Mohi El-Shazly
MOHI EL-SHAZLY BSc (Anatomy-Physiology), MBBCh, MCh Orth
Specialist Knee Surgeon, Droitwich Knee Clinic, UK
Name: Mohamed Mohi El-Din Khaled El-Shazly
Consultant Orthopaedic Surgeon, Droitwich Knee Clinic
Previously: Hon Clinical Lecturer, University of Sheffield
Telephone: 01905 794 858
Date of Birth: 29.4.1953
GMC reg no 3628955GMC Specialist Register: Trauma & Orthopaedic Surgery - 3 Nov 1997
CLINICAL INTERESTS:
Knee surgery, minimally invasive arthroscopic surgery (key hole)
Anterior knee pain & patellofemoral problems including Arthroscopic minimally invasive surgery for patellar maltracking (re-alignment)
Joint preservation surgery including cartilage repair, arthroscopic joint debridement for arthritic knees, and re-alignment surgery
Articular cartilage repair
Cruciate ligament reconstruction & revision
Sports injuries of the lower limb
Limb Reconstruction surgery including; Joint preservation surgery including deformity correction, malunion, accurate re-alignment using minimally invasive monolateral & circular external fixators, harnessing biological principles of callotasis (callus distracton), Ilizarov techniques.
Management of bone nonunions &, Bone lengthening using above techniques
Bone and joint infections & infected nonunions
Complex Trauma lower limb reconstruction
Joint replacement surgery (arthroplasty) including patellofemoral arthroplasty
modern total knee replacement techniques
revision & reconstruction of failed and infected knee replacements
QUALIFICATIONS:
1970: Scottish Certificate of Education - Higher levels, Aberdeen Grammar School, Scotland.
1975: BSc Anatomy - Physiology, Faculty of Science, University of Alexandria, Egypt.
1978: MBBCh, Faculty of Medicine, University of Alexandria, Egypt
1983: MChOrth, Faculty of Medicine, University of Alexandria, Egypt.
PROFESSIONAL SOCIETY MEMBERSHIPS:
British Orthopaedic Association
British Limb Reconstruction Society
British Association for Surgery of the Knee
British Medical Association
ISAKOS (International Society of Arthroscopy, Knee Surgery, and Orthopaedic Sports Medicine)
ESSKA (European Society of Sports Traumatology Knee Surgery and Arthroscopy)
PAST MEMBERSHIPS
AAOS: (American Academy of Orthopedic Surgeons - affiliate member)
AO Alumni Association
EOA: Egyptian Orthopaedic Association
ORS: Orthopaedic Reserach Society
ISFR: (International Society for Fracture Repair)
TRAINING & PREVIOUS POSTS
1979: Internship at Alexandria University Hospitals for six months including Burns, Anaesthesia, Gynaecology, Obstetrics and Paediatrics.
1979 - 1980: Internship at Ministry of Health Hospitals for six months including General Surgery, Internal Medicine and Fevers.
March - July 1980: Resident - Orthopaedic Surgery, Alexandria University Students' Hospital.
July 1980 - Oct 1981: Resident - Orthopaedic Surgery, General Military Hospital, Alexandria.
Nov 1981 - March 1983: Visiting Resident, Hadara University Hospital (320 Orthopaedic & Fracture beds), University of Alexandria.
March - Sept 1983: Resident - Orthopaedic Surgery, El-Mouassat Hospital.
Oct 1983 - May 1989: Specialist - Orthopaedic Surgery, Alexandria University Students Hospital.
1984 - Dec 1988: Part-time Specialist - Orthopaedic Surgery, El-Sammak Private Hospitals, Alexandria (El-Seguini and Hassab Hospitals).
1984 - 1989: Part-time Orthopaedic Surgeon and Founding Member of the Medical Care Advisory Team, responsible for medical care of expatriates belonging to foreign firms in Alexandria, including the American Consulate General.
1985 - 1989: Part-time attending Orthopaedic Surgeon in charge of the Alexandria Union Sporting Club first basket-ball team.
1 Aug1989 - 31 Oct 1989: *SHO Orthopaedic Surgery, Academic Unit, Hope Hospital, Salford, Manchester.
1 Nov 1989 - 31 Jan 1990: *SHO Orthopaedic Surgery, Royal Manchester Children's Hospital.
1 Feb 1990 - 31 July 1990: *Registrar - Orthopaedic Surgery, Withers Orthopaedic Centre, Musgrave Park Hospital, Belfast.
1 Aug 1990 - 31 Jan 1991: *Registrar - Fractures, Royal Victoria Hospital, Belfast.
1 Feb 1991 - 31 July 1991: *Registrar, Orthopaedic Surgery, Withers Orthopaedic Centre, Musgrave Park Hospital, Belfast.
1 Aug 1991 - 31 Jan 1992: *Registrar - Orthopaedic Surgery, Withers Orthopaedic Centre, Tutor, Department of Orthopaedic Surgery, Queens University, Belfast, Musgrave Park Hospital.
1 Feb 1992 - 31 July 1992: *Registrar - Orthopaedic Surgery & Traumatology, Ulster Hospital Dundonald, Belfast.
1 Aug1992 - 31 Jan 1993: *Registrar - Orthopaedic Traumatology, Belfast City Hospital.
19 Sept 1992 - 31 Oct 1992: Locum Senior Registrar, Orthopaedic Surgery and Traumatology, Fellow to Mr A J Hall in Arthroscopic ACL Reconstruction.
1 Feb 1993 - 31 July 1993: *Senior Registrar - Orthopaedic Surgery and Traumatology, Ulster Hospital, Dundonald, Belfast.
1 Aug 1993 - Oct 1996: Specialist Orthopaedic Surgeon, Alexandria University Students Hospital, Egypt.
Part-time attending Consultant Orthopaedic Surgeon, Alexandria International Hospital.
Part-time attending Consultant Orthopaedic Surgeon, El-Seguini Private Hospital, Alexandria.
Sept - Dec 1995: Knee Fellow to Mr Angus Strover, FRCS Droitwich Knee Clinic, Droitwich, Worcs.
Oct 1996 - June 1999: Senior Lecturer, University of Sheffield, Honorary Consultant Orthopaedic Surgeon, Limb Reconstruction Service Northern General Hospital, Sheffield
* Positions sponsored and recognised by the Royal College of Surgeons, England.
CURRENT POST:
Consultant Orthopaedic Surgeon, Droitwich Knee Clinic.
Other current duties:
Member of the Executive Committee - The Knee Foundation Educational Trust
Jun 04 - 09: Droitwich Knee Clinic Representative: Medical Advisory Committee, Droitwich Spa Hospital
Mar 05 - current: Chairman Board of Directors Droitwich Knee Clinic
FURTHER TRAINING, COURSES & FELLOWSHIPS:
Dec 1984: AO/ASIF Basic Course, Davos, Switzerland.
March 1986: Three-month AO Fellowship with PD Dr Werner Muller, Bruderholzspital, Basel, Switzerland, which included considerable exposure to knee surgery.
23 - 27 Oct 1989: Introductory Biomechanics, National Centre for Training and Education in Prosthetics and Orthotics, University of Strathclyde, Glasgow.
1 - 3 Nov 1989: Current Trends in Orthopaedic Surgery: Disorders of The Knee. Holly Royde College, Manchester University.
6 - 7 Jan 1990: British Orthopaedic Association Instructional Course, Royal College of Surgeons of England, London
12 June 1990: Core of Knowledge Radiation Protection Course, Royal Victoria Hospital, Belfast.
19 - 21 July 1990: Richards' International Trauma Symposium, at the Royal Society of Medicine, London.
30 - 31 May 1991: External Fixation in Trauma and Orthopaedics, at the Royal College of Surgeons of England.
8 - 11 Oct 1991: Sixth British Knee Instability Course, at the Institute of Orthopaedics, The Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry.
19 - 21 March 1992: British Scoliosis Society Meeting, Newcastle, Co. Down, including instructional course.
31 July - 2 Aug 1992: Symposium on Locking Nails, at the Royal College of Surgeons of England
9 - 10 Oct 1992: Nottingham Knee Symposium.
3 April 1993: Advances in Arthroscopic Surgery: Seminar at the Droitwich Knee Clinic, Worcs.
20 - 22 May 1993: Advanced Trauma Life Support Provider Course, sponsored by the American College of Surgeons, Craigavon, Co. Down.
14 - 16 June 1993: The Wrightington Wrist Meeting (incorporating the second European Wrist Society Meeting) and including wrist arthroscopy and endoscopic carpal tunnel release workshop.
17 - 19 June 1993: Ilizarov Method Course, Sanderstead, Surrey.
19 - 26 July 1993: Visit with Professor M Catagni, Lecco, Italy, on Ilizarov techniques.
30 June - 1 July 1993: Challenges in Fracture Surgery, AO advanced seminar, Royal College of Surgeons, England.
9 - 10 Sept 1995: Course on: Operative Procedures of the Knee & Postoperative Rehabilitation, Droitwich Knee Clinic
25 Sept 1995: Symposium on: Anterior Cruciate Ligament Reconstruction Technique & Post-Operative Rehabilitation, The Wellington Hospital, London.
8 Oct 1995: FA Annual Sports Medicine Meeting at the British Football Association Convention Centre, Lillieshall, England.
13 - 14 Oct 1995: Arthroscopic Shoulder Surgery Course, Droitwich Knee Clinic.
10 Nov 1995: The Gloucester Annual Arthroscopy Meeting
24 - 25 Nov 1995: Arthroscopic Knee Surgery Course, Droitwich Knee Clinic
3 - 4 March 1997: British Orthopaedic Research Society Meeting, Northern General Hospital.
14 March 1997: BMP 2 Investigators' meeting, Genetics Institute, Paris.
16-17 June 1997: 2nd EBI Symposium on Fracture Management, Northern General Hospital, University of Sheffield.
23 - 24 Sept 1997: British Orthopaedic Research Society, Cardiff.
24 - 27 Sept. 1997: British Orthopaedic Association Meeting, Cardiff.
9 - 10 Oct 1997: Carticel Surgeon Orientation and Training Program on autologous Cartilage Transplantation, Naarden, Netherlands.
20 Nov 1997: Second annual meeting on Cartilage Repair. The Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry.
3 - 4 Dec 1997: Statistics for Medicine. Module 2. Statistics for the Initiated. Statistical Services Unit. University of Sheffield.
12 - 14 Aug 1998: Edinburgh International Trauma Symposium.
23 - 25 Sept 1998: International Society for Fracture Repair. Sixth Meeting. Strasbourg, France. (Presentations below)
5 - 6 Oct 1998: First joint conference of the British Orthopaedic Research Society & the Section of bioengineering, Royal Academy of Medicine in Ireland, Royal College of Surgeons in Ireland, Dublin. (Presentation below)
6 - 9 Oct 1998: Combined Meeting of the British & Irish Orthopaedic Associations. Royal Dublin Society (Presentations below)
15 - 16 March 1999: British Orthopaedic Research Society Spring meeting. University of Liverpool. Chairman: Session on external fixation.
8 - 11 April 1999: International Society for Fracture Repair: Workshop: The monitoring of fracture healing. Invited presentation: Biochemical markers in nonunion.
10 - 11 May 1999: British Limb Reconstruction Society Meeting Belfast. Presentation: Arthrofibrosis of the knee following limb reconstruction - a preliminary report.
31 March 2000: Course on Collagen Meniscal Implants including hands on workshop and inaugural meeting of European Multicentre trial. Heidelberg, Germany.
17 - 18 April 2000: British Orthopaedic Research Society Meeting. Leicester University.
27 – 29 April 2000: Meeting of International Society for Cartilage Repair: Gottenberg, Sweden.
10 - 14 May 2000: The Third Riva Congress: Riva Del Garda, Italy:
2 papers presented: 1. Useful biochemical markers in nonunion, 2. Use of the Sheffield Hybrid System for tibial pilon fractures.
17 - 19 Aug 2000: Invited international guest speaker: ASAMI International Congress on external fixation. Pousada do Rio Quente, Brasil.
Lectures: 1. External fixators for fractures of the distal radius
2. The treatment of tibial pilon fractures using monolateral and circular fixators
3. Use of the Sheffield Hybrid Fixator for trauma and reconstruction
21 – 22 Sept 2000: Orthofix advanced Course, Verona, Italy. Invited lecturer and workshop instructor. (Lectures & workshops below)
2 - 3 Oct 2000: British Orthopaedic Research Society Meeting, London
13-14 Oct 2000: Nottingham Knee Meeting. Presentation by Mr A Strover: Meniscal Allografts: The Droitwich Experience. Strover, El-Shazly 2000
3 Nov 2000: Rotaglide day on mobile bearing Total Knee Replacement. Avon Orthopaedic Centre, Bristol
11 Nov 2000: Naughton Dunn Club Meeting. Royal Orthopaedic Hospital, Birmingham
25 Nov 2000: 2nd Geistlich Orthopaedic Symposium. Royal Society of Medicine, London. Subject: Tissue Engineering: Bone substitutes, Cartilage repair
26 - 27 Feb 2001: American ASAMI meeting, (Association for the study of the methods of Ilizarov) International Congress on External fixation: San Francisco Paper presented: The Sheffield Hybrid Fixator in Tibial Pilon Fractures
28 Feb – 4 March 2001: American Academy of Orthopedic Surgeons meeting, San Francisco.
Instructional courses attended:
· Mobile bearing knee replacement
· Surgical Options in the middle aged arthritic knee
· Unicompartmental arthritis of the knee
· Meniscus function: repair and restoration
· Allograft Meniscus Transplantation
· Management of complex knee ligament injuries
1 March 2001: Meniscal Allograft Study Group: San Francisco, Paper presented: Meniscal Allografts: The Droitwich Experience
3 March 2001: Speciality day at the AAOS, San Francisco: American Orthopedic Society for Sports Medicine, Arthroscopy Association of North America
28 March 2001: Advanced Knee Replacement Course. Royal College of Surgeons of England: including revision surgery, unicompartmental and patellofemoral arthroplasty.
9 – 10 April 2001: Orthofix Seminar on the Sheffield Hybrid Fixator, Northern General Hospital, Sheffield: invited speaker and workshop demonstrator: Lectures: 1. Fine Wire Techniques: Insertion and safe corridors followed by workshop, 2. Management of Pilon Fractures
18 April 2001: Principles and pre-operative planning in Total Knee Arthroplasty: lecture given at Exactech TKR meeting, Stratford
4 – 5 May 2001: Advances in Bone & Joint Restoration. Hip & Knee Replacement Course, Miami, Florida
13 May 2001: Posterior stabilized knee replacement: Past present and future: Symposium: Geneva, Switzerland
28 – 29 May 2001: Invited guest lecturer and workshop instructor at the Orthofix advanced course, Verona. (Lectures & workshops given below)
22 June 2001: Lecture at HST meeting, Leicester Royal Infirmary: Meniscal allografts: literature review and the Droitwich experience
20 – 21 Sep 2001: Invited guest lecturer and workshop instructor at the Orthofix advanced course, Verona. (Lectures & workshops given below)
3 – 4 Oct 2001: Oxford Unicompartmental Knee Replacement Cours
29 – 30 Jan 2002: Advances In ACL Reconstruction.
24 – 25 Apr 2002: Optetrak Knee Meeting The Belfry
6 – 7 May 2002: Invited Lecturer at Orthofix Advanced Course Verona. (Lectures & Workshops given below)
10 May 2002: British Limb Reconstruction Society meeting, Bristol
24 May 2002: Advanced Techniques in Arthroscopic Surgery
10 – 11 Jun 2002: Limb Lengthening & Reconstruction Society Meeting (ASAMI – North America) 12th annual scientific meeting, Dallas, Texas Poster & podium presentation.
19 Jun 2002: Midland Problem Knee Club Meeting. Hosted & chaired at the Droitwich Knee Clinic & 2 case presentations.
4 – 5 July 2002: 3rd International Orthopedic Symposium. Heidelberg. Knee Update
11 Oct 2002: Issues of Knee Arthroplasty Course. Droitwich Knee Clinic. Lecture given: Issues in Knee replacement design.
28 Oct 2002: Invited Lecturer at Orthofix Advanced Course Verona. (Lectures & Workshops given below)
6 Nov 2002: Seminar on Limb Reconstruction including complex fractures. Sheffield. Invited lecturer. (See below for lectures)
18 Dec 2002: Annual International Congress of the Egyptian Orthopaedic Association. Cairo. Podium presentation: Use of the Sheffield Ring Fixator in Tibial Pilon Fractures.
27 - 28 Jan 2003: 3rd Basel International Knee Congress
5 May 2003: Orthofix Advanced International course. Invited Lecturer and workshops.
18 - 19 Jun 2003: Optetrak Knee Replacement Meeting, Worcester. Co-convener and lecturer: Revision Knee Replacement
23 Jun 2003: ACL study day. North Manchester General Hospital
30 Jul 2003: International Limb Reconstruction Seminar. Sheffield. Invited lecturer. Lecture: Rotational and Translational corrections using the Sheffield Ring Fixator.
7 - 12 Sep 2003: 13th Annual Baltimore Limb Deformity Course
18 Sep 2003: BOA Annual Congress. Birmingham
18 Sep 2003: Inaugural meeting of the UK Meniscal Study Group
3 - 4 Oct 2003: Nottingham Knee Symposium
9 Oct 2003: Seminar on The Sheffield Ring Fixator. Sheffield. Invited lecturer: Lecture: Rotational Correction.
13 Oct 2003: Orthofix Course on Complex Trauma: Invited lecturer: Lecture: The use of a circular frame in tibial plateau fractures. Workshop: Plateau fracture treated with a circular frame.
1 Nov 2003: Training day on MACI. Royal National Stanmore. with Mr Tim Briggs
7-8 Nov 2003: The Cologne Bone & Joint course. A masterclass seminar. Invited lecturer: Complex leg lengthening: combined technique.
18 – 19 Mar 2004: British Limb Reconstruction Society Spring meeting: Northern General Hospital, Sheffield.
24 Mar 2004: Advances & controversies in Hip & Knee Arthroplasty. Stratford Upon Avon.
28 Apr 2004: Hosting and case presentations Midland Problem Knee Club meeting, The Knee Foundation
6 May 2004: Orthofix Advanced Course: Verona. Invited Lecturer: Distal third tibial fractures: the role of external fixation, Planning and deformity correction, Workshops: Pilon fractures using Hybrid fixation, Deformity correction in the tibia with a circular frame.
26 - 28 May 2004: International Cartilage Repair Society meeting. Gent including visit to Professor Renee Verdonk’s dept.
14 Sep 2004: Orthofix Advanced Course: Verona: Invited lecturer: lectures and workshops.
17 Sep 2004: Anterior Cruciate Ligament study day: Manchester
8 - 9 Oct 2004: Advanced Nottingham Knee Symposium
12 Oct 2004: Advances in mobile bearing total and unicondylar knee replacement: Newport.
20 Nov 2004: Naughton Dunn Club meeting Royal Orthopaedic Hospital Birmingham
23 - 24 Nov 2004: Wexham Park ACL meeting
14 Mar 2005: Orthofix Advanced Course: Verona: Invited lecturer: Distal third tibial fractures: the role of external fixation, Planning and deformity correction, Workshop: Circular frame for deformity correction in the tibia.
27 Apr 2005: Hosting and case presentations Midland Problem Knee Club meeting, The Knee Foundation.
5 May 2005: North Staffordshire International External Fixation Course: invited lecturer: Frame assembly and Fine wire insertion: lecture and workshop
7 - 8 Jun 2005: Optetrak Knee Meeting: Droitwich Knee Foundation: Host & lecturer including live link surgery. Lecture: The valgus knee literature review and case studies.
15 Dec 2005: Orthofix advanced course Verona: invited lecturer: distal third tibia: the role of external fixation, Workshop: Distal tibial fracture
10 – 11 Feb 2006: British Society for Computer Assisted Surgery meeting: London
16 Mar 2006: British Limb Reconstruction Society Annual meeting: Nottingham City Hospital.
19 Apr 2006: Organising and hosting Midland Problem Knee Club Meeting, The Knee Foundation
13 May 2006: Naughton Dunn Club meeting: Walsall Football Club.
4 – 5 Sep 2006: Orthofix Limb Reconstruction Course Verona: invited lecturer. ISKD course; External fixation: callotasis and deformity correction.
8 – 9 Sep 2006: Update in Knee Surgery Heidelberg
11 - 13 Dec 2006: Visit to Exactech Headquarters in Gainsville, Florida. Lectures and factory tour with live surgery Wed 13 Dec.
13 - 16 Dec 2006: Current Concepts in Knee Replacement Meeting Orlando, Florida.
18 - 24 Dec 2006: One week visit to Hospital for Special Surgery shadowing Dr S Sculco, Cornell, Westrich. Haas and Russell Warren in theatre.
22 -23 Feb 2007: "The Knee All You Need to Know" lecturing at course for Physiotherapists, The Knee Foundation, Droitwich.
16 April 2007: FPV Clinical Meeting Patellofemoral replacement hosted by Wright Medical Limited at the University of Warwick.
4 May 2007: Stanmore / UK User Group Meeting: Study of ACI v MACI
7 - 8 Sept 2007: Dublin Knee Sports Injury Instructional Course and Cadaveric Workshop Beaumont Hospital, Dublin.
11 - 12 Oct 2007: Taylor Spatial Frame Course, Hilton Southampton Hotel.
21 Nov 2007: The Fourth Combined Oxford and Bristol Unicompartmental Arthritis Meeting held in the Oxford Centre, Oxford.
6 Dec 2007: Techonlogy in Motion / Ossur Sports Exercise and Medicine, Birmingham
18 Jan 2008: Imperial College London `Early Intervention in the Hip and Knee', Science Museum, London.
11 April 2008: Stanmore Users Meeting Royal National Orthopaedic Hospital Stanmore, Middlesex
12 April 2008: Windsor Knee Clinic: Second Current Concepts Symposium on Knee Surgery: The Emirates Stadium, London.
22 May 2008: The Knee Foundation Arthroscopy Course: Lecturing and Workshop.
30 May 2008: Naughton Dunn Club Meeting: Early results of HTO using hemicallotasis combining microfracturing for medial compartment osteoarthritis of the knee.
2 - 3 June 2008: Orthofix Symposium on Advanced Limb Reconstruction: Liverpool Medical Institution - Lecturing on hemicallotasis.
27 - 28 Oct 2008: Smith & Nephew Course: Jounre Bi-cruciate Stabilised Total Knee System Leuven, Belgium.
21 Jan 2009: Arranged and contributed to symposium on Vascular Problems in Orthopaedic Surgery, Droitwich Knee Clinic.
28 - 29 Jan 2009: ICRS Workshop on Cartilage Transplantation Royal National Orthopaedic Hospital, Stanmore.
6 Feb 2009: 20th Anniversary, Droitwich Knee Clinic Meeting: lecturing.
6 March 2009: North West Patellofemoral Joint Surgery Meeting, Wilmslow.
19 - 20 March 2009: British Limb Reconstruction Society: Trauma Reconstruction meeting Crowne Plaza Docklands, London.
26 March 2009: BMA Private Practice Conference: `A Journey through Private Practice': BMA House, London
23 - 26 May 2009: ICRS 2009 8th World Congress Miami, Florida.
30 Sept 2009: Midland Problem Knee Club Meeting hosted by Droitwich Knee Clinic
10 May 2010: The Sporting Knee, The Knee Foundation, Droitwich
11 May 2010: Midlands Knee Controversies 2010, Sixways Stadium
12 - 13 May 2010: Advances in Knee Arthroplasty, Chandos House, London
14 May 2010: Kitley House Hotel, Plymouth
1 - 4 June 2010: 12th EFFORT Congress, Copenhagen, Denmark
23 - 24 Oct 2010: ICRS Conference - Tackling Osteoarthritis in Sport, London.
7 Dec 2010: Speciality Doctor Teaching Programme, Birmingham City Hospital.
1 - 5 June 2011: EFORT – Copenhagen
9 December 2011: Naughton Dunn Club Meeting, ROH, Birmingham
22 - 23 March 2012: British Limb Reconstruction Society Meeting, Hull
3 June 2012: British Association for Surgery of the Knee, Derby
KNEE FELLOWSHIPS:
March 1986: Three-month AO Fellowship with PD Dr Werner Muller, Bruderholzspital, Basel, Switzerland, which included considerable exposure to knee surgery.
Sept - Dec 1995: Knee Fellow to Mr Angus Strover, FRCS Droitwich Knee Clinic, Droitwich, Worcs.
TEACHING:
UNDERGRADUATE TEACHING:
As Senior Lecturer, University of Sheffield at the Northern General Hospital, I have been responsible for organising students’ courses, including fourth year (level 3) and final year (level 5) as well as the pre-clinical introductory course (Basic Clinical Skills). This included organising their lectures, seminars and clinical attachments. During the academic year I lectured one to two hours weekly. I also organised the Orthopaedic training for the BSc Course for paramedics.
POSTGRADUATE TEACHING:
Apart from teaching the trainees, since April 1997, I have been lecturing on various international limb reconstruction courses, meetings and other venues, as well as local arthroscopy courses and all knee related topics and courses.
PUBLICATIONS:
Diagnosis and treatment of sprains of the lateral ligament of the ankle. MChOrth Thesis. Submitted to the Faculty of Medicine, University of Alexandria, 1983.
A simple technique for anterior stress radiography in sprains of the lateral ligament of the ankle. Egyptian Journal of Orthopaedic Surgery, 1984.
A simple technique for varus stress radiograpy of the ankle. Submitted for publication EJOS.
A video assessment of neo-natal hip testing. A poster presentation, The Faculty of Medicine Annual Research Meeting. The Queen's University Belfast. El-Shazly M, Trainor B, Walker PE, and Kernohan WG, 8th May 1992.
Kerbohan WG, Trainor BP, Walker PE, El-Shazly M. A video assessment of neonatal hip testing. Proc Faculty of Medicine, QUB, Research Meeting 1992; p 92.
Reliability of the Barlow and Ortolani tests for neo-natal hip instability. El-Shazly M, Trainor B, Kernohan WG, Turner I, Haugh PE, Johnson AF, Mollan RAB, Journal of Medical Screening 1994; 1(3):165-8.
Intramedullary nailing for tibial non-union. El-Shazly M, McNally M, Sharland M, McCoy G. Submitted for publication and read at the BOA Meeting, Nottingham, September 1994.
Kernohan WG, Trainor PE, El-Shazly M. Watching doctors doing hip testing. To the Ulster Biomedical Engineering Society and the Association of Physical Scientists in Medicine Meeting 8 – 10th May 1992.
El-Shazly M, Saleh M, Coulton L, Andrew G, Hannon R, Eastell R. Are nonunions completely indolent? A histological & Biochemical investigation. J Bone Joint Surg 1999; 81-B suppl I: 84.
El-Shazly M, Dalby-Ball J, Burton M, Saleh M. The use of trans-articular and extra articular external fixation for management of distal tibial intra-articular fractures. J Bone joint Surg 1999; 81-B suppl III: 275-6.
El-Shazly M, Saleh M. Displacement of the common peroneal nerve associated with upper tibial fracture: Implications for fine wire fixation - A case report & anatomical study. El-Shazly M, Saleh M. Journal of Orthopaedic Trauma 2002; 16(3):204-7.
El-Shazly M, Boaler D, Walters S, Saleh M. The Position Control Device. A simple device for accurate positioning in lower limb radiography. Submitted for publication.
Saleh M, El-Shazly M. The Sheffield Hybrid Fixator in the management of trauma: Design considerations and clinical experience. In: Orthofix External Fixation. Eds: De Bastiani G, Apley AG, Goldberg A. Springer-Verlag London Ltd 2000.
Saleh M, El-Shazly M, Ali A, McGregor-Riley J. Utilisation du Fixateur Externe de Sheffield en traumatologie. Technique Operatoire. Maitrise Orthopedique 2000; 99:4-8
El-Shazly M, Dalby-Ball J, Burton M, Saleh M. The use of trans-articular and extrarticular external fixation for management of distal tibial intra-articular fractures. Injury, Int J. Care Injured 2001; 1578: 1-7.
Misra R, Strover A, El-Shazly M. Intra-articular protrusion of malpositioned Transfix implant following anterior cruciate ligament reconstruction. Arthroscopy 2006; 22(2): 226.
Lodhi Y, Durve K, El-Shazly M. Lateral Release in middle aged to elderly population with patellofemoral OA: Long term follow up. J Bone Joint Surgery 2010; proceedings 92-B: 539.
LECTURES & PRESENTATIONS:
Elbow reconstruction procedures. Presentation for Higher Surgical Training, Musgrave Park Hospital, Belfast, 14 November 1990.
Fracture of the upper tibial metaphysis in children. An innocent fracture? Presented to the Surgical Society Meeting, Royal Victoria Hospital, Belfast, 1990.
Classification and external fixation in pelvic fractures. Presented at the Higher Surgical Training Teaching Session, Musgrave Park Hospital, Belfast, 1992.
Risks of delay in surgery for femoral neck and pertrochanteric fractures. Presented to the monthly Audit Meeting, Ulster Hospital, Dundonald, Belfast, 1992.
The incidence of ARDS and delay in surgery for the polytrauma patient. Presented to the monthly Audit Meeting, Belfast City Hospital, 1992.
The use and abuse of Antibiotics for surgical prophylaxis. Presented to the Scientific Society Meeting, Alexandria University Students' Hospital, 5 April 1995.
The Plica Syndrome. Presented by Mr A.E. Strover to the Annual FA Sports Medicine Meeting, Lillieshall, 8 October 1995.
24 - 25 Nov 1995: Arthroscopic Knee Surgery Course, Droitwich Knee Clinic: Instructor at workshop
9 - 10 April 1997: Instructor: Orthofix Intermediate Course. Lecture & workshop: Wrist Fractures: the role of external fixation using trans-articular techniques.
13 - 14 Oct 1997: Instructor: Orthofix Intermediate course: Lecture & Workshop: Management of Distal Tibial Fractures. Northern General Hospital Sheffield
21 Nov 1997: Instructor: Orthofix Nurses Course Workshop, Northern General Hospital, Sheffield.
21 - 22 April 1998: Instructor: Orthofix Nurses Course Workshop, Northern General Hospital, Sheffield.
21 - 22 May 1998: Instructor: Orthofix Advanced Course on Trauma & Orthopaedics. Verona, Italy. Lecture: The Sheffield Hybrid System in Plateau & Pilon Fractures.
29 - 30 June 1998: Course Organiser & Instructor: Intermediate Course on External Fixation: Northern General Hospital Sheffield. Lectures & Workshops: 1. Distal Tibial Fracture Management, 2. Wrist Fractures: the role of external fixation using trans-articular techniques.
23 - 25 Sept 1998: Biological Activity of Nonunions: Podium presentation, International Society for Fracture Repair. Strasbourg.
23 - 25 Sept 1998: A new Position Control Device for lower limb Radiography. Poster presentation, nominated for best poster prize presented at podium. International Society for Fracture Repair. Strasbourg.
6 - 9 Oct 1998: The use of Tansarticular and Extraarticular External Fixation for Management of Intraarticular Distal Tibial Fractures. Podium presentation. British Limb Reconstruction Society session, BOA/IOA meeting, Dublin.
6 - 9 Oct 1998: The use of a Position Control Device for precise orientation in tibial Radiographs. Poster presentation. BOA/IOA meeting, Dublin.
5 - 6 Oct 1998: Are nonunions completely indolent? A histological and biochemical investigation. Poster presentation. First joint conference of the British Orthopaedic Research society & the section of bioengineering, Royal academy of Medicine in Ireland at the Royal college of Surgeons in Ireland, Dublin.
12 - 13 Oct 1998: Intermed
iate Course on External Fixation: Northern General Hospital Sheffield. Lectures & Workshops:1. Distal Tibial Fracture Management, 2. Wrist Fractures: the role of external fixation using trans-articular techniques.
18 - 19 Feb 1999: Instructor: Orthofix Advanced Course on Trauma & Orthopaedics. Verona, Italy. 1. Lecture: The Sheffield Hybrid Fixator in the treatment of tibial plateau and pilon fractures. 2. Lecture: The Limb Reconstruction System in nonunions and malunions. Acute correction templates and progressive correction clamps. 3. Workshop: Bone transport using LRS & other systems.
22 - 23 March 1999: Intermediate Course on External Fixation: Northern General Hospital Sheffield. Lectures & Workshops:1. Distal Tibial Fracture Management, 2. Wrist Fractures: the role of external fixation using trans-articular techniques.
8 - 11 April 1999: International Society for Fracture Repair: Workshop: Oxford: The monitoring of fracture healing. Invited presentation: Biochemical markers in nonunion.
26 April 1999: Basic lecture to Nurses on Nonunion & Fracture Repair, Northern General Hospital
10 - 11 May 1999: British Limb Reconstruction Society meeting, Belfast. Presentation: Arthrofibrosis of the knee following limb reconstruction - a preliminary report.
2 - 3 June 1999: Orthofix International Course on Trauma and Orthopaedics, Northern General Hospital, Sheffield, Lecture: The trans-articular technique in the treatment of tibial pilon fractures.
28 June 1999: Sheffield Fine Wire Course: Northern General Hospital. Keynote Lecture: Use of the Sheffield Hybrid Frame in Complex Trauma and Orthopaedics. Workshop: Application of the Sheffield hybrid Frame for tibial plateau fractures.
6 - 7 Sept 1999: Orthofix Advanced Course on Trauma & Orthopaedics. Lectures: 1. Design rationale and biomechanical principles of the Sheffield Hybrid Fixator. 2. The Sheffield Hybrid Fixator in the treatment of tibial plateau and pilon fractures. 4. Current concepts in adult limb reconstruction & Workshops: 1. Wire insertion in the tibia. 2. The Sheffield Hybrid Fixator in the treatment of tibial plateau and pilon fractures. 3. The Limb Reconstruction System.
11 - 12 Sept 1999: Basic Arthroscopy Course: The Knee Foundation, Droitwich Instructor practical workshop with practical demonstration of meniscal suture and presentation on patellofemoral problems.
9 Feb 2000: Visiting consultant to Police Hospital and Roosevelt Centre for paediatric reconstruction, Bogota Columbia
10 – 12 Feb 2000: First Course on External fixation, Calli, Colombia. Invited international guest speaker. Key-note lectures: 1. Use of the Sheffield Hybrid Frame in Trauma and Limb Reconstruction. 2. Current concepts in management of Pilon Fractures. 3. Principles of limb deformity correction 4. External fixation in the management of distal radial fractures. Workshops on application of the Sheffield Hybrid Frame
18 –19 Feb 2000: Invited lecturer. Cologne Bone and Joint Course. Cologne, Germany. Convener: Prof Dietmar Pennig Lectures:1. Use of the Sheffield Hybrid Frame in Trauma and Limb Reconstruction, 2. Lower Limb Deformity Correction, 3. Workshop: application of Sheffield Hybrid Frame in tibial plateau fractures.
10 - 14 May 2000: The Third Riva Congress: Riva Del Garda, Italy: 2 papers presented: 1. Useful biochemical markers in nonunion, 2. Use of the Sheffield Hybrid System for tibial pilon fractures.
17 - 19 Aug 2000: Invited international guest speaker: ASAMI International Congress on external fixation. Pousada do Rio Quente, Brasil. Lectures: 1. External fixators for fractures of the distal radius, 2. The treatment of tibial pilon fractures using monolateral and circular fixators, 3. Use of the Sheffield Hybrid Fixator for trauma and reconstruction.
21 – 22 Sept 2000: Orthofix Advanced Course, Verona, Italy. Invited lecturer and workshop instructor. Lectures: 1. The Sheffield Hybrid Fixator in the treatment of Tibial Plateau Fractures, 2. Tibial Pilon Fractures treated with external fixation . Trans-articular and extra-articular application, 3. Current Concepts in Adult Limb Reconstruction. Workshops: 1. Application of the Sheffield Hybrid Fixator, 2. Application of the LRS acute correction templates, demonstration of the application of the LRS Micrometric Correction Clamps.
13 - 14 Oct 2000: Strover AE, El-Shazly M. Meniscal Allografts: The Droitwich Experience. Presented at the Nottingham Knee Symposium by Mr AE Strover
17 Nov 2000: Invited guest lecturer. Department of Orthopaedics, University of Nantes: Lectures: 1. Biological Activity of Nonunions – implications on management, 2. The Sheffield Hybrid Frame in Trauma & Limb Reconstruction.
26 - 27 Feb 2001: American ASAMI meeting (Association for the study of the methods of Ilizarov) International Congress on External fixation Meeting 26-27 February, San Francisco. Paper presented: The Sheffield Hybrid Fixator in Tibial Pilon Fractures
1 March 2001: Meniscal Allograft Study Group: San Francisco. Paper presented: Meniscal Allografts: The Droitwich Experience
21 March 2001: Knee Ligament Injuries in Skiing: Lecture presented to the Midlands Ski Club, Birmingham
9 – 10 April 2001: Orthofix Seminar on the Sheffield Hybrid Fixator, Northern General Hospital, Sheffield. Invited speaker and workshop demonstrator: Lectures: 1. Fine Wire Techniques: Insertion and safe corridors followed by workshop, 2. Management of Pilon Fractures
18 April 2001: Principles and pre-operative planning in Total Knee Arthroplasty: lecture given at Exactech TKR meeting, Stratford.
28 – 29 May 2001: Invited guest lecturer and workshop instructor at the Orthofix advanced course, Verona. Lectures & workshops given:
· The Sheffield Hybrid System in Tibial Plateau & Pilon Fractures Nonunions & deformity correction
· Workshop: Application of the Sheffield Hybrid Frame
· Workshop: The Limb Reconstruction System: acute correction templates and micrometric clamps
22 June 2001: Lecture at HST meeting, Leicester Royal Infirmary: Meniscal allografts: Literature Review and the Droitwich Experience.
20 – 21 Sep 2001: Invited guest lecturer and workshop instructor at the Orthofix advanced course, Verona
8 – 11 Oct 2001: Instructor Basic Arthroscopy Workshop, The Knee Foundation, Droitwich.
2 Feb 2002: Nurses Study Day, The Knee Foundation, Droitwich. Lecture: The Patellofemoral Joint: Anatomy & Surgical Procedures
13 Feb 2002: Lecture to Midland Ski Club: The Patellofemoral Joint
6 – 7 May 2002: Invited Lecturer at Orthofix Advanced Course Verona. Lectures: The Sheffield Ring Fixator: Application in Tibial Plateau & Pilon Fracture, The management of non-union and malunion Workshop: Application of the Sheffield Ring Fixator in Plateau Fractures.
10 – 11 June 2002: Limb Lengthening & Reconstruction Society Meeting (ASAMI – North America) 12th annual scientific meeting, Dallas, Texas Poster: Rotational deformity correction using new rotation hinges & podium presentation.
19 June 2002: Midland Problem Knee Club Meeting. Hosted & chaired at the Droitwich Knee Clinic & 2 case presentations
11 Oct 2002: Issues of Knee Arthroplasty Course. Droitwich Knee Clinic. Lecture given: Issues in Knee replacement design.
18 Oct 2002: Invited Lecturer at Orthofix Advanced Course, Verona. Lectures: The Sheffield Ring Fixator: Application in Tibial Plateau & Pilon Fractures Workshop: Application of the Sheffield Ring Fixator in Plateau Fractures
6 Nov 2002: Seminar on Limb Reconstruction including complex fractures. Sheffield. Lectures: Fine wire insertion and safe corridors, Tibial Pilon fractures
18 Dec 2002: Annual International Congress of the Egyptian Orthopaedic Association. Cairo. Podium presentation: Use of the Sheffield Ring Fixator in Tibial Pilon Fractures.
5 May 2003: Orthofix Advanced International course on Trauma & orthopaedics. Invited Lecturer: Lectures: 1. The Sheffield Ring Fixator: application in tibial plateau and pilon fractures, 2. Correction of deformities using the Sheffield Ring Fixator and workshop: Application of Sheffield Ring fixator in Plateau Fractures.
18 - 19 Jun 2003: Optetrak Knee Replacement Meeting, Worcester. Co-convener and lecturer: Revision Knee Replacement.
30 Jul 2003: International Limb Reconstruction Seminar. Sheffield. Invited lecturer. Lecture: Rotational and Translational corrections using the Sheffield Ring Fixator.
9 Oct 2003: Seminar on The Sheffield Ring Fixator. Invited lecturer: Lecture: Rotational Correction
13 Oct 2003: Orthofix Course on Complex Trauma: Invited lecturer: Lecture: The use of a circular frame in tibial plateau fractures. Workshop: Plateau fracture treated with a circular frame.
7 - 8 Nov 2003: The Cologne Bone & Joint course. A masterclass seminar. Invited lecturer: Complex leg lengthening: combined technique.
21 Feb 2004: Hand, Foot & Knee study for nurses: Lecture: Modern Limb reconstruction: The biological way.
22 Apr 2004: Anterior Knee Pain: Lecture to Organisation of Chartered Physiotherapists in Private Practice: Cotswold Physiotherapy Centre. Cheltenham.
28 Apr 2004: Hosting and case presentations Midland Problem Knee Club meeting, The Knee Foundation, Droitwich.
6 May 2004: Orthofix Advanced Course: Verona. Invited Lecturer: Distal third tibial fractures: the role of external fixation, Planning and deformity correction, Workshops: Pilon fractures using Hybrid fixation, Deformity correction in the tibia with a circular frame.
26 Jun 2004: Acute Knee Course: lectures and workshops: History and clinical examination, case scenarios & discussions. The Knee Foundation, Droitwich
7 Jul 2004: Lecture to Physio evening meeting: The Anterior Cruciate Ligament, Droitwich.
14 Sep 2004 Orthofix Advanced Course: Verona: Invited lecturer: lectures and workshops
14 Mar 2005 Orthofix Advanced Course: Verona: Invited lecturer: Distal third tibial fractures: the role of external fixation, Planning and deformity correction, Workshop: Circular frame for deformity correction in the tibia.
5 May 2005: North Staffordshire International External Fixation Course: invited lecturer: Frame assembly and Fine wire insertion: lecture and workshop.
7-8 Jun 2005: Optetrak Knee Meeting: Droitwich Knee Foundation: Host & lecturer including live link surgery. Lecture: The valgus knee literature review and case studies.
17 Sep 2005: ACL study day for physios: lectures: History & clinical examination, Indications for surgery, update on surgery. The Knee Foundation, Droitwich.
7 Oct 2005: `The Knee All You Need to Know' for physios: invited lecturer: Knee Foundation. Lecture: Interpretation of XR’s & MRI’s
26 Nov 2005: Acute Knee Course: lectures and workshops: History and clinical examination, case scenarios & discussions. The Knee Foundation, Droitwich.
15 Dec 2005: Orthofix advanced course Verona: invited lecturer: distal third tibia: the role of external fixation, Workshop: Distal tibial fracture.
11 Mar 2006: Acute Knee Course: lectures and workshops: History and clinical examination, case scenarios & discussions. The Knee Foundation, Droitwich.
30 Mar 2006: Knee Foundation Arthroscopic Knee Surgery Workshop
1 June 2006: Knee Foundation Arthroscopic Knee Surgery Workshop
6 - 7 July 2006: The Knee...All you need to know. The Knee Foundation, Droitwich
4 – 5 Sep 2006: Orthofix Limb Reconstruction Course, Verona: Invited lecturer: Planning for Deformity Correction including practical session; Angular & Rotational Deformities in the Femur; Acute Deformity Correction and Lengthening using Monolateral External Fixation (Practical session).
23 Sept 2006: ACL Study Day for Physiotherapists, The Knee Foundation, Droitwich.
28 Sept 2006: Arthroscopic Knee Surgery Workshop, The Knee Foundation, Droitwich.
11 Nov 2006: Acute Knee Course: lectures and workshops: History and clinical examination, case scenarios & discussions. The Knee Foundation, Droitwich.
23 Feb 2007: `The Knee All You Need to Know' for physios: invited lecturer: Knee Foundation. Lecture: Interpretation of XR’s & MRI’s
28 March 2007: Basic Arthroscopic Knee Surgery Workshop, The Knee Foundation, Droitwich.
30 June 2007: ACL study day for physios: lectures: History & clinical examination, Indications for surgery, update on surgery. The Knee Foundation, Droitwich.
27 Sept 2007: Basic Arthroscopic Knee Surgery Workshop, The Knee Foundation, Droitwich.
13 Oct 2007: `The Knee All You Need to Know' for physios: invited lecturer: Knee Foundation. Lecture: Interpretation of XR’s & MRI’s
31 Oct 2007: Basic Arthroscopic Knee Surgery Workshop, The Knee Foundation, Droitwich.
10 Nov 2007: Acute Knee Course: lectures and workshops: History and clinical examination, case scenarios & discussions. The Knee Foundation, Droitwich.
16 Nov 2007: International Limb Reconstruction Meeting at the Knee Foundation, Droitwich.
13 Nov 2008: Exactech Meeting, Sudeley Castle: Management of the Valgus Knee.
14 Nov 2008: Orthofix Meeting: Verona, Italy Joint Deformity The Hemicallotasis Technique.
6 Feb 2009: Droitwich Knee Clinic Anniversary Meeting: Lecturing.
28 March 2009: Acute Knee Course: lectures and workshops: History and clinical examination, case scenarios & discussions. The Knee Foundation, Droitwich.
25 - 26 April 2009: XVIII International Congress on Sports Rehabilitation and Traumatology: Bologna, Italy: `Microfracturing & HTO for medial compartment osteoarthritis'.
21 May 2009: Intermediate Arthroscopy Workshop, The Knee Foundation, Droitwich. Partial meniscectomies and chondroplasty.
3 - 5 June 2009: 10th EFORT Congress, Vienna. Presentation on Lateral Release.
24 Oct 2009: Acute Knee Course: lectures and workshops: History and clinical examination, case scenariios & discussions. The Knee Foundation, Droitwich.
10 May 2010: The Sporting Knee for Physiotherapists, The Knee Foundation, Droitwich.
12-13 May 2011: 2nd International Advances in Knee Arthroplasty – London
25 May 2011: Acute Knee for Physios, The Knee Foundation, hosted at Droitwich Knee Clinic
6 July 2011: Limb Reconstruction: Joint preservation. Patient Information Evening: The Knee Foundation, hosted at Droitwich Knee Clinic
28 Sept 2011: Knee instability for Physios, The Knee Foundation, hosted at Droitwich Knee Clinic
23 Nov 2011: Cartilage Repair for Physios, The Knee Foundation, hosted at Droitwich Knee Clinic
30 Jan 2012: Soft Tissue Injuries of Knee: Rationalisation of investigation and referrals, Malvern Health Centre
7 March 2012: Joint preservation, Droitwich Spa Hospital
8 March 2012: Acute Knee: Rationalisation of investigation and referrals GP lecture, Broadway
Recurring courses and regular teaching commitments:
Clinical & audit meetings: monthly
OTHER ON-GOING RESEARCH:
The value of arthroscopic joint debridement for Grade IV OA of the knee.
The value of lateral retincacular release with established grade IV end stage patellofemoral OA.
Minimally invasive biological high tibial osteotomy using hemicallotasis with extensive microfracturing in advanced medial compartment OA. A prospective clinical trial.
Trochlear lesions: an arthroscopic and MRI study
Spontaneous osteonecrosis.
The partially injured ACL
GRANTS:
Title: Biological and Histological Characteristics of Nonunion.
Awarding Body: Northern General Hospital Research Committee
Amount: £4980.
Date: November 1997
Status: Awarded
Title: Biological Activity of nonunions
Awarding Body: Wishbone Trust, British Orthopaedic Association
Amount: £25000
Status: Awarded
Date: July 1998
OTHER INTERESTS AND ACTIVITIES:
Tennis: I held several University titles between 1970 & 1973 and competed at National level for several years, both as junior and during my college years.
Also involved in junior coaching and later founding member and Club Secretary of Alexandria Cricket Club (Tennis).
Organised several tournaments at National level (1973 - 1977).
Member of Umpire Committee, Alexandria International Championships (1974-1976)
Represented Queens’ University Belfast in the Open League Championships (1991-1993).
Photography. (landscapes and medical), Hill walking, Cycling.
Drama: Participated in School plays and in plays set up by the English Language Department, University of Alexandria.
LANGUAGES: I speak fluent Arabic & English, good French & fair German
RESUME
Very soon after I started my internship, I realised that I was keen on a surgical speciality. The first available opportunity was in Orthopaedics at the Alexandria University Students’ Hospital. This is a small (110 beds at the time) hospital with a strong tradition in care for sports injuries. As, at the time, I myself was heavily involved in sports, this tied in with my interests and I quickly became comfortable with a broad spectrum of knee injuries. At that stage, open menisectomies were still practised as were various extra-articular reconstructions for Anterior Cruciate Ligament injuries, including pes ansereni transfers etc. This was in addition to some Orthopaedics and trauma.
It was not until I joined the Army for my statutory military service, that I was exposed to more serious trauma. Following a short period of military training I was lucky to train with Gen/ Dr Samy Mansour FRCS, (now Professor Mansour) a local pioneer in hip surgery in Alexandria. With him I saw my first total hip replacements.
Across the street from the General Military Hospital in Alexandria was the Hadara University Hospital with 320 Orthopaedic & trauma beds. This was the major tertiary referral centre from all of the north Coast and the northern half of the Nile Delta. When not on duty, I would go across to attend meetings, ward rounds etc. I finally managed to secure a visiting residency there, at first on part-time basis but eventually full time. There, I was exposed to long hours of backbreaking work, many sleepless nights in a row. It was well worth it, however. As many who have trained there in that era, will vouch, the experience one can gain there is priceless. The take system was one week in three. During the take, I would be resident in the hospital round the clock. The number of trauma admissions was always more than theatre lists or human resources could cope with. A large number were treated conservatively on traction etc. I was also exposed to the treatment of Acute and Chronic Osteomyelitis, some tuberculosis and a considerable amount of deformity corrections for Polio etc. One of the surgeons I trained with, there was the late Professor Abdel-Razzak. He was the first to pioneer scoliosis surgery in Egypt. His other interest was hand surgery and I was later to work quite closely with him at El-Mouassat Hospital, where he also performed most of his private surgery.
In October 1983, a few months after passing my MChOrth(Alex) exams, I secured a permanent post as Specialist in Orthopaedic Surgery at the Alexandria University Students’ Hospital, where I continued to cultivate my interests in sports injuries. I was impressed by the disabling chronic instability of the ankle amongst top level football and basketball players and performed a series of lateral ligament repairs having developed a non-invasive technique for radiological diagnosis of complete tears (MChOrth thesis). The results were extremely encouraging. At that early stage I was also involved in the day to day management of trauma and had a particular interest in osteosynthesis using AO techniques. Apart from this I performed a number of femoral and tibial lengthenings using mainly the Wagner Technique (and others later including callotasis), in addition to lower limb deformity corrections.
The AO course in Davos in 1984, was my first real exposure to the international community of Orthopaedic surgeons, meeting such eminent people as Martin Allgower, the late Hans Willeneger, Roli Jacob, Joe Schatzker, Charles Rockwood Jr (who was the guest speaker that year) and many others. It was Professor Allgower, who, knowing my interests in knee surgery, helped arrange for my AO Fellowship in 1986 with Werner Muller outside Basel. There quite apart from the trauma, I was also exposed to a large number of ACL reconstructions as well as my first real exposure to arthroscopic surgery with Roger Baumgartner. I also took the opportunity to visit several AO centres in Switzerland and Southern Germany, meeting Maurice Muller and Professor Ganz in Bern, Professor Morscher in Basel, Professor Gschwend and Dr Steiger in Zurich and Professor Magerl in St Gallen. I also visited a number of surgeons with an interest in knee surgery such as Roli Jakob in Bern and Dr Munzinger in Zurich. Meeting with Professor Weber in St Gallen fired my interest in the management of difficult nonunions and later in the biology of fracture healing.
It was in 1989, having gained considerable experience with AO techniques, that I commenced my training in the UK, mostly in Belfast. There, apart from general Orthopaedics and trauma, I became adept in techniques of intramedullary nailing as well as arthroplasty of knees and hips. In this respect, the training there complemented my past experience nicely. There I was exposed to the vast Belfast experience in trauma management, in general and polytrauma in particular. My interest in complex trauma continued ever since.
During my training in the UK, I was always keen on staying abreast of recent advances in my other main interests. I therefore attended a large number of courses on various subjects, such as knee surgery but also nurturing my interests in lower limb reconstructive surgery and external fixation, which I had developed from my past experience with Polio patients.
During my training in Belfast, I used my annual leave to spend six weeks as locum Senior Registrar to Mr Anthony Hall at Charing Cross. There, and also assisting him at his private sessions, I saw his techniques in arthroscopic ACL reconstruction. Later in 1995 I took a four month fellowship at the Droitwich Knee Clinic, with Mr Angus Strover and others. There as well as exposure to a large number of arthroscopic reconstructions and meniscal repairs, I developed an interest in patellofemoral problems and learnt more techniques of dealing with them in a more scientific fashion, often guided by isokinetic testing (KinCom).
During a short period back in Egypt, apart from initiating a Sports Injury Clinic at Alexandria University, I was instrumental in the set up of a new dedicated theatre suite including up to date digital arthroscopic equipment and motorised instruments, as well as equipment for documentation.
My interest in lower limb reconstruction and complex trauma was maintained throughout this period. Apart from courses, including the Ilizarov Basic Course, I visited Maurizio Catagni in Lecco, Italy for one week. This as well as other visits helped my practice both in Egypt and later in the UK.
Duties of Previous Post:
As Honorary Consultant Orthopaedic Surgeon, at the Northern General Hospital in Sheffield, I had taken charge of the day to day management of trauma for the academic unit. Working in close association with Professor Michael Saleh, I have learnt a large number of different external fixation techniques in very complex situations. I took part in the running of the Adult Limb Reconstruction Service, with one clinic and one to two theatre sessions weekly, apart from my trauma list.
I now teach regularly on a number of international courses on Limb reconstruction and the use of external fixators, including the Orthofix Advanced Courses in Verona, Italy. Within the broad spectrum of complex trauma, I have developed a special interest in complex distal tibial fractures including the management of Pilon fractures with minimally invasive techniques and similarly in the treatment of complex tibial plateau fractures. This combined with my past experience with reconstructive surgery of the lower limb and lengthening for Polio patients and in the treatment of Chronic Osteomyelitis has made my work with the Sheffield Limb Reconstruction Service all the more fruitful and enjoyable.
I also handled the day to day administration of clinical matters relating to the academic unit including trauma and limb reconstruction. Running of the weekly audit meetings for the academic unit and participation in the six-weekly Orthopaedic Division meeting were part of my routine duties.
My academic duties as Senior Lecturer included organising the undergraduate student courses, at this difficult time of change. These included fourth year and final year students. Arranging their timetable and curriculum for tutorials as well as teaching them personally (one to two hours per week) and arranging and participating in their assessments at the end of each module. I have always enjoyed teaching tremendously, whether under or postgraduate.
