Trauma and Orthopaedic Surgery

About our service

The department of Trauma and Orthopaedic Surgery at the Trust employs nineteen Consultant Trauma and Orthopaedic surgeons. All our consultants have completed their training in Trauma and Orthopaedics leading to entry on the Specialist Register and have also completed additional training in a particular sub-speciality area. This includes the management of a wide range of trauma and elective conditions affecting the upper and lower limbs.

In particular, we manage upper limb conditions affecting the shoulder, elbow and wrist, and lower limb conditions affecting the hip, knee, ankle and foot. We manage both elective conditions (which develop over time) and traumatic conditions which are caused by injury. Elective conditions include instability and arthritis, whereas traumatic conditions include fractures and dislocations.

If you have a problem with your hand, we do deal with some of these conditions although most hand problems are managed by our colleagues in Plastic and Reconstructive Surgery.

The trauma service deals with emergency presentations of fractures and other injuries to the upper and lower limbs (including approximately 550 hip fracture procedures annually), whereas the elective services we provide deal with planned operations for longer term problems such as instability and arthritis. This includes approximately 1,200 hip and knee replacement procedures each year.

Conditions we treat

Upper limb elective conditions

Shoulder instability, pain and arthritis.
Elbow instability and pain.
Wrist instability, pain and arthritis.
Hand conditions including Dupuytren’s contracture.

Upper limb traumatic injuries

Fractures of the clavicle, shoulder, humerus, elbow, radius and ulna, wrist and scaphoid.
Soft tissue injuries to the rotator cuff, biceps tendon and tendons in the wrist.

Lower limb elective conditions

Hip pain and arthritis including primary and revision hip replacement.
Knee pain and arthritis including unicompartmental, total and revision knee replacement.
Knee instability including knee ligament reconstruction and arthroscopic procedures.
Knee pain and malalignment including osteotomy.
Ankle pain and arthritis including ankle replacement and fusion.
Ankle instability including ligament reconstruction and arthroscopic procedures.
Ankle and foot malalignment including fusion and osteotomy.

Lower limb traumatic injuries

Fractures of the hip, femur, knee, tibia and fibula, ankle, talus, calcaneum and foot.
Periprosthetic fractures around hip and knee replacements.

Key achievements

Our hip fracture service is rated amongst the best in the country by the National Hip Fracture Database in achieving best practice in the management of these injuries. During 2020, we managed 550 hip fracture admissions and achieved best practice in 82% of cases. This includes comprehensive patient assessments, multidisciplinary team involvement and prompt surgery either on the same day or the day after admission.

Our elective performance data is analysed by the ‘Getting it Right First Time’ initiative and we also submit data to the National Joint Registry. Our results indicate that we are better than the national average in providing safe day case surgery to our patients for most procedures. Additionally, our rates of early revision for procedures including anterior cruciate ligament reconstruction and total hip replacement are better than the national average indicating that patients can anticipate a reliable outcome in these procedures.

Consultant contact details

Upper limb surgery

Consultant	Secretary
Mr Vijay Deore	01924 542406
Mr Bernd Ketzer	01924 542495
Mr Mathew Varghese	01924 542495
Mr Venkateswaran Balachandran	01924 816152

Hip and knee surgery

Consultant	Secretary
Mr Chris Lewis	-
Mr Elmunzar Bagouri	01924 816128
Mr Simon Jones	01924 542403
Mr Lutz Koch	01924 816128
Mr Aaron Ng	01924 542402
Mr Stefan Niculescu	01924 542401
Mr Malcolm Rawes	01924 542405
Mr Ajit Shetty	01924 542402

Knee and sports injury

Consultant	Secretary
Mr Andrew Cohen	01924 542406
Mr James Newman	01924 542401
Mr Vishal Rajput	01924 816128

Foot and ankle surgery

Consultant	Secretary
Mr Jason Eyre	01924 542402
Mr Thomas Goff	01924 542403
Mr Kurt Haendlmayer	01924 816152
Mr Dimos Evangelidis (Locum)	01924 542492

Paediatric orthopaedic surgery

Consultant	Secretary
Mr Nirmal Tulwa	01924 542405
Mr Mohamed Sabouni	01924 542405
Mrs Helen Bryant	01924 542405

Meet our teams

Trauma/Emergency Coordinator Role

The Trauma/Emergency coordinators are a team of three, they organise the acute service for Orthopaedics. The team manage all patients at home who are awaiting surgery, starting by determining if a Virtual Fracture Clinic appointment or a face-to-face appointment is needed to discover the correct treatment.

The team then list home patients for surgery in a timely manner. Patients are contacted directly and given advice and information for their admission, including fasting instructions, medication advice, and the MRSA treatment plans.

As well as the patients awaiting surgery at home, the coordinators work closely with all of the Orthopaedic surgeons to ensure the ward-based patients are listed appropriately for surgery.
With time critical management and the right surgical skill sets required to achieve the best outcome for all patients.

The coordinators work closely with many departments including all of the Orthopaedics doctors, the fracture clinic, the team in Virtual Fracture Clinic, Radiology, wards and of course Theatres.

If you have any questions or concerns regarding your injury, please feel free to contact the coordinators. Our contact details are 01924 543013 and we work from:

Monday to Friday 6.30am — 4.30pm
Saturday and Sunday 6:30am – 12:30pm