Mr. Stuart Andrew Edwards

General Education:

Past Orthopaedic Appointments:

Orthopaedic Experience:

I completed my higher surgical training and have been awarded my certificate of completion of training on the 16th of January 2007 I am on the specialist register with the GMC and IMC in the U.K. and Ireland respectively.I have performed approximately 4,000 operations; electively this has included approximately 550 total knee replacements and 800 hip arthroplasties (primary (690), resurfacing (70) and revision (40)). In providing a trauma service I have treated in excess of 300 fracture neck of femurs and inserted approximately 50 intramedullary nails.

Having relocated to Ireland I am now working at Aut Even hospital in Kilkenny and since November 2008 I have performed 250 joint replacements. Whilst at the Basingstoke and North Hampshire Hospital NHS Foundation Trust as a Locum Consultant Orthopaedic surgeon. My primary role was to help the Trust meet the 18 week target for elective surgery. My duties include approximately 5 elective operative sessions per week, occasional trauma lists, 1 pre-assessment clinic and 1-2 out patient clinics (trauma and elective). I performed 784 surgical procedures which included 370 joint replacements in 13 months.

Prior to this I was a specialist registrar at Southampton University hospital were my job plan included a specialist hip clinic and a two session specialist hip surgery list a week. This post has allowed me to consolidate my specialist interest in arthroplasty surgery in particular Complex primary hip surgery/ hip resurfacing and revision hip surgery. The remainder of my timetable revolves around the provision of a trauma service with two clinics and two to three trauma lists per week.

Previously, I was the Orthopaedic Hip Fellow at the Royal Bournemouth Hospital, an internationally recognised fellowship programme. My weekly timetable involved a specialist clinic, three dedicated hip specialist elective operating lists and a research day. Frequently I performed additional lists during the week. During my year in Bournemouth I performed two hundred joint replacements including 50 knee replacements, 23 resurfacings, 30 revision total hip replacements and approximately 100 hip replacements. This post has enabled me to become proficient in all areas of complex, resurfacing and revision hip surgery. Importantly it has also enabled me to develop professional autonomy and given me an opportunity to be integral in patient care from the first outpatient visit through to inpatient stay and follow up which I have found hugely satisfying.

Approximately one half of my placements have encompassed general orthopaedics and trauma.

My subspecialty firms have included Paediatric and foot surgery, spinal surgery and knee surgery (fellowship trainers 1 yr).

I feel that these appointments have enabled me to gain an adequate understanding of elective and emergency orthopaedic surgery and the ability to communicate effectively with patients and staff and to manage my own time and learning. These posts have given me the potential to function successfully under stress and to undertake responsibility and act on my own initiative appropriately.

Research Fellow Experience:

My appointment, as the research fellow at Queen Alexandra Hospital, has enabled me to assimilate many useful skills vital for the developing role of evidence based medicine in Orthopaedics. I am proficient using a computer to compile databases, word processing and accessing information via the internet.

Other skills I have obtained include data collection and its analysis, literature searches, critique of papers and the many ways of trying to access funds for research. Most of all this appointment has proven to me how time consuming and hard work, yet rewarding it is to ultimately produce papers for publication.

Publications:

Published:

Papers

1. Inner City gunshot wounds. Porteous M, Edwards SA, Groom G. Injury Vol28, No 5-6 pp 385-387 1997
   
   
2. The long gamma nail: a DGH experience. S A Edwards, H G Pandit, H J Clarke. Injury Vol 31 (2000) 701-709
   
   
3. Efficacy of forearm versus upper arm tourniquet for local anaesthetic surgery of the hand. S A Edwards, G D Harper, G E B Giddins. Journal of hand surgery (British and European Volume, 2000) 25B: 5: 573-574
   
   
4. The treatment of impending and existing pathological femoral fractures using the long gamma nail. S A Edwards, H G Pandit, H J Clarke. Injury Vol 32 (2001) 299-306
   
   
5. Analysis of polyethylene thickness of tibial components in total knee replacement. S A Edwards, H G Pandit, J L Ramos, M L Grover. The Journal of Bone and Joint Surgery Vol 84-A: 3:March 2002:369-371
   
   
6. The atypical presentation of septic arthritis in the immunosuppressed. S.Edwards, T Cranfield, H J Clarke. Orthopedics. 2002 Oct;25(10):1089-90
   
   
7. Impaction bone grafting in revision hip surgery. S A Edwards, H G Pandit,M L Grover, H J Clarke. J Arthroplasty. 2003 Oct;18(7):852-9
   
   
8. Flexible intramedullary nailing of displaced diaphyseal forearm fractures in children. Injury 2005 Oct; 36(10) 1221-5. Epub 2005 Aug 24. Kapoor V, Theruvil B, Edwards SA, Taylor GR, Clarke NM, Uglow MG
   
   
9. Hypersensitivity to benzoyl peroxide in a cemented total knee arthroplasty. J Arthroplasty. 2007 Dec;22(8):1226-8. Epub 2007 Jan 18. Edwards SA, Gardiner J
   
   
10. A report on the early failure of the LPM proximal interphalangeal joint replacement. Hobby JL, Edwards S, Field J, Giddins G; Research and Audit Committee of the BSSH. J Hand Surg Eur Vol. 2008 Aug;33(4):526-7

Submitted

Metallic implants used in Orthopaedic surgery. Can they interfere with airport security systems? Pre and Post September 11th. S A Edwards, P Yates, S Serjeant,R Middleton

Abstracts

• An analysis of polyethylene thickness of tibial components in total knee replacement. S Edwards, H G Pandit, M L Grover. Programme of BOA meeting 1999. Page 45
  
  
• The Furlong total hip replacement- A 5 to 15 year follow-up study. A Cossey, S Edwards, H J Clarke, M L Grover. Programme of BOA meeting 1999. Page 47
  
  
• Direct lateral approach to the hip joint; Does it predispose to malalignment of the femoral component in total hip arthroplasty. H G Pandit, S Edwards J A Ramos, M L Grover. Programme of BOA meeting 1999. Page 65
  
  
• Screw augmentation of superolateral acetabular defects during primary total hip arthroplasty. H G Pandit, J L Ramos,S Edwards, M L Grover. JBJS suppl. March 2000; Vol 82-B 2
  
  
• An analysis of polyethylene thickness of tibial components in total knee replacement. S Edwards, H G Pandit, J L Ramos, M L Grover JBJS suppl. I 2000; Vol 82-B 1
  
  
• Impaction bone grafting in revision hip surgery. S Edwards, H G Pandit, M L Grover, H J Clarke. SICOT/SIROT 2002 XXII World Congress. Page 347: 442-A
  
  
• The polyethylene thickness of tibial components in total knee arthroplasty.
  S Edwards, H G Pandit, J L Ramos, M L Grover. SICOT/SIROT 2002 XXII World Congress. Page 522: PO807
  
  
• The Long Gamma Nail: A DGH experience. S Edwards, H G Pandit, H J Clarke. SICOT/SIROT 2002 XXII World Congress. Page 590: P1806
  
  
• Direct lateral approach to the hip joint; Does it predispose to malalignment of the femoral component in total hip arthroplasty. H G Pandit, S Edwards J A Ramos, M L Grover. SICOT/SIROT 2002 XXII World Congress. Page 468: PO337
  
  
• Screw augmentation of superolateral acetabular defects during primary total hip arthroplasty. H G Pandit, J L Ramos,S Edwards, M L Grover. SICOT/SIROT 2002 XXII World Congress. Page 469: P0338
  
  
• Driver reaction time after ankle fractures. T Kane, S A Edwards, S L Hodgkinson. British Orthopaedic foot surgery society.Chang Chen prize. JBJS Vol 85-B 2003 Suppl II page 127
  
  
• Intramedullary fixation of tibial fractures with an unlocked inflatable nail - short term follow up and outcomes. JBJS Vol 87-B 2005 Suppl. III page 308. C.J. Dare, J.L. Hobby, S. Edwards, ND Rossiter and G.J.Stranks
  
  
• Fluoroscopic image guided vs imageless navigation in hip resurfacing. R G Middleton, T W Wainwright, S A Edwards, S A Searjeant. 6th Annual Meeting of CAOS - International proceedings. Pages 371-381
  
  
• Pins and Things - Navigated hip resurfacing. S A Edwards, R G Middleton, T W Wainwright, S A Serjeant. 6th Annual Meeting of CAOS - International proceedings. Pages 153 - 154
  
  
• Navigated hip resurfacing - A trainee's perspective. S A Edwards, T W Wainwright, R G Middleton, S A Serjeant. 6th Annual Meeting of CAOS - International proceedings. Pages 155 - 157
  
  
• The clinical application of using computer navigation in the hip resurfacing procedure - A question of cost ? T W Wainwright, R G Middleton, S A Serjeant, S A Edwards. 6th Annual Meeting of CAOS - International proceedings. Pages 550 - 553

Presentations:

Audit Activities:

Throughout my surgical career I have been involved in the collection and presentation of routine mortality and morbidity statistics.  More specifically I have audited the rate of fatal pulmonary embolism at the Horder Centre, and have been involved in auditing CEPOD at Queen Alexandra Hospital.

I was involved in the running of the Portsmouth bone bank, ensuring the smooth running of the stock of bone grafting material and entering data onto an ongoing database.

I have completed an audit project on the use of antibiotics and catheterisation in total joint arthroplasty whilst at The North Hampshire Hospital.

Teaching and Management Experience:

I have found teaching an extremely satisfying aspect of my work thus far. I hope to develop and continue this during my consultant appointment and look forward to pursuing courses such as “Tomorrow’s teachers and Teaching the teachers “in order to achieve this.

I have taught medical students history taking, clinical examination and some simple practical procedures.
I have also given formal tutorials in General surgery and Orthopaedics to medical students, physiotherapists and nursing staff.

In July 2004 I was the Guest speaker at the South East Thames Regional meeting (The Fixion nail: the Basingstoke experience). I have also been a faculty member at an International meeting (June 2006 CPT hip course).

Since passing FRCS (Tr & Orth) I have been actively involved in teaching fellow specialist registrars during the regional post graduate teaching programme,  providing personal tuition for the FRCS (Tr & Orth) exam and I have been a mock examiner.

 I have also been the administration Spr at Southampton University Hospital which has involved preparing the on call rota for Consultants, Spr’s,SHO’S and HO’S. It also involved theatre and clinic allocations.
During my placement at Mayday University Hospital I prepared the on-call rota for the pre-registration house officers.

More recently I have been on a leadership and management course (Wessex Professional Programme Part 2). I am a team player and enjoy working in a multidisciplinary team in order to deliver high quality patient care. I have always been able to communicate and interrelate effectively with all staff and work closely with consultant colleagues and develop good rapport with patients and staff.

Position of Responsibility:

Career Plans:

To continue practising as an Orthopaedic Consultant with an interest in adult lower limb arthroplasty surgery. To become active in teaching and education and to continue to improve my patients journey and outcomes.

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