Spotlight on London Bridge Orthopaedics: Sharing best practice to improve patient care

2018 has seen London Bridge Orthopaedics (LBO) run several consultant-led events, sharing their expertise with GPs and physiotherapists in the wider clinical community. LBO is a team of top consultants, surgeons and physiotherapists at London Bridge Hospital who provide a high quality service for patients requiring medical attention for complex joint problems, reduced mobility and sport-related injuries. Here is a summary of what they've been up to so far this year: CPR TRAINING: This year was kicked off with an LBO-sponsored CPR training session for the staff from Elm House (Beckenham) and Cator Medical Practice (Kent), giving a particular confidence boost for non-clinical staff. On the same day, Mr Joydeep Sinha delivered a Lunch & Learn at South View Lodge (Bromley) covering a Q&A session on various shoulder and elbow conditions, including presenting symptoms and management. CPR LBO sponsored another CPR training session following this to a group of GPs and school nurses from Sevenoaks. This training had a focus on adult and paediatric basic life support, including the use of defibrillators and management of anaphylaxis. The successful session left attendees with higher confidence in delivering CPR. LBO_CPR_2 GP EDUCATION EVENTS: In early February, Mr Sam Singh presented an educational talk to Beckenham-based NHS GPs during a lunchtime session, discussing common foot and ankle presentations including bunions, anterior ankle impingement, ankle injections, ankle instability and sprains, plantar fasciitis and heel pain. This discussion gave the GPs a platform for discussion to explore diagnosing pathology as well as recommending appropriate treatments available with LBO. GP_Education As the year progressed, several LBO consultants delivered a mini-masterclass at the Hilton, London Bridge, covering the latest developments in orthopaedics, with a special focus on examination in primary care, to GPs from London and the South East. The programme included: Attendees of the masterclass commented on how helpful the talks were, 'giving simple GP-relevant content with practical advice on examining patients'. GP_Education_2 In early March Mr Simon Owen-Johnstone gave a talk to NHS GPs in Beckenham on common hand and wrist conditions, including tingling fingers, carpal tunnel syndrome, mucous cysts, trigger finger, pigmented melanoma and forearm pain. GP_Education_3 PHYSIOTHERAPIST EDUCATION EVENTS: February saw two further events hosted by LBO. The first was a presentation from Mr Simon Owen-Johnstone and Mr Joydeep Sinha to Senior Physiotherapists from Crystal Palace Physio at No. 1 London Bridge. This tutorial started with main conditions causing shoulder pain and a focus on multidisciplinary team collaboration for effective management before opening up the floor for discussion of surgical versus physiotherapy-based treatment for complex cases. The second event was led by Mr Khai Lam who performed a minimally-invasive anterior lumbar disc replacement surgical procedure at St Olaf House (London Bridge Hospital), which was live-streamed for a group of physiotherapists. This was followed by a Q&A session with Mr Lam regarding spinal navigation and when to refer to a specialist consultant. Physiotherapist_Edu    Physiotherapist_Edu_2 In early March, Mr Kavarthapu gave a breakfast talk updating physiotherapists from Central Health Physio on the latest developments on when to refer patients with hip problems, with the view to help manage particularly busy clinics. Physiotherapist_Edu_3 Mr Martin Klinke (foot and ankle surgeon) and Mr Joydeep Sinha (shoulder surgeon) presented to physiotherapists from Capital Physio later that month at the LBO headquarters in the Shard. This first half of this talk encompassed causes of forefoot pain (including Morton neuroma and diabetic foot ulcers), as well as optimal footwear to relieve pain in these scenarios, how to release tight calves and the pros and cons of operative vs conservative treatment of Hallux Rigidus. The second half focused on shoulder pathologies such as adhesive capsulitis and management of severe shoulder injuries. Physiotherapist_Edu_4 Spring brought several more physio-targeted events. Mr Sam Gidwani and Mr Simon Mellor delivered workshops to city-based physios in the LBO headquarters at the Shard, including practical demonstration of scaphoid fracture examination and common presentations of shoulder problems and the necessity for surgery in these cases. Later in the week, Mr Simon Owen Johnstone delivered another physio-targeted breakfast talk on the Glenoid Labrum; anatomy, common variants, clinical presentations of pathology and clinical examination. Physiotherapist_Edu_5   Physiotherapist_Edu_6 In late May, Mr Khai Lam, consultant spinal surgeon, performed another live-streamed surgery. Following an introduction outlining diagnosis, anatomy and bio-mechanics of sacro-iliac joint pain, an O-arm Computer Navigated Minimally Invasive SIJ Fusion procedure was broadcast from London Bridge Hospital. This was concluded by a physio-led discussion from Abhi Tikkisetty on appropriate rehabilitation following this kind of surgery. Physiotherapist_Edu_7 NETWORKING EVENTS: Following these events, members of the LBO group, including consultants, GPs and physiotherapists from across central London, attended a fine dining event at Kaspar's (Savoy hotel, London), which provided a more informal networking platform for interdisciplinary case discussion. Neworking_Events OTHER TALKS BY LBO SPECIALISTS: LBO is leading the way with educational and networking events to connect primary care-based GPs and physiotherapists with orthopaedic specialists, as well as supporting essential CPR and basic life support training across London, striving for optimal patient care. Watch this space for more exciting events coming up! Find out more about the services offered by London Bridge Orthopaedics
This article is for information only and should not be used for the diagnosis or treatment of medical conditions. myHealthSpecialist makes no representations as to the accuracy or completeness of any of the information in this article, or found by following any link from this article. Please consult a doctor or other healthcare professional for medical advice.

Bethan_Tyler Bethan Tyler Final year medical student, Kings College London

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