10 Latest News

The BOA’s response to COVID-19

The BOA has been very busy producing guidance documents and articles throughout the COVID-19 pandemic, working with the Colleges and NHS bodies to ensure patients and surgeons are supported during these unprecedented times. We highlight some of the recent work we have been doing here. We are very grateful to those who have committed time to helping the BOA with this output when many are working under very difficult circumstances.

Guidance for restarting non-urgent care

As part of the move into the second phase of the COVID-19 pandemic, the topic of restarting nonurgent care is high on priority lists around the UK. The BOA has published its own guidance to help with the shift in practice that will be seen as we enter this new stage of response to COVID-19, and the restarting of elective orthopaedic care. The guidance we have created includes two documents: one is a summary document, which contains core principles about restarting aspects of orthopaedic care, whilst the second is a more detailed guidance document which provides further in depth discussion of the key points. We are aware that this shift towards restarting care will have many changes and so we will be updating these documents regularly as more information becomes available in this evolving situation. The documents can be viewed at: www.boa.ac.uk/guidance and we welcome any feedback to us at: policy@boa.ac.uk.

BOA Webinar - The Next Phase: Recovery of T&O Surgery

Following the publication of our guidance, the BOA hosted a webinar to address some key points with regard to restarting of elective and non-urgent care within T&O. The panellists gave insights into their own experiences, including a presentation on the paediatric implications from Prof Deborah Eastwood as well as the anaesthetic view from Prof William Harrop-Griffiths of the Royal College of Anaesthetists. Following the presentations, time was given for discussion and questions from the audience, and the BOA would like to thank the audience for their engaging questions during the second half of the session. We had a large turnout and very positive response to the webinar and expect this to be the first of many. In case you missed it you can view the webinar at: https://www.boa.ac.uk/latest-news/ changes-to-orthopaedic-services-during-covid-19.html.

MDR regulations The European Commission has adopted a proposal to postpone the application of the Medical Devices Regulation by one year. This decision has taken into account the unprecedented challenges of the coronavirus pandemic and the need for an increased availability of vitally important medical devices across the EU. The BOA will keep members updated with any further information we receive. More information and the full statement can be found at https:// ec.europa.eu/commission/presscorner/ detail/en/ip_20_589 .

Cumberlege Report delayed

The Independent Medicines & Medical Devices Safety Review was due to publish its report on surgical mesh implants on 24th March, however due to the Coronavirus pandemic the Review has decided to postpone this planned publication. The BOA will continue to keep abreast of any developments and will inform members when the report is published.

NICE Joint replacement update

The BOA was expecting the publication of the NICE Joint replacement (primary): hip, knee and shoulder guideline in late March, following a consultation which we responded to. However, due to the COVID-19 pandemic, NICE have confirmed they will not be publishing any draft or final guidelines until further notice. We will endeavour to keep members informed with any updates on this.

BOA Training Orthopaedic Trainers (TOTs) and Training Orthopaedic Education Supervisors (TOES) courses

Delivery of future BOA-run face-to-face TOTs and TOES courses is being reviewed in keeping with the lockdown restriction guidelines. It is expected that face-to-face delivery of these courses will resume on the dates listed below. Further information will be updated on the BOA website at: https://www.boa.ac.uk/courses when course bookings are open.

- TOTs: 3rd – 4th September 2020 (BOA London)

- TOTs: 10th – 11th December 2020 (BOA London)

NHS Change Challenge

The BOA is very proud to be supporting NHS England with their ‘NHS Change Challenge’. COVID-19 has changed healthcare delivery in the UK and there are many examples of new, innovative ways of working that have been rapidly developed across the NHS. This initiative aims to capture all of these beneficial changes across T&O and MSK services, and lock them into the new ways of working in the NHS going forward. Two of our committee members – Nick Aresti (Orthopaedic Committee) and Alex Trompeter (Trauma Committee) – have been working as the Champions for their respective areas on this project, and we are very excited to see all of the ideas and responses that are submitted. To find out more or get involved, visit their website https://nhschangechallenge.crowdicity.com.

Virtual Training Orthopaedic Trainers (V-TOTs)

With the suspension of face-toface educational courses, the BOA have developed a Virtual Training Orthopaedic Trainers (V-TOTs) course facilitated by the BOA Educational Advisor Lisa Hadfield-Law. The V-TOTs course is currently being delivered primarily for those concerned about meeting imminent CCT requirements, but anyone who wishes to register their interest should email policy@boa.ac.uk to be added to a waiting list. Details about the structure, assessment and cost of the V-TOTs course can be found on our website: https://www.boa.ac.uk/VTOTS.

Apply Now: Associate Surgical Specialty Lead (SSL) posts

Late in 2019, a new team of SSLs were appointed by the BOA and the Royal College of Surgeons of England, to help support research in surgery throughout the UK. Since the launch of this initiative, one of the overriding objectives has been to develop trainee involvement in surgical clinical research. Three Associate SSL posts have now been created to give trainees an opportunity to work with the SSLs and shape the course of research in their speciality. To find out more about these posts, including how to apply, please see the BOA website: https://www.boa.ac.uk/research/surgical-specialty-leads-for-clinical-trials/ associate-ssl-recruitment.html.

UK and Ireland In-Training Examination (UKITE)

The dates for the UKITE 2020 have now been confirmed as 4th – 11th December 2020. The UKITE is an online annual assessment that allows trainees of all grades to practice for Part 1 of the FRCS (Tr and Orth) examination, with similar formatted questions based on the UK and Ireland T&O Curriculum. Information on UKITE is available on the BOA website: www.boa.ac.uk/ukite.

BOA Educational Support during COVID-19: A message from Lisa Hadfield-Law, BOA Educational Advisor

Trainees are worried about long awaited rotations, exams, fellowships etc. and face anxiety at home and at work. Our SAC continues to work on ways to minimise the impact of COVID-19 on training and to reduce worry load. To support this work, the BOA has produced a screencast suggesting ways of squeezing the learning juice out of our unusual and unexpected clinical experiences. View the screencast at: https:// www.boa.ac.uk/latest-news/trainee-and-tpdissues.html. Many of you will be using this time to prepare your portfolios to reflect requirements of the new curriculum. We have reviewed the GPC framework published by the GMC which sets out essential Generic Professional Capabilities (GPCs) integrated into our new curriculum. We have suggested specific capabilities which may be relevant to work during the pandemic and might provide an opportunity to develop in these areas. Download the document at: https://www. boa.ac.uk/resources/generic-professionalcapabilities-gpcs-which-may-be-relevant-towork-during-covid-19-pandemic.html. Those who have been working alongside others from different specialties or professions can access invaluable feedback discussions. It shouldn’t take long to record these and we have suggested quick ways to do this on ISCP at: https://www.boa.ac.uk/ resources/how-to-register-assessors-whodo-not-have-iscp-accounts.html. Regional teaching shifted to a virtual medium remarkably quickly. The BOA has been able to support regions with ideas to make sessions work. Amazing progress has been made by many: terrifically interactive events even breaking into small groups.

In response to concerns about requirements for CCT, the BOA evolved their Training Orthopaedic Trainers into an entirely virtual programme. They turned this around in seven days with the first cohort of nine starting on the 24th April. One participant has already said “Really getting a lot of useful insight, genuinely wish I’d done this a lot sooner as a learner.” We are now turning our attention to virtual preparation for the new curriculum and the Training Orthopaedic Educational Supervisors programme. n

Other COVID-19 documents and resources available on the BOA website

BOAST: Management of patients with urgent orthopaedic conditions and

trauma during the coronavirus pandemic – The BOA Trauma Committee, alongside several Specialist Societies, worked to produce this BOAST that was recently updated to include non-urgent paediatric guidance. Download the BOAST at: https://www.boa.ac.uk/resources/covid-19-boasts-combined.html.

Information for BOA members on the website – The BOA has compiled links to a large number of resources across the NHS, PHE, Specialist Societies, the GMC as well as many other sources. The information covers a wide range of topics including general professional issues, trainee and TPD issues and infection control and prevention relevant to T&O. View the various resources at: https://www.boa. ac.uk/resources/information-for-boa-members-on-trauma-and-orthopaedic-care-inthe-uk-during-coronavirus-pandemic.html.

TJTO&C – The JTO editorial team has created the Transient JTO and the Coronavirus as a place to host discussion and articles during this pandemic. Read the articles at: www.boa.ac.uk/tjto&c.

Guidance for casting practice – The BOA Casting Committee created some guidelines to help with casting practice during the COVID-19 pandemic, due to a need for reducing hospital attendances and enabling home management where possible. Download the guidelines at: https://www.boa.ac.uk/resources/guidancefor-casting-practice-in-the-current-covid-19-pandemic.html.

Patient FAQs – At the start of the pandemic, we created some patient FAQs to give some support and reassurance to those patients who may be concerned with their surgery being cancelled. Access the FAQ’s at: https://www.boa.ac.uk/ resources/coronavirus-boa-faqs-for-patients.html.

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Soft knee brace for pressure relief and guidance

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34th Edinburgh International Trauma Symposium and Instructional Trauma Course 17th to 28th August 2020 In view of the Covid pandemic, the programme this year will be run entirely on-line.

The world has changed this year as a result of the Covid-19 pandemic. So, for the first time in its 34 year history, the Symposium will not be held as a physical meeting in Edinburgh in August. Instead, we intend to deliver the same high quality education via our website on a virtual platform. As usual, there will be an Instructional Course aimed a t trainees and those requiring an over-view and update in orthopaedic trauma, running in parallel with the Trauma Symposium, aimed at established surgeons interested in recent developments, debates, and controversies. Highlights of these courses include: • An experienced and enthusiastic faculty of national and international experts. • Our programme of Instructional and Symposium talks, available to watch whenever convenient. • Live, interactive, case-based discussion sessions run daily during the fortnight of 17th-28th August • Additional material including cadaveric dissections of surgical approaches and techniques. Early bird discount available, book before 31 st May 2020

21.01.20 09:08

Further information and a detailed programme are available on our website: www.trauma.co.uk or by email: symposium@trauma.co.uk.

SPONSORED BY

BOA Annual Congress 2020

Due to the impact of the evolving COVID-19 pandemic, the BOA leadership have made the difficult decision to cancel the live 2020 Annual Congress, due to be held 15th - 18th September 2020 in Birmingham. We will still be running some elements of the Congress virtually over the same week in September, with plans currently in development to deliver educational and policy support. We will update members as plans develop and will keep the website updated with the latest information at www.boa.ac.uk/Congress.

BOA President Mr Don McBride said:

“Our mission is to Care for Patients and Support Surgeons which now feels more relevant than ever. We were very much looking forward to welcoming our delegates from across the globe to

The Joint Action appeal by the British Orthopaedic Association (BOA) aims to help patients by raising funds for research to improve orthopaedic treatment with the potential to improve the quality of life of those who suffer from arthritis, bone cancer and other adult or paediatric conditions, or to those who have endured a major trauma.

General fundraising has been hit very hard by the COVID-19 pandemic. Thousands of fundraising events have been cancelled and many charities, particularly smaller ones, are struggling to maintain services because of this huge reduction in income. Thank you to everyone who took part in raising money through The 2.6 Challenge and #GivingTuesdayUK, through these campaigns over £10 million has been raised for UK Charities!

Save the date for the next #GivingTuesdayUK which is due to take place on Tuesday 1st December.

About Joint Action

Birmingham but in these unprecedented times difficult decisions have to be taken. We are extremely grateful for your understanding and patience. Protecting people’s health, patients and clinicians alike, is of upmost importance and should be at the forefront of all our efforts.

The Congress will return in Aberdeen in 2021 where we look forward to welcoming you in happier and less turbulent times.” n

The London Marathon 2020, is now postponed and will now take place on 4th October, please support our London Marathon runners by donating online at Just Giving (https://justgiving.com/campaign/ JAlondonmarathon2020) or the JA Virgin Money Giving page (https://bit.ly/2TMOg6U).

place on this date, please keep an eye on our website Joint Action page at: www.boa.ac.uk/ joint-action for further updates.

The Prudential RideLondon-Surrey 46 and 100, which was due to take place on Sunday 16th August, has now been cancelled. n

Lighted Yankaur Suction Device Designed by Adolph V. Lombardi Jr., MD Designed to help provide effective suction with the addition of a light source for enhanced visualization

PRODUCT NO: 8016 -L

Device comes with one (1) Disposable LED

Light Source. Can also be attached to a fiber optic light cable with ACMI (female) connector.

Ortho Impactors

PRODUCT NO’S: 5331 [11 x 4mm Rectangle] 5332 [12 x 7mm Rectangle] 5333 [12mm Tapered] 5334 [9mm Square] 5335 [15mm Round] 5336 [12mm Round] 5337 [9mm Round]

Three sizes of bone hooks with a blunt tip and a large handle to accommodate the use of two hands if desired

Stainless Steel OrthoVise ™ with Slap Hammer

Standard

Long Nose

Bent Jaw Long Nose

PRODUCT NO’S: Standard 3980 Large (10") with Large Slap Hammer 3980-01 Large (10") w/o Slap Hammer, w/Attachments 3981 Large (10”) without Slap Hammer or Attachments 3985 Small (8") without Slap Hammer or Attachements 3985-01 Small (8") with Small Slap Hammer

Long Nose 3965 Large (12") with Large Slap Hammer 3965-01 Large (12") w/o Slap Hammer, w/Attachments 3966 Large Bent Jaw w/Slap Hammer 3966-01 Large Bent Jaw w/o Slap Hammer, w/Attachment 3975 Small (9.5") without Slap Hammer or Attachements 3975-01 Small (9.5”) with Small Slap Hammer

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U.S. Patent D398,208

Stanton Nail/Screw Drill Guide Assembly FOR DISTAL HUMERAL, FEMORAL, OR TIBIAL SCREWS Designed to help hold and stabilize a drill guide, allowing the surgeon to obtain 'perfect circles' and drill distal locking screw holes without exposure of the hand to the x-ray beam Designed by John L. Stanton, MD

Trocar Alignment Tool

Sleeve

Locking Drill Guide Holder

PRODUCT NO: 8986-00 [Assembly Set] Set includes: (1) Holder, (1) Sleeve, and (1) Trocar Also available individually

Fromm Femur & Tibia Triangles Designed by S.E. Fromm, MD Used for femur and tibia positioning during nailing, repairs and fractures

Bone PRODUCT NO’S: 2760-00 [Set of 3] Hooks Designed by R.L. Wixson, MD 2760-01 [11"] 2760-02 [14"] 2760-03 [16"] PRODUCT NO’S: Sold Separately – Not In Set: 5910 [Small, 25 mm] 2760-XS [8.5"] 5915 [Medium, 35 mm] 5920 [Large, 55 mm] Extra Small size designed by S.E. Fromm, MD & Kenneth Merriman, MD 5920-01 [Large with 2 mm Cable/Wire Hole] U K D i s t r i b u t o r : I n n o m e d - E u r o p e A l t e H o s p i t a l I n n o v a t i o n s L t d .

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