Orthopaedics

Paediatric Orthopaedics is a specialist service which provides surgical and non-surgical treatment for conditions affecting children.

Across the Thames Valley and Wessex areas our expert teams of physicians, therapists, orthotists and nurses specialises in treating babies and children with congenital, developmental and acquired musculoskeletal conditions.

The Orthopaedic Network is in its infancy but Tim Theologis, Consultant Paediatric Orthopaedic Surgeon in Oxford and Mike Uglow, Consultant Paediatric Orthopaedic Surgeon in Southampton wish to develop and grow the Network over the coming years.

The Orthopaedic Network has evolved from an informal network that has been functioning for a number of years. This involved Oxford, Southampton and a number of District General Hospitals (DGHs) in the Thames Valley region including, Northampton, Milton Keynes, Stoke Mandeville, Wexham Park, Reading, Swindon and Cheltenham. Surgeons meet 2-3 times per year to discuss challenging clinical cases, listen to lectures and exchange ideas. This network in now formalised under the umbrella of the Oxford and Southampton Children’s Hospitals Network, CHN. The last two network meetings, one at Southampton and one in Oxford, were very well attended, stimulating and helpful. The hope is that Wessex DGH’s will become more involved as the Network develops.

For 2016/2017, the Network has four main priorities:

  1. Develop a fast and safe web-based commination platform to facilitate discussion of cases and review of radiographic imaging.
  2. To facilitate movement across the region to allow Consultants to move fluidly between DGHs and the tertiary centres to allow colleagues to collaborate in highly specialised cases. This will also help maintain routine work outside the tertiary centres.
  3. To capture and understand patient movement across the region.
  4. To keep orthopaedic cases within the Network so that patients do not have to travel long distances for surgery.

2016 / 2017  projects:

  1. The Ponseti technique in the management of clubfeet in the neonatal period: This is a well- established and evidence-based technique internationally. Adhering to the principles of the technique is key to its success. We discussed auditing the results across the region with the aim to ensure that uniform protocols are followed and results are consistent.
  2. Hip surveillance in children with cerebral palsy: There is a national initiative to improve the standards of surveillance in this area in order to prevent silent dislocation and the onset of painful secondary arthritis in the population of non-ambulant children with cerebral palsy. Setting consistent criteria and surveillance protocols across the region would be a challenging but worthy project.

 

CNN films at Oxford Gait Lab

As part of a feature on motion capture technology, a reporter and film crew from global network CNN visited the Oxford Gait Laboratory at the Nuffield Orthopaedic Centre.

CNN’s European Business Editor interviewed Julie Stebbins, Operational Lead and Clinical Scientist at the Oxford Gait Laboratory about how the team deploy their state-of-the-art cameras to improve patient outcomes.

CNN aired the feature at the end of August on their European Business Show – which reaches over 280 million people around the world.

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