fracture
                A Adimonye, EO Pearse, TD Tennent                    fixation?
                St George’s Hospital, London, UK                     S Baliga. A J Johnstone
                                                                     Aberdeen Royal Infirmary, Scotland

08:35           [2A.2] External rotation splint to prevent           [2B.2] Intramedullary nailing of
                recurrence in young anterior shoulder                pathological fractures of the ulna
                dislocators                                          S Bennet, P McCann, I McFadyen,
                S Venkatachalam, R Pratt                             Trauma and Orthopaedic Surgery,
                North Tyneside General Hospital, North Tyneside,     Gloucestershire Royal Hospital
                UK                                                   Brighton & Sussex University Hospitals, NHS
                                                                     Foundation Trust

08:40           [2A.3] Clinical Decision Analysis in the             [2B.3] A retrospective study of the position
                management of displaced mid-shaft clavicle           of immobilisation and functional outcome
                fractures: The patient‟s perspective                 of metacarpal & phalangeal fractures, with
                S Kalra, H Sprot, S Mukhopadhyay, KN                 subgroup of 5th metacarpal neck fractures
                Subramanian, A Robertson                             H B Colaco, P Arumugam, S Patel, A Khan
                University Hospital of Wales, Heath Park, Cardiff,   Whipps Cross University Hospital NHS Trust
                UK                                                   London, Eastbourne District General Hospital
                                                                     East Sussex and University College Hospital

08:45           [2A.4] Radiological Outcomes of Distal Radius        [2B.4] Lateral Clavicle Fixation using a
                Extra-Articular Fragility Fractures Treated          locking T-Plate
                with Extra-Focal Kirschner Wires                     C Kerin, O Ennis, K D Smith, D McClelland
                C Kennedy(1), MT Kennedy(2), D Niall(2), A           University Hospital of North Staffordshire, UK
                University College Hospital, Galway, Republic of
                Ireland and Midland Regional Hospital,
                Tullamore, Co Offaly ,Republic of Ireland

08:50           [2A.5] Inner City Gunshot Injuries: South            [2B.5] Do Precontoured Locking Clavicle
                London Experience                                    Plates Fit?
                Mansouri, R.*, Tsitskaris, K., Gudipati, S.,         L K Milnes, D Boardman, T D Tennent, E O
                Kavarthapu, V.                                       Pearse
                King's College Hospital, London, UK                  St George’s Hospital, Tooting, UK

08:55           [2A.6] Routine laboratory tests in adult trauma      [2B.6] Precontoured clavicular locking
                – are they necessary?                                plates for acute displaced clavicle fractures
                SMJ Duggan, L Ghosh, PA McCann                       and established non-unions as day cases
                Weston General Hospital, Weston-Super-Mare,          L K Milnes, T D Tennent, E O Pearse
                UK                                                   St George’s Hospital, Tooting, UK

09:00                       40 Minutes of Questions                  [2B.7] The impact of rotator cuff status on
                                                                     the outcome of shoulder arthroplasty for
                                                                     proximal humerus fractures
                                                                     M Mansha, D Mackay, G Broome
                                                                     Cumberland Infirmary, Carlisle
09:05                                                                [2B.8] Split paediatric forearm POP casts
                                                              do not need reinforcing
                                                              G Wansbrough, L Wilson, G Donald
                                                              Queenland University of Technology,
                                                              Brisbane, Australiaand
                                                              Royal Children’s Hospital, Brisbane, Australia

09:10                                                                    30 Minutes of Questions
09:40   Bob Handley
10:10   Refreshments
10:30   [2A.7] Re-operation for tendon adhesions              [2B.9] Elastic Stable Intramedullary
        following open reduction and internal fixation        Nailing for Both-bones Diaphyseal
        of metacarpal fractures                               Forearm Fractures in Children. Is a
        Syed, S, Mohammed R, Hussain, S, Waldram, M,          Radius-only Fixation Sufficient?
        Power, D, Tan, S                                      Alnaib M, Taranu R, Lakkol S, Alcelik I, Tulloch
        University Hospital Birmingham NHS Trust              CJ
                                                              University Hospital of North Tees, Stockton-
                                                              on-Tees, UK

10:35   [2A.8] Retrospective review of primary total          [2B.10] Management and outcome of
        elbow replacement (TER) for osteoporotic              paediatric femoral fractures: 10 years
        fractures of distal humerus in the elderly over       experience at a London Trauma Centre
        ten year period                                       Bridgens A, Mangwani J, Shanker S, Key S,
        G Abbas, GSJ Chuter, JR Williams                      Ramachandran M, Barry M & Paterson M
        Newcastle General Hospital and Newcastle              The Royal London Hospital, Whitechapel, UK
        Upon-Tyne UK

10:40   [2A.9] Internal fixation for intra-articular distal   [2B.11] Remanipulation rates in paediatric
        humeral fractures in the elderly – results and        fractures: a review of 593 manipulations
        causes of failure                                      J Craig*, J Ballard
        Sivardeen, Q Ajmi, W Holdsworth.                      Royal Belfast Hospital for Sick Children,
        Homerton University Hospital, UK                      Ireland

10:45   [2A.10] The number of instability markers is a        [2B.12] Dorsal Cortical Comminution As a
        significant predictor of outcome in distal            Predictor of Re-displacement of Distal
        radial fractures and can be used as a guide to        Radius Fractures in Children
        devise a standardized management strategy             Sharma S, Bowe D, Walters S, Flowers MJ
        for these fractures                                   Sheffield Children’s Hospital, UK
        R Bhattacharyya, B S Morgan, P Mukherjee, S
        Northern General Hospital Sheffield and
        Rotherham District General Hospital Rotherham

10:50   [2A.11] Are they tough enough? A                      [2B.13] Paediatric forearm fractures - Are
        comparison of how the shear mechanical                we doing justice in treating them?
                                                                                    1             2
        properties of rotator cuff repair patches match       R. Vaidyalinga Sharma , A. Keightley , A.
        normal and torn rotator cuff tendons                  Unnithan
        S. Chaudhury, C. Holland, F. Vollrath, A.J. Carr 
    Brighton and Sussex University Hospitals NHS
        Oxford, UK                                            Trust, Brighton, UK

10:55   [2A.12]Characterisation of differences in shear       [2B.14] Trampoline Trauma
        mechanical properties between torn and                P Wall, P Buddhdev
        normal rotator cuff tendons
                     1           2          2        1
        S Chaudhury , C Holland , F Vollrath , A Carr
        1                                         2
          Nuffield Orthopaedic Center, Oxford and
        University of Oxford, UK
11:00   [2A.13] Coracoclavicular fixation using arthrex       [2B.15] Management of displaced radius
        tightrope fixation device                             and ulna shaft fractures in children-
        S R Giri                                              should we be afraid of surgical
                                                            K S Wronka, C Corbin, S Richards
                                                            Poole Hospital NHS Foundation Trust, Dorest,

11:05   [2A.14] Outcome following clavicular hook plate     [2B.16] Clinical outcome following internal
        C.R. Jackson, A. A. Faraj                           fixation for displaced lateral humeral
                                                            condyle fractures in children
                                                            T Singh, R Vadivelu, P Glithero, E Bache
                                                            Birmingham Children’s Hospital, Birmingham,

11:10                                        20 Minutes of Questions
11:30   Paula Richards
12:00   Industry Symposium
13:00   [2A.15] Does the DVR plate recreate normal          [2B.17] The „Cushion Effect‟ of humerus
        anatomy following fractures of the distal           M Chong, D Mahadeva, G Broome, S Wang
        radius?                                             Royal Wolverhampton Hospital, UK and
        P Menéndez, S Patel, H B Colaco, F S Hossain, E J   University of Michigan, USA
        Taylor, M H Lee
        University College Hospital, London, UK

13:05   [2A.16] Use of Tutobone to augment internal         [2B.18] Anatomically contoured locking
        fixation of three and four part proximal            plate fixation for unstable fractures of the
        humeral fractures                                   lateral clavicle
        S. Patil, S. Ahmad, M. Ismail and R. Liow           N K Rath, R S Kotwal, H Pullen, R Evans
        James Cook University Hospital, Middlesbrough,      University Hospital of Wales, Cardiff, UK

13:10   [2A.17] Do we need contoured plates for             [2B.19] Ulnar shortening osteotomy: Are
        clavicle fractures?                                 complications under reported
        Sadiq, S. Mahmood, T.                               T Singh, S Chan, S Tan, M Craigen
        Worcestershire Royal Hospital, Worcester, UK        The Birmingham Hand Centre, Birmingham,

13:15   [2A.18] The pattern of Upper Limb Injuries          [2B.20] Does splintage method following
        following Motor Vehicle Crashes                     volar plating of the distal radius influence
        M Chong, G Broome, S Wang                           length of inpatient stay?
        Cumberland Infirmary ,UK and University of          D Kalloo, M Hakimi, G Eastwood, A Lavender
        Michigan, USA

13:20   [2A.19] Outcomes of distal radius fracture          [2B.21] Alcohol and hand trauma – an
        fixation with APTUS locking plates and              opportunity for alcohol misuse education?
        variable angle locking screws                       Rakowski K, Dhillon B, Baker R and Dheansa
                                +           +
        T Singh*, N Jagodzinski , R Norris , S Tan*, V      B
        Rajaratnam*, J Jones , D Power*                     Queen Victoria Hospital, East Grinstead, UK
        *The Birmingham Hand Centre, Birmingham UK
          Peterborough District Hospital, Peterborough
13:25   [2A.20] Functional outcome of proximal             [2B.22] Surgical Management of Distal
        humerus fracture treated by Philos plate           Tibial Metaphyseal Fractures with a
        M.Al-Najjim, A. Mustafa, S. Lipscombe, M.          Locking Plate
        Waseem                                             L McGonagle, J Kozdryk, J Stamer
        Macclesfield District General Hospital, UK         Wirral University Teaching Hospitals,
                                                           Merseyside, UK

13:30   [2A.21] Surgical Management of Distal Tibial       [2B.23] Explosion-mediated fracture
        Fractures with an External Fixator                 pattens relate to environment; a forensic
        J Kozdryk, L McGonagle, J Stamer                   biomechanical approach
                                                                        1,2        2       3
        Wirral University Teaching Hospitals, Merseyside   A Ramasamy , A M Hill , I Gibb , S
                                                                     2           2            1
                                                           Masouros , A MJ Bull , J C Clasper
                                                           Royal Centre for Defence Medicine,
                                                           Birmingham UK, Imperial College London UK
                                                           and Royal Hospital Haslar, Gosport,
                                                           Hampshire UK.

13:35    [2A.22] Fractured Hip: The effects on             [2B.24] A Recent Dataset of Traumatic
        coagulation and, The outcome for those on          Brain Injury Demonstrates That Brain
        warfarin                                           Swelling and Brain Stem Injury Are the
        P Wall, C Lever, P Roberts                         Only Significant Predictors of Outcome
                                                           Among Various Computed Tomography
                                                           (CT) Findings
                                                                            1        2           3
                                                           M Moazzez Lesko , C Childs , S O’Brien , O
                                                                    1        1
                                                           Bouamra , F Lecky
                                                           Salford Royal NHS Foundation Trust, Salford,

13:40   [2A.23] A comparison of accuracy of different
        Trauma and Injury Severity Score (TRISS)-
        like models in different trauma populations
                       1                  1
        M AC de Jongh , M HJ Verhofstad , L PH
        Traumacenter Brabant St. Elisabeth Hospital
        Tilburg and University Medical Center Utrecht

13:45   15 Minutes of Questions
15:00   Conference Closes

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