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AMERICAN ACADEMY OF ORTHOPEDIC SURGEONS

BRITISH ORTHOPAEDIC FOOT AND ANKLE SOCIETY

BRITISH ORTHOPAEDIC ASSOCIATION

BRITISH SOCIETY FOR CHILDREN’S ORTHOPAEDIC SOCIETY

BRITISH LIMB RECONSTRUCTION SOCIETY

EUROPEAN FOOT AND ANKLE SOCIETY

THE ROYAL ORTHOPAEDIC HOSPITAL

THE BIRMINGHAM CHILDREN’S HOSPITAL

WHEELESS’ TEXTBOOK OF ORTHOPAEDICS

NATIONAL INSTITUTE OF CLINICAL EXCELLENCE - NICE

NICE is an acronym for National Institute of Clinical Excellence. It sets out guidelines for implementation of certain procedures, which are relatively new and do not have a long-term record of success.

As a patient, it is important to know that not all new surgeries are necessarily better than traditionally proven ones. Some are a huge leap in surgical knowledge while others fail to stand the test of time. While new procedures may seem an attractive option, when reading on internet sites or magazines one must be aware that they are not scientific journals and may not consider the percentage of failed cases.

This is why AWARENESS THAT A PROCEDURE IS UNDER EVALUATION by NICE is IMPORTANT. NICE guidelines state “Ensure that patients understand the uncertainty about the procedure’s efficacy and provide them with clear written information”.

In fact most of these procedures are supported by published reports with a mix of successful cases, failures and some complications. However till long term results compare with the 90%+ success rate of most major traditional elective orthopaedic surgeries, they have to be done under the guidance of bodies like NICE under strict audit regulations.

Having over 21 years of experience in orthopaedic surgery, I am able to identify those, which have a sound scientific basis, before undertaking a study of any new procedure. There would be no medical advances without these studies.

Links to NICE guidance documents:

Flatfoot (sinus tarsi) implant

Shockwave therapy for plantar fasciitis

Shockwave therapy for Achilles

Big toe (Hallux) MTP replacement

Disclaimer: Please note that BOFAC is not responsible for the contents of these websites or for conclusions drawn based on information at these sites or any consequences that may result from visiting these sites. Accurate information on diagnosis and treatment can only be obtained through a consultation with your GP or a Hospital Consultant.