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Trauma and Orthopaedics

Trauma and Orthopaedics

The TV programme '24 Hours in A&E' films at St George’s Hospital, based in Tooting, South West London. The aim was to highlight the emotional and personal stories that unfold in an Accident and Emergency department which is one of the most advanced and busiest A&E departments in the world.

A key group helping patients is the Trauma and Orthopaedics Team.

The trauma and orthopaedics department at St George’s University Hospitals NHS Foundation Trust is one of four major trauma centres in London. The team treat 1400 patients per year with broken bones due to accidents providing life-saving care as well as saving limbs with reconstructive surgery. The team consists of around 20 consultants with a world-wide expertise in treating fractures, sports injuries, cancer, arthritis and children within state of the art facilities using cutting edge technology. The department has strong links with other specialties such as physiotherapists, plastic surgeons, rheumatologists, oncologists and microbiologists, working as a team to ensure the best outcomes for our patients. Together they are involved in research projects to improve care and ensure an improved quality of life for patients. Participation in national trials includes comparing plate to nail fixation in leg fractures, trials of innovative wound dressings and trials of different techniques for fixing distal radial fractures.

The pelvic and acetabular reconstruction unit is the largest in the South of England and provides specialist services not available in other hospitals. The unit also has a specialist interest in elderly patients with osteoporotic fractures and were one of the first in the country to offer a service of fixing the fractured pelvis and replacing the hip to allow patients to walk again. The unit is involved in several studies looking at designing new metal plates to fix pelvic fractures and using computers to plan surgery. The unit is also involved in national trials to improve the selection of patients for surgery.

The limb reconstruction unit is the tertiary referral centre for the South of England for complex surgery. Often treating patients with infected bones or missing bone that have failed to heal, the unit has expertise in complex reconstructive surgery to try and save a limb with combined expertise of plastic surgeons and microbiology teams. The unit holds grants funding research in techniques to improve the treatment of patients with severe limb injuries and has completed research projects in open tibial fractures and outcomes following trauma. 

The foot and ankle unit takes specialist referrals from around the South of England. They have participated in the International CARTIVA study comparing biological implants to joint fusion in hallux rigidus allowing patients with a stiff toe to walk normally again.

The upper limb surgery unit is involved in several studies looking at different aspects of upper limb care and all the consultants are involved in the education of students and surgeons at the local, national and international level. The hand unit is involved in the national DISC study investigating the nonsurgical management of patients with Xiapex for Dupuytren’s contracture.

 The spinal surgery unit has specialist expertise in treating children with scoliosis, a curvature of the spine as well as spinal fractures and complex cancer surgery. The unit has published several papers investigating the anatomy of the spine and how treatments can be improved. The unit is involved in several national trials investigating how effective treatments are for spinal conditions. 

The arthroplasty unit has become a regional centre for the treatment of failed joint replacements and complex cases such as infection and lymphoedema. The unit has published and presented papers on their experience and is involved in several national studies of both young adults with new implant materials and the treatment of elderly patients with complex limb issues.

The sports knee surgery unit has a specialist interest in patellofemoral instability with a specialist clinic to treat patients with dislocating kneecaps or painful knees. The unit holds several grants working closely with scientists to investigate how kneecaps move to try and improve the treatment of patients and tailor surgery specifically to patients. The unit also treats young arthritic knees offering osteotomy, a treatment to re-align the bones and partial knee replacements to try and preserve function in the younger population. The unit is involved in the treatment of active patients with arthritis with a new partial knee replacement.

 Working closely with colleagues the team aims to improve patient care whilst involving patients in choosing which areas are the most important to them for research. We have formed a patient group in trauma that has helped us design studies to address the problems they feel are most important and with charity donations we hope to continue our work to treat patients to the highest standards possible by securing equipment, facilities, research support and training that is over and above what the health system can normally provide.

 

 Any help would be greatly appreciated and you can show your support so please Donate Now.

Trauma and Orthopaedics

The work of the Trauma and Orthopaedics team is wide-ranging and charitable donations mean new and additional technology and facilities can be added to the excellent set-up

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Fund target £10000

2%

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