The BritishOrthopaedic Sports Trauma & Arthroscopy Association

1. 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