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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	
  
	
  

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The British Orthopaedic Sports BOSTAA newsletter 2015 P2

  • 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