Torn rotator cuff tendons are common and produce pain down the side of the arm which is worse when the arm is lifted to the side. Often the tears can be treated with physiotherapy but some require surgery to repair the tendons, this is usually done with arthroscopy (keyhole surgery).
Occasionally the tears are too big to repair. In older patients a reverse shoulder replacement may be an option but this is usually not appropriate for those under 70 which means that many patients are left with no treatment options.
Superior Capsule Reconstruction is a new technique, pioneered in the UK by Mr. Duncan Tennent, which uses a pig-skin graft to replace the tendons. This is also done arthroscopically and is very successful at reducing the pain and improving the function of the arm.
Mr Tennent is based at St. George’s Hospital and undertakes all of the procedures at SWLEOC
Further details can be found at www.sgsu.co.uk
I’m delighted to welcome Mr Philip Mitchell to his new role as Medical Director of SWLEOC. Philip started as a Consultant Hip and Knee Surgeon at St George's Hospital in 2002 and has been involved with SWLEOC from the outset – he actually performed the first operation in the Centre (a knee replacement), when it opened!
As a Consultant, Philip has been lead for Trauma and Orthopaedics at St George's, Director of Surgery at SWLEOC, an elected member of the Council of the British Orthopaedic Association for the last three years, clinical lead for the Patient Liaison Group of the British Orthopaedic Association and is a Trustee on the board of the Arthritis and Musculo-skeletal Alliance (ARMA).
Philip also serves on the Orthopaedic Data Evaluation Panel, (ODEP) and Beyond Compliance panels, which are both national committees monitoring the performance of hip and knee implants across the UK. His special interests in joint replacement surgery are infection (both preventing and treating) and revision surgery associated with major bone loss. He is regularly on the faculty of major national and international hip and knee meetings and instructional courses.
Philip informs me that he is proud to be the first Medical Director of SWLEOC able to spend most of his NHS time here, thus is hoping to make a big contribution towards clinical management of the Centre. He will work closely with the outgoing Medical Director Mr David Ward and with the Heads of Nursing, Quality, Anaesthetics and PACU.
He is married to Angie, who is a former nurse and now a personal trainer. They have two children, (Ben and Izzy) who both attend Epsom College and he and his family live locally in Banstead. His main passions are water-skiing, walking and red wine!
We’re delighted to welcome Mary Richardson as our new Director of SWLEOC. Mary started her career in the NHS at St Vincent’s Orthopaedic Hospital where she trained as an orthopaedic nurse and learnt how to deliver excellent patient care from the best Irish sisters of charity. Following her 18 months of training there, she carried on her training as a registered nurse at the St Albans and Queen Elizabeth II hospitals in Hertfordshire. Mary tells me that she had an amazing time there and learnt everything she needed to know to take up the gauntlet as a registered nurse. After a nine month stint in A&E she trained for a year at West Hill Hospital in Kent to become a fully qualified Accident and Emergency nurse.
Mary then moved on to Ealing and climbed the ranks relatively quickly to become a senior A&E sister where she developed a reputation for teaching nurses and doctors to suture. She tells me that many a pig’s trotter was carved up in the interests of learning! She also says that this was, undoubtedly, the most exciting and fulfilling role as she had the privilege of leading amazing teams and supporting and caring for patients and relatives at their most vulnerable times.
From there she became the Lead Nurse for Emergency Care at West Hertfordshire NHS Trust, working across four sites. By the time she left four years later she was the Divisional Manager for Surgery, Anaesthetics and Cancer, delivering a financially viable business which is now in surplus and providing amazing patient services. Quite a series of promotions!
Mary said that she is delighted to be at Epsom and have the opportunity to work with clinicians and managers to take SWLEOC forward. She says that she could not resist the opportunity to work in an area where the patient service is fantastic. On her first day tour the doors of theatre opened up with a nurse greeting a patient… and Mary thought she was in heaven!
The Orthopaedic Bi-Annual Walk in the Park took place at Bourne Hall in Ewell on Sunday 28th June 2015. The event raised over £68,000 for the Orthopaedic Research and Education Foundation (OREF)charity and we were delighted to see over 300 walkers who were also joined by their friends, family and dogs.
We would like to take this opportunity to thank all the patients who attended the event and to all the patients that sent in kind donations for the charity. We would also like to thank the staff and families of those who help make this event happen and to all the business’s that supported the day by holding a stall or making a donation to our raffle – without you this event wouldn’t be possible.
Looking forward to our next walk in 2017!