Institution: Worthing & Southlands NHS Trust
Investigators: Mr Kerry Acton, Mr John Edge
Stream: Clinical Fellowship
Topic: Lower Limbs (Hip)
Status: Completed
In the final year of my orthopaedic higher surgical training I was accepted for the Furlong Hip and Revision Arthroplasty Fellowship at Worthing and Southlands Hospitals. This new fellowship, training under Mr John Edge FRCS, set out to give subspecialty training in revision hip and knee surgery and in the use of uncemented hips and ceramic on ceramic bearings.
I spent twelve months in post before leaving to take up a consultant post. The workload was mainly elective surgery, about one third revision and two thirds primary arthroplasty work. Two thirds of the workload was hip surgery and one third knee surgery. There was ample opportunity for independent, remotely supervised operating that progressed from primary arthroplasty to complex and revision cases towards the end of the fellowship.
In the course of the year I logged over four hundred and fifty cases including over one hundred primary hip replacements, nearly a hundred primary knees and over fifty revision arthroplasties. I had time available for research and was able to start a project to look at the survival of the CSF acetabular cup. This project has been continued by subsequent Furlong Fellows.
Mr Edge has many years of surgical experience and has been a pioneer in the use of uncemented, hydroxyapatite coated prostheses. It is desirable that his knowledge and experience are passed on to surgeons in training. The opportunity to train under him, concentrating on the subspecialty areas outlined above, free from many of the distractions of a normal NHS training post was invaluable. I have no doubt that I am a better surgeon because of the Furlong Fellowship and that my patients and trainees will continue to benefit in the future.
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