Trauma and Orthopaedic Surgery
The department of Trauma and Orthopaedics at Mid Yorkshire Teaching NHS Trust provides specialist trauma and elective orthopaedic services to a local population of around 550,000 people.
About our service
The department of Trauma and Orthopaedic Surgery at the Trust employs nineteen Consultant Trauma and Orthopaedic surgeons. All our consultants have completed their training in Trauma and Orthopaedics leading to entry on the Specialist Register and have also completed additional training in a particular sub-speciality area. This includes the management of a wide range of trauma and elective conditions affecting the upper and lower limbs.
In particular, we manage upper limb conditions affecting the shoulder, elbow and wrist, and lower limb conditions affecting the hip, knee, ankle and foot. We manage both elective conditions (which develop over time) and traumatic conditions which are caused by injury. Elective conditions include instability and arthritis, whereas traumatic conditions include fractures and dislocations.
If you have a problem with your hand, we do deal with some of these conditions although most hand problems are managed by our colleagues in Plastic and Reconstructive Surgery.
The trauma service deals with emergency presentations of fractures and other injuries to the upper and lower limbs (including approximately 550 hip fracture procedures annually), whereas the elective services we provide deal with planned operations for longer term problems such as instability and arthritis. This includes approximately 1,200 hip and knee replacement procedures each year.
Conditions we treat
Upper limb elective conditions
- Shoulder instability, pain and arthritis.
- Elbow instability and pain.
- Wrist instability, pain and arthritis.
- Hand conditions including Dupuytren’s contracture.
Upper limb traumatic injuries
- Fractures of the clavicle, shoulder, humerus, elbow, radius and ulna, wrist and scaphoid.
- Soft tissue injuries to the rotator cuff, biceps tendon and tendons in the wrist.
Lower limb elective conditions
- Hip pain and arthritis including primary and revision hip replacement.
- Knee pain and arthritis including unicompartmental, total and revision knee replacement.
- Knee instability including knee ligament reconstruction and arthroscopic procedures.
- Knee pain and malalignment including osteotomy.
- Ankle pain and arthritis including ankle replacement and fusion.
- Ankle instability including ligament reconstruction and arthroscopic procedures.
- Ankle and foot malalignment including fusion and osteotomy.
Lower limb traumatic injuries
- Fractures of the hip, femur, knee, tibia and fibula, ankle, talus, calcaneum and foot.
- Periprosthetic fractures around hip and knee replacements.
Key achievements
Our hip fracture service is rated amongst the best in the country by the National Hip Fracture Database in achieving best practice in the management of these injuries. During 2020, we managed 550 hip fracture admissions and achieved best practice in 82% of cases. This includes comprehensive patient assessments, multidisciplinary team involvement and prompt surgery either on the same day or the day after admission.
Our elective performance data is analysed by the ‘Getting it Right First Time’ initiative and we also submit data to the National Joint Registry. Our results indicate that we are better than the national average in providing safe day case surgery to our patients for most procedures. Additionally, our rates of early revision for procedures including anterior cruciate ligament reconstruction and total hip replacement are better than the national average indicating that patients can anticipate a reliable outcome in these procedures.
Consultant contact details
Upper limb surgery
| Consultant | Secretary |
| Mr Vijay Deore | 01924 542406 |
| Mr Bernd Ketzer | 01924 542495 |
| Mr Mathew Varghese | 01924 542495 |
| Mr Venkateswaran Balachandran | 01924 816152 |
Hip and knee surgery
| Consultant | Secretary |
| Mr Chris Lewis | - |
| Mr Elmunzar Bagouri | 01924 816128 |
| Mr Simon Jones | 01924 542403 |
| Mr Lutz Koch | 01924 816128 |
| Mr Aaron Ng | 01924 542402 |
| Mr Stefan Niculescu | 01924 542401 |
| Mr Malcolm Rawes | 01924 542405 |
| Mr Ajit Shetty | 01924 542402 |
Knee and sports injury
| Consultant | Secretary |
| Mr Andrew Cohen | 01924 542406 |
| Mr James Newman | 01924 542401 |
| Mr Vishal Rajput | 01924 816128 |
Foot and ankle surgery
| Consultant | Secretary |
| Mr Jason Eyre | 01924 542402 |
| Mr Thomas Goff | 01924 542403 |
| Mr Kurt Haendlmayer | 01924 816152 |
| Mr Dimos Evangelidis (Locum) | 01924 542492 |
Paediatric orthopaedic surgery
| Consultant | Secretary |
| Mr Nirmal Tulwa | 01924 542405 |
| Mr Mohamed Sabouni | 01924 542405 |
| Mrs Helen Bryant | 01924 542405 |
Meet our teams
Trauma/Emergency Coordinator Role
The Trauma/Emergency coordinators are a team of three, they organise the acute service for Orthopaedics. The team manage all patients at home who are awaiting surgery, starting by determining if a Virtual Fracture Clinic appointment or a face-to-face appointment is needed to discover the correct treatment.
The team then list home patients for surgery in a timely manner. Patients are contacted directly and given advice and information for their admission, including fasting instructions, medication advice, and the MRSA treatment plans.
As well as the patients awaiting surgery at home, the coordinators work closely with all of the Orthopaedic surgeons to ensure the ward-based patients are listed appropriately for surgery.
With time critical management and the right surgical skill sets required to achieve the best outcome for all patients.
The coordinators work closely with many departments including all of the Orthopaedics doctors, the fracture clinic, the team in Virtual Fracture Clinic, Radiology, wards and of course Theatres.
If you have any questions or concerns regarding your injury, please feel free to contact the coordinators. Our contact details are 01924 543013 and we work from:
- Monday to Friday 6.30am — 4.30pm
- Saturday and Sunday 6:30am – 12:30pm
Acute knee clinic
The acute knee clinic is run by 2 Advanced Physiotherapy practitioners on a Monday and Tuesday each week, based in the fracture clinic/orthopedic outpatient department, Gate 16 at Pinderfields hospital. We are supported by soft tissue knee surgeons Mr. James Newman, Mr. Vishal Rajput, Mr. Andrew Cohen and Mr. Zulfi Al. The clinic is for those who have attended the emergency department following a knee injury.
Within the clinic a detailed history and clinical examination will take place. You may have both face-to-face and telephone appointments. In our clinic, we have access to diagnostics such as XRAY and MRI scans, as there may be some circumstances in which these are required. You may be referred to other services such as Physiotherapy for rehabilitation to support your recovery. Following some injuries you may also be advised to wear a knee brace; all information will be provided at the time of your consultation.
If you are visiting our clinic, we will need to view your knee at the time of your appointment. Please make sure to bring with you a suitable pair of shorts / loose fitting trousers.
If you have any questions or concerns about your appointment or wish to talk to someone after, please contact the acute knee team on 01924546107 alternatively please contact 01924541000 and ask for the orthopaedics secretaries' team.
We have a range of useful information for patients, found in the next drop down section of this webpage. Please follow the advise given to you by the acute knee team.
Patient information leaflets
Total Knee replacement with exercises.pdf [pdf] 804KB
Arthroscopy of the knee.pdf[pdf] 542KB
Medial Patellofemoral ligament reconstruction.pdf[pdf] 1MB
Acute soft tissue knee injuries.pdf[pdf] 842KB
ACL reconstruction.pdf [pdf] 1MB
Toe Fracture advice.pdf[pdf] 1MB
VFC - What is an ankle sprain.pdf[pdf] 1MB
Foot and ankle advice Virtual fracture clinic.pdf [pdf] 1MB
Useful links
British Orthopaedic Association
Useful links for hip trauma/surgery:
National Hip Fracture Database
Useful links for foot and ankle trauma/surgery:
British Orthopaedic Foot and Ankle Society
Useful links for elbow trauma/surgery:
British Elbow and Shoulder Society
Useful links for hand trauma/surgery:
British Society for Surgery of the Hand
Useful links for knee trauma/sugery:
British Association for Surgery of the Knee
Osteoarthritis (OA) of the knee | Knee pain | Versus Arthritis
Exercises for knee trauma/surgery:
Let's Move with Leon | Versus Arthritis
Exercises for the knees | Versus Arthritis
Power Up To Play — This is a charity initiative set-up by medical professionals. The aim is to improve young player welfare in grassroots sport through prevention of serious knee injuries.
Power Up To Play 'warm-up programme' — Youth knee injuries requiring surgery have increased 29 fold in last 20 years. 50% of these could be prevented by the regular use of a simple warm-up programme.