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Revalidation Background

The Surgical Colleges and the BOA produced a paper in 2011 concerning information for revalidation in trauma and orthopaedic surgery. The paper can be accessed here.

According to the paper, orthopaedic surgeons with a children’s practice should be expected to demonstrate their outcomes in the following conditions:

• DDH: Conservative management and open reduction
• Clubfoot: Ponseti treatment and surgery
• Proximal femoral osteotomy for hip subluxation
• Supracondylar fracture of the humerus

and provide information on:

• Redislocation rate after open reduction of DDH (suggested rate <10%)
• Need for surgery after Pavlik harness treatment (suggested rate <20%)
• Need for surgery in non-syndromic cases of clubfoot (suggested rate <10%), excluding tenotomy or single tendon transfer
• Need for reoperation after SCFE treatment, apart from removal of metalwork and late reconstruction

The BSCOS Executive therefore produced literature based evidence on outcomes for the above five conditions to help colleagues in their appraisals or revalidation. The reviews area available in the other pages of this section, but only to logged in members of BSCOS. We hope that you find this useful. The information will be updated periodically.

We are very grateful to the following contributors who undertook the literature searches and provided summaries of outcomes for DDH, Ponseti treatment, SCFE, proximal femoral osteotomy for hip subluxation and supracondylar fracture of the humerus:

Caroline Blakey
Colin Bruce
James Fernandes
Jamie Ferguson
Martin Gargan
Aresh Hashemi-Nejad
Alpesh Kothari
James Robb
Tim Theologis
Madhu Tiruveedhula
David Rowland

BSCOS Executive, February 2013

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