You can advertise any sport surgery course for free on BOSTAA website

www.bostaa.ac.uk

Issue FIVE

SPORTS Medicine/Surgery

Summer 2015 NewsLetter…... BOSTAA Established 1993

Contact us: Secretary@bostaa.ac.uk www.bostaa.ac.uk

Membership News PLEASE ARRANGE A NEW STANDING ORDER

BOSTAA have new bank account. Please arrange a new standing order when the treasurer of BOSTAA Fares Haddad contacts you. It is only £25.

MSc Sports and Exercise Medicine (established 1991)

The longest running SEM course in the country. Recognised nationally

and internationally as one of the top sports medicine courses The course is suitable for physiotherapists and trainee doctors in

Sports and Exercise Medicine, Orthopaedics, Accident and Emergency and General Practice.

The practical sessions involve placements with athletic teams, teaching in physiology labs and anatomy dissecting rooms

This course can be taken full-time in one year or part-time over two to four years.

For more info: www.nottingham.ac.uk/sportsexercisemedicine

BOSTAA/BOA Instructional Session –

17/09/2015 The role of PRIMARY

SURGERY in acute knee injuries

Chair – Mr Simon Roberts Bostaa/Arthrex Fellowship Report Mr Santosh Venkatachalam Acute isolated ACL – Sam Oussedik Acute first time PFJ dislocation - Mr Simon Donnell Acute multi-ligament Injuries - Mr Andy Williams Acute Meniscal tear - Mr Mike McNicholas Fixing Osteochondral Fractures- Mr Peter Schranz Discussion

View the minutes of 2014 AGM on the website  

Commissioning Guidelines Godi, Fiorenza, poi che se’ si grande,

Che per mare e per terra batti l’ali,

E per lo ‘nferno tuo nome si spande!

Rejoice, O Florence, you are so great,

That your wings beat over land and sea,

And your name resounds through Hell”

Inferno

Dante (1265-1321), in this work, appears torn between admiration of his native city and disgust of its vices.

It seems, there is a parallel between the poem at the dawn of the 14th Century and the recent call for production of clinical guidelines for Commissioning negotiations. BOSTAA was invited by the BOA, alongside the other speciality societies, to take part in this initiative and produce guidelines in clinical conditions of relevant interest.

Cost-effectiveness is the primary objective of the project as the NHS has a limited budget and a vast number of potential spending options. NICE has been the vehicle so far, assessing the ‘better value’ for money of all treatments and analysing the cost and benefit of any proposed new treatment compared to an already existing one. Quality adjusted life years (QALY) quantify the health benefits associated to a treatment regime. A rather technocratic ratio of around £20,000-30,000 for each QALY, is the sum accepted to consider for the introduction of a new treatment modality in a clinical condition. There are certain ramifications regarding research and innovation, in terms of funding and application of any new ideas and treatments.

Would commissioning have an additional role in this? Would it act as an assisting hand to NICE? Would it be the case that some recommendations, by clinical groups, will be not considered by the commissioners, as appear incompatible with NICE QALY guidance?

Presenting and marketing of the “best evidence” in making the diagnosis and treatment of a condition is plausible. It provides a responsible position by a group of similar minded experts and reduces the risk of any potential cavalier approaches. Would, however, be used at a “competitive market”, in different branches of Orthopaedic Surgery or among separate Medical Specialities? Would some of the clinical conditions receive reduced funding as they would be considered as lesser priorities in a perceived perking order?

Communication is probably the one benefit of this initiative which every interesting party agrees. This work will attract the attention of doctors, companies from the Orthopaedic industry and patients. Therefore, a concise, evidence-backed and precise information will assist to prevent controversy in the interests of the different involved groups.

Guidelines for commissioning are now in preparation by different speciality societies. The BOA sent out “assisting instructions” based on the RCSEng recommendations. This is a long, daunting document, with some parts of it need deciphering.

BOSTAA will actively take part in this process, endeavour to produce guidelines which will fit with the practice of our members and provide substantial information to industry and patients.

Panos Thomas Vice President BOSTAA

BOSTAA and Arthrex Sports Medicine Travelling Fellowship 2016 The British Orthopaedic Sports Trauma and Arthroscopy Association (BOSTAA) is pleased to accept applications for a three week travelling fellowship in either upper or lower limb sports surgery/sports medicine in centre of excellences in Europe. The fellowship is funded and organised by Arthrex and offers an exceptional clinical and academic experience. Applications are invited from final year Specialist Registrars who must have passed FRCS(Orth), or Consultants in their first 5 years. Applications should include a CV and a covering letter detailing the applicant’s aspirations. As part of the selection process, all applicants are also asked to write a review article on a topic of their choice which would, if of a sufficient quality, be made available for publication on BOSTAA’s website. This should be less than 3,000 words. Applicants MUST either be a member / associate member of BOSTAA or actively seeking membership at the time of application.. Please send your complete application to the honorary secretary Deiary Kader. Email: Secretary@bostaa.ac.uk . The closing date is 15th August 2015. Sports injuries and sports orthopaedics: state of the art

January 2015 RSM/BOSTAA Chairs: Carlos Cobiella and Fares Haddad

Joint Instability, Modern Paradigms Simon Roberts Patellar Instability and MPFL Deiary Kader ACL Instability (Panos Thomas)Presented by Deiary Kader Glenohumeral Instability Mike Dobson ATFL and CFL Acute repair in the Athlete: Mike Oddy

Does it prevent joint instability? Discussion

The objectives of the association are to provide a forum for the presentation of basic research, advances in clinical practice and the results of surgical procedures pertaining to orthopaedic sports trauma and to improve the care offered by orthopaedic surgeons to sportsman/women

BOSTAA  Board  Mr  Simon  Roberts  President  Mr  Panos  Thomas  Vice  President  Prof  Fares  Haddad  Honorary  Treasurer    Prof  Deiary  Kader  Honorary  Secretary    Mr  Mike  Dobson  Academic  Secretary  Mr  Neil  Patel  Web  Master  Mr  Carlos  Cobiella  Member  at  large  Mike  Carmont    Past  President