Author Archives: Paul Jenkins

Dates for the Diary

Please note the following upcoming dates:

Winter SCOT Meeting (Crieff Hydro Hotel) 31/1/20 to 1/2/20

STOTS Meeting (Dunblane Hydro Hotel) 27/8/20

Summer SCOT Meeting (Dunblane Hydro Hotel) 28/8/20

Further information will be posted as it becomes available.

Position Statement Regarding Hip Resurfacing for Patients in NHS Scotland

Metal Resurfacing of Hips

There remains concerns in the press and scientific literature about metal on metal total hip joint replacement bearing surfaces.  Hip replacements/ hip resurfacing with metal-on-metal hip bearings became very popular in the late 1990’s and early 2000’s with implant companies, the popular press, patients and some surgeons being a driving force. In the late 2000’s, however, it became  apparent there was a much higher failure rate (5-6x that of standard hip replacements in some patient groups) with these bearing surfaces. There were also incidences of significant soft tissue damage being caused by metal wear debris, so called pseudo-tumours. NHSScotland is aware of these concerns and takes patient safety seriously.  There are currently no total hip joint replacements using metal on metal bearings being performed in NHSScotland.  Hip resurfacing procedures are not routinely offered in the majority of health boards in Scotland and there are only a small number of specialist centres performing the procedure under close follow up. However, there may be a limited place for metal resurfacings procedures.  The belief that it is easier to revise a hip resurfacing than a hip replacement is misplaced.

This note sets out NHSScotland  position with regard to hip resurfacing with metal bearings. 

Choice

Patients should have the option to consider a range of choices to improve their quality of life when they have significant pain or lack of mobility due to damage to a hip joint.

Cohort

The group of patients to whom a metal hip resurfacing procedure is a potential option tend to be male, young, with good bone quality and with large diameter hips

Consent

There must be additional informed and recorded consent agreed with the patient that currently a resurfacing procedure does involve the use of a metal bearing and that there may be a risk of early failure and soft tissue damage due to metallosis.  The patient must agree, and the surgeon must ensure that more intensive follow-up is in place than is routine following standard total hip replacement surgery so any development of metallosis will be found early and managed properly in line with current guidelines for metal hip bearings from the MHRA. This follow up may involve yearly review and x-rays together with blood tests to monitor metal levels that can become elevated.

Surgeon

The surgeon must have significant experience in hip resurfacing procedures, record specific consent for the procedure and ensure follow up according to MHRA guidance

https://www.gov.uk/drug-device-alerts/all-metal-on-metal-mom-hip-replacements-updated-advice-for-follow-up-of-patients

Device

The device chosen must be one with a minimum 10A Orthopaedic Data Evaluation Panel (ODEP) rating Bor be part of a registered research trial.

Patients and surgeons should ensure that the advice from the British Orthopaedic Association and British Hip Society is followed.

Mr Edward Dunstan
Consultant Orthopaedic Surgeon
Chair – Scottish Committee for Orthopaedics & Trauma

Summer SCOT Meeting 2018

A quick reminder of the dates of the Summer SCOT Meeting:

Date: Friday 7 September 2018

Location: Dunblane Hydro Hotel

Draft Programme: Download

The STOTS (Trainee) Day will take place on Thursday 6 September 2018 with a dinner in the evening.

STOTS Main Sponsor:

SCOT Meeting Sponsors:

Other Educational Support:

Summer SCOT Meeting 2017

Dunblane Hydro Hotel
Friday 8 September 2017

Download Draft Programme

Register to attend (attendance limited to Scottish Orthopaedic Consultants & Trainees)

The Summer SCOT Meeting takes place on Friday 8/9/2017 at Dunblane Hydro. The Guest Lecture is by Rhidian Morgan-Jones on the subject of “The Infected Knee Replacement”. There will be updates from the Scottish Arthroplasty Project, along with Registrar free papers.

We are grateful to the following sponsors:

Diamond Level-

Silver Level-

Bronze:

 

 

First Call for Abstracts: Winter SCOT Meeting 2017

Abstracts are invited for the Winter SCOT Meeting from Scottish Orthopaedic Trainees.  Normally approximately 15 papers are accepted and the presenters will be sponsored to attend the whole Meeting.  Those not selected may attend the Meeting on the Friday and Saturday if they wish, but will not be able to stay overnight.

Abstracts should be structured as per the instructions below and should not exceed 250 words.  Please ensure you submit your abstracts by Friday 21st October 2016to Kimberley Moore Ede, Secretary to Professor Simpson.

abstract-instructions-winter-scot-2017

Provisional Programme: Winter SCOT Meeting 2017

Date: 3-4 February 2017
Location: Crieff Hydro Hotel (PH7 3LQ)
Contact: Ivan Brenkel

 

Friday 3rd Feb 2017

9.30am-12 noon           Business meeting                    EARN ROOM

12 noon -1pm               Trauma working group         EARN ROOM

10am-1pm                   Shoulder meeting                    BARVICK ROOM

12 Noon-1.30pm          Registration and Lunch

1.30-3.30pm                Spr presentations.                   DRAWING ROOM

3.30-4.00pm                 Tea

4.00pm                        Tim Wilton: President BOA.  Topic TBA

 

4.35 pm                       Mr J Reid: Consultant Orthopaedic Surgeon Edinburgh:                Experience of being a training director

5.10 pm                       Steven Cooke:             Consultant Paediatric Orthopaedic Surgeon
University Hospitals Coventry & Warwickshire NHS Trust:                   Surgical training

6.00.pm                       End of session

 

Saturday 4th  February 2017                         DRAWING ROOM

9.30am                                    Andrew Murray: Sports and Physical Activity Doctor/ GP/                                        Runner. Topic TBA

10.00am                      Kapil Kumar: Consultant Orthopaedic Surgeon Aberdeen:                         Shoulder Arthroplasty, its evolution.

10.30am                                  Coffee

11.00am                      Stephen Cooke: Consultant Paediatric Orthopaedic Surgeon
University Hospitals Coventry & Warwickshire NHS Trust. Paediatric Elbow Injuries

11.30am                      Mr Martin Sarungi: Consultant Orthopaedic Surgeon Golden                    Jubilee Hospital. Topic TBA

12.00pm                      Buffet Lunch and Depart.

This meeting is mainly supported by an unrestricted educational grant from Depuy, Arthrex, styker and Zimmer which funded the educational sessions and lecturers expenses only.  All companies have paid only to exhibit at this meeting and have had no other involvement in the organization, including the choices of speakers or agenda items