Timothy Nicholas Board

BSc(Hons), MB ChB(Hons), MSc(Orth Eng), MRCS, FRCS (Orth)

Education

University of Manchester

1993B. Sc. (Hons) Anatomy, 1st Class

1996MB. ChB. Awarded with Honours

Honours in Anatomy, Physiology and Biochemistry

Distinction in Medical Genetics and Immunology

2005-2007MD

Research degree: “Impaction Grafting in Revision Hip Arthroplasty”. Supervisors Mr P R Kay, Prof A Freemont, Dr P Rooney

University of Cardiff

2001-2003M. Sc. (Orthopaedic Engineering)

Degree awarded with Distinction

Royal College of Surgeons

1999MRCS (Eng)

2005FRCS (Trauma & Orth)

Awards and Scholarships

March 2007British Hip Society European Traveling Fellowship

Bursary awarded after competitive interview to support travel to a European centre of excellence.

September 2006AO Fellowship

Bursary awarded by the AO Foundation to allow 6 week Trauma Fellowship in Hanover, Germany.

August 2005Sir Harry Platt Fellowship

University of Manchester Fellowship to fund my research degree

August 2004Treloars/Gauvain Traveling Fellowship

Awarded by World Orthopaedic Concern to fund voluntary clinical work in Malawi for a month.

November 2003Peter Mallimson Bursary

Awarded by the North West Orthopaedic Association for best research presentation at 2003 meeting.

August 1992ARC Intercalated Studentship.

This award from the Arthritis and Rheumatism Council funded the research component of my intercalated degree.

Employment

Current NHS Post

Oct 2007 – ongoingConsultant Orthopaedic Surgeon, Wrightington Hospital, Wigan.

Specialist interest Hip and Knee Arthroplasty

Dec 2007 – ongoingHonorary Senior Lecturer in Orthopaedics,

University of Manchester

Private Practice

The John Charnley Wing, Wrightington Hospital, Appley Bridge, Wigan, Lancashire

Euxton Hall Hospital, Wigan Road, Euxton, Chorley, Lancashire, PR7 6DY

Specialist Registrar Training

Aug 2006-Aug 2007Wrightington Hospital

Year 6Hip and Knee Arthroplasty Fellowship Mr M L Porter

Aug 2005-Aug 2006Lecturer in Orthopaedics Mr P R Kay

Research YearSir Harry Platt Research Fellow, Dr P Rooney

University of Manchester,

Wrightington Hospital and National

Tissue Bank Laboratory

Feb 2005-Aug 2005North Manchester General Hospital.

Year 5Arthroplasty and Pelvic SurgeryMr A D Clayson

Aug 2004-Feb 2005Booth Hall Children’s Hospital

Year 5Paediatric OrthopaedicsMr T Khan

July 2004Lilongwe Central Hospital, Malawi.

Voluntary work mainly trauma (1 month)

Aug 2003-Aug 2004Blackburn Royal Infirmary.Mr M Srinivasan

Year 4Arthroplasty, Upper limb, Foot & AnkleMr I Lowrie,

Aug 2002-Aug 2003Blackpool Victoria Hospital.Mr A Javed

Year 3Arthroplasty, Spine,Mr K Boardman

Soft tissue kneeMr S Mannion

Mr S Fewster

Aug 2001-Aug 2002Fairfield General Hospital, Bury.Mr J Doyle

Year 2Arthroplasty, Upper limb, SpineMr A Brewood

Feb 2001-Aug 2001Royal Preston Hospital.

Year 1Upper limbMr S Bale

Employment

Overseas Fellowship, Registrar in Orthopaedics

Feb 2000-Feb 2001Arthroplasty, Pelvic TraumaDr S Ruff

Royal North Shore Hospital, Sydney.

Senior SHO – Orthopaedics

Aug 1999-Feb 2000 Royal Bolton Hospital.Mr A Banks

Arthroplasty, soft tissue kneeMr W Ryan

Basic Surgical Training.

SHO rotation Royal Bolton Hospital.

Feb 1999-Aug 1999 Ear, Nose and ThroatMr L O’Keeffe

Aug 1998-Feb 1999General SurgeryMr J Hobbiss

Feb 1998-Aug 1998 Orthopaedics and TraumaMr J Henderson

Aug 1997-Feb 1998 Accident and EmergencyMr C Moulton

Pre-Registration House Officer, 1996 – 1997

Feb 1997-Aug 1997 Surgery: Hope Hospital (Professor Sir Mile Irving’s unit)

Aug 1996-Feb 1997 Medicine: Blackburn Royal Infirmary.

Membership of Learned Societies

British Orthopaedic AssociationBritish Trauma Society

British Orthopaedic Trainees AssociationEuropean Hip Society

British Orthopaedic Research SocietyBritish Medical Association

British Hip SocietyBritish Society for Computer Aided

British Association of Tissue BanksOrthopaedic Surgery

Positions of Responsibility

  • Member of Editorial Panel for Journal of Bone and Joint Surgery (Br)since 2005
  • Honorary Research Scientist and Advisor to Tissue Services, National Blood Service
  • Best Poster Judge, North West Musculoskeletal Research Network PhD Symposium, October 2007
  • Editor of Hip Subsection in Mercer’s Orthopaedics, 10th Edition. Hodder Arnold. Eds Sherry, Sivananthan, Mow.
  • Referee for the journal Expert Opinion on Pharmacotherapy(EOP)
  • Clinical Lead for Fractured Neck of Femur Care, Wrightington, Wigan and Leigh NHS Trust, 2007-ongoing.
  • Honorary Senior Lecturer, University of Manchester, 2008-ongoing.

Research

Ongoing research

  • Lead investigator for Cochrane Systematic Review title “Processed versus fresh frozen bone for impaction bone grafting in revision hip arthroplasty.”
  • Outcome analysis of Charnley Elite total hip arthroplasty. Retrospective clinical and radiographic review of 616 hips at a mean 8 year follow-up. Supervisor: Mr Martyn Porter.
  • Outcome analysis of Birmingham Hip Resurfacing. Retrospective clinical and radiographic review of 400 hips at 4 years. Supervisor: Mr Martyn Porter.
  • Independant review of 218 revision hips using the KAR stem at 10 years follow-up. This is an invited collaborative project with the ARTRO group in Annecy, France.
  • “Effect of segmental defects on the stability of impaction grafted acetabular reconstructions” In-vitro biomechanical study funded by R&D, Wrightington.
  • “Importance and frequency of wound discharge and leg swelling following prolonged low molecular weight heparin thromboprophylaxis in hip and knee arthroplasty”. A prospective trial in the design stages.
  • “Randomised controlled trial of oral thrombin inhibitor vs. LMWH for thromboprophylaxis after total hip and knee arthroplasty” Phase IV clinical trial in design stage.
  • “Stability of Reference Marker Arrays in Computer Aided Orthopaedic Surgery”. Two research projects investigating the effects of soft tissue tension and array design on the stability of RMs in COAS. Collaborative research with Hanover Medical School, Germany.

Research

Previous research

  • MD research (University of Manchester). “Optimisation of bone allograft for impaction grafting in revision hip arthroplasty”. (supervisor Mr Peter Kay, Dr Paul Rooney)
  • MSc “Experimental analysis of the stress distribution at the wire-bone interface in external fixators (Supervisor Professor M Saleh, University of Sheffield)
  • “Prediction of urinary cathterisation following hip and knee arthroplasty” We investigated the relationship between urological scoring systems and cathetertisation rate following arthroplasty. (Blackburn)
  • “Core temperature during arthroscopic shoulder surgery” This prospective study investigated the relationship of core temperature to the temperature of irrigation fluid used during arthroscopic shoulder surgery. (Blackburn)
  • “Efficacy of lumbar facet joint injections for lumbar back pain” This was a prospective study performed at Fairfield hospital for 12 months. The results have been presented at a national meeting.
  • Hospital coordinator for the PEP trial. This multicentre RCT investigated the efficacy of aspirin in thromboprophylaxis after fractured neck of femur.

Research Grants

2006Wrightington Hospital R&D Research Grant (£6000)

“Effect of segmental defects on the stability of impaction grafted acetabular reconstructions” (T N Board, L Crawford, ML Porter)

2005Sir Harry Platt Research Fellowship (£50000)

“Optimisation of bone allograft for impaction grafting

in revision hip arthroplasty” (T N Board, P Rooney, PR Kay)

1992ARC Research Grant (£10000)

“Bone cell phenotypes in-vitro” (TN Board, IP Braidman)

Teaching

Teaching

  • Member of Faculty and Lecturer on “Successful Revision Knee Surgery” held at Shrigley Hall, June 2007
  • Primary organiser for North West regional Hip revision module for FRCS(Orth), January 2007, 2008
  • Viva sessions for FRCS(Orth) candidates, April, November 2006, November 2005
  • Member of Faculty, Orthoteers Clinical Examination Course for FRCS(Orth), February 2006
  • Examiner on North Manchester MRCS Course. June 2005,September 2005, September 2006,
  • Member of faculty and lecturer on “Primary Hip Replacement Course” held at Hope Hospital 3rd November 2004, organised by Mr G Andrew
  • Main organiser of one day course on ankle fracture treatment, Lilongwe Central Hospital, Malawi, August 2004.
  • Member of faculty for Basic Surgical Skills Course at Blackburn Royal Infirmary, June 2004.September 2003May 2003
  • Since qualification I have been involved with informal teaching of medical students.
  • Formal lectures on orthopaedic X-ray interpretation to junior Doctors at Hornsby

Hospital, Australia.

  • Teaching on a Basic Surgical Skills course for surgical trainees at Royal North Shore

Hospital, Sydney, Australia.

  • Organisation of bi-weekly mock exams for the Orthopaedic Fellowship and

occasionally standing in as examiner at Royal North Shore Hospital.

Publications

Book Chapters
  1. “Principles of Arthritis Surgery” by T N Board and PR Kay. In Practical Rheumatology, 4th Edition Hochberg, Silman, Smolen, Weinblatt & Weisman (Eds) Mosby, London, 2007 (In press)
Publications- In print/accepted
  1. Kendoff D, Board T N, Citak M, Gardner MJ, Hankemeier S, Ostermeier S, Krettek C, Hüfner T. Navigated lower limb axis measurements: Influence of mechanical weight-bearing simulation.J Orthop Res. 2008 Apr;26(4):553-61
  1. Board T N, Karva A, Board R E, Gambhir A K, Porter M L. Heterotopic ossification following lower limb joint arthroplasty: Prophylaxis and treatment. JBJS(Br) 89(4):434-40,2007.
  1. Board T N, Brunskill S, Doree C, Webster R, Meek D, Kay PR, Galea G. Processed versus fresh frozen bone for impaction bone grafting in revision hip arthroplasty. Cochrane systematic review. 01BACF6F8.html
  1. Board TN, Srinivasan MS. The importance of irrigation fluid temperature in arthroscopic shoulder surgery. Arch Orthop Trauma Surg, 2008 May;128(5):531-3
  1. Ghalyani S, Board TN, Fox A, Srinivasan M S. Anatomical variation in the long head of biceps: current concepts review. Arthroscopy23(9):1012-8, 2007.
  1. OlivierLC, Gensigk F, Board TN, Kendoff D, Krehmeier U, Wolfhard U.Arthrodesis of the distal interphalangeal joint. Description of a new technique and clinical follow-up at 2 years. Arch Orthop Trauma Surg 2008 Mar;128(3):307-11
  1. Citak M, Board TN, Sun Y, Look V, Krettek C, Hufner T, Kendoff D. Reference marker stability in computer aided orthopedic surgery: a biomechanical study in artificial bone and cadavers. Technol Health Care. 2007;15(6):407-14.
  1. Board T N, Porter M L. Concern over guidelines. BMJ 334(7604):112, 2007
  1. Board T N. Potential effect of curing cement on cellularised scaffolds in arthroplasty. Journal Orthopaedic Research 25(4):561, 2007.
  1. Board T N, Rooney P, Kearney J N, Kay P R. Impaction grafting for revision arthroplasty of the hip. J Bone Joint Surg (Br)88(7):852-857, 2006
  1. Board T N, Yang L and Saleh M. Why ring fixators work: An analysis of the bone-implant interface. J Biomechanics 40(1):20-25, 2006
  1. Board T N. Femoral component revision with use of impaction bone-grafting and a cemented polished stem. J Bone Joint Surg Am.88(5):1162, 2006.
  1. Board, T N, Mahmood, A, Ryan W G and Banks A J. The Lubinus patellofemoral arthroplasty: a series of 17 cases. Arch Orthop Trauma Surg. 124(5):285-7, 2004
  1. Board T N and Barrie J L.Evaluation of hallux valgus surgery using computer-asited radiographic measurement and two direct forefoot parameters. Foot Ankle Surg 10:231, 2004.
  1. Board, T N and Bale, R S. K-wire fixation of displaced physeal injuries. Orthopaedics 26(5):475-476, 2003.
  1. Board T N. Subchondral insufficiency fracture of the femoral head and acetabulum: indications for total hip arthroplasty. JBJS 85-A(3):572, 2003
  1. Board T N and Javed A J. Patellar resurfacing in total knee arthroplasty. JBJS 85A(12):2483-4, 2003.
  1. Board T N. Outcomes of total hip arthroplasty and contralateral bipolar hemiarthroplasty: A case series. JBJS 85-A(11):2251-2, 2003.
  1. Board T N. Not all hand lacerations are the same. BMJ Letters. bmj.com/cgi/eletters/325/7359/299 accessed 17/8/02
  1. [Contributor to] Pulmonary Embolism Prevention Trial Collaborative Group. Prevention of pulmonary embolism and deep vein thrombosis with low dose aspirin: PEP trial. Lancet 355:1295-1301, 2000
  1. Board, T N, Kocialkowski, A and Andrew J G. Does Kapandji wiring help in older patients? A retrospective comparative review of displaced intra-articular distal radial fractures in patients over 55 years. Injury30:663-669, 1999.
  1. Green, K M, Board, T N and O’Keeffe, L J. Oculomotor nerve palsy following submucosal diathermy to the inferior turbinate. J. Laryngol. Otol. 114(4):285-286, 2000.
  1. Board, T N and Mason, J D T. Pyogenic Granuloma. BMJ320: 1614, 2000.
  1. Board, T N, Green, K and Mason, J D T. Alar haematoma. J. Laryngol. Otol .113(12):1104-1105, 1999.
  1. Board, T N and Mason, J D T. Applications of endoscopic sinus surgery. ASIT Yearbook 44-45, 1999.
Abstracts
  1. BoardT N, Mann, J. Eagle, M. Hogg, P. Rooney, P. Kay, P. Kearney. J. Processing of whole femoral head allografts: Efficacy and biological compatability of a new processing technique. Cell and Tissue Banking, 8: 69, 2007.
  1. Board T N, Yang L and Saleh M. Why ring fixators work: An analysis of pressure distribution at the wire-bone interface. J Bone Joint Surg (Br)88-B: 378, 2006
  1. Alvi F, Yang L, Board T N. An analysis of wire tension in fine-wire fixators. European J Trauma 32:SUPP I; 142, 2006
  1. Board T N, Clayson AD. Identification and treatment of pelvic ring non-union. European J Trauma 32:SUPP I; 90, 2006
  1. Fox A, Board T N, Srinivasan MS. Improvement in shoulder function following manipulation for adhesive capsulitits: How long does it last? J Bone Joint Surg (Br)88-B:SUPP I; 138, 2006
  1. Fox A, Board T, Srinivasan MS. Prospective analysis of the outcome of gleno-humeral manipulation for adhesive capsulitis. J Bone Joint Surg (Br) 87-B:SUPP II; 169, 2005
  1. Board T N, Merve A and Boardman K P. Cherry picking of patients from waiting list for treatment at remote centres and the subsequent effect on NHS burden of care. J Bone Joint Surg (Br) 87-B: SUPP I; 41, 2005
  1. Alonso J A, Board T N, Lynch M, Doyle, J. Disability after intra-articular facet joint injection for low back pain. J Bone Joint Surg (Br) 86-B:SUPP III; 341, 2004

Presentations

Presentations – International

  1. Kendoff D, Board TN, Citak M, Ostermeier H, Hankemeier D, Gardner T, Krettek C.Mechanical weight bearing simulation – Influence on navigated lower limb axis measurements. Podium presentation at CAOS International, Heidelberg, Germany, June 2007
  1. Citak M, Board TN, Kendoff D, Sun Y, Krettek C, Hüfner T. A comparative analysis of the torque stability of reference marker systems in computer aided orthopaedic surgery. Podium presentation at CAOS International, Heidelberg, Germany, June 2007(Winner of Best Technical Paper Award)
  1. Young PB, Board TN, Bobak P, Gray EJ, Austin EB, Kay PR. Temporal changes in biochemical markers of bone turnover following impaction grafting in revision hip arthroplastyPodium presentation at EFORT, Florence, Italy, May 2007
  1. Young PB, Board TN, Bobak P, Gray EJ, Austin EB, Kay PR. The immunology of impaction grafting for revision hip arthroplasty. Podium presentation at EFORT, Florence, Italy, May 2007
  1. Board T N, Kendoff D, Citak M, Wang G, Zheng G, Hufner T, Krettek C. Comparison of Navigated vs. Conventional High Tibial Osteotomy A cadaver study.Podium presentation at EFORT, Florence, Italy, May 2007
  1. Board T N, Eagle M, Rooney P, Kay PR. Efficacy of washing techniques for morsellised allograft in impaction grafting. Podium presentation at EFORT, Florence, Italy, May 2007
  1. Board T N, Kendoff D, Citak M, Hufner T, Krettek C. Intraoperative 3-D Imaging value and consequences in 250 clinical casesPodium presentation at EFORT, Florence, Italy, May 2007
  1. Board T N, Rooney P, Kay PR. Biocompatibility of allograft for impaction grafting: Effect of marrow removal. Podium presentation at EFORT, Florence, Italy, May 2007
  1. Rooney P, Board T N, Eagle M, Kearney J N. Safer bone allografts: Comparison of tissue bank washed bone with unwashed and theatre washed bone. Podium presentation at the European Association of Tissue Banks meeting, Varna, Bulgaria, October 2006. (Prize winning presentation)
  1. Board T N, Rooney P, Kay PR, Kearney JN. Making a cleaner, safer bone: Efficacy and biological compatibility of a new whole femoral head processing technique. Podium presentation at European Hip Society, Antalya, Turkey, June 2006.
  1. Board T N, Rooney P, Kay PR. Unwashed morcellised allografts can be cytotoxic to osteoblastic and fibroblastic cell lines in vitro.Podium presentation at European Hip Society, Antyla, Turkey, June 2006
  1. Board T N, Gowaily K,Rooney P, Kay PR. Strain induced release of BMP-7 from fresh frozen femoral head allograft. Podium presentation at European Orthopaedic Research Society, Bologna, Italy, June 2006
  1. Board T N, Mann J, Eagle M, Rooney P, Kearney JN, Kay PR. Efficacy of biological compatibility of a new processing technique for fresh frozen femoral heads and comparison with current washing procedures. Poster presentation at European Orthopaedic Research Society, Bologna, Italy, June 2006
  1. Fox A, Board T N. Predicting the need for urinary catheterization following lower limb total joint arthroplasty. Use of patient questionnaires. Poster presentation at European Orthopaedic Research Society, Bologna, Italy, June 2006
  1. Board T N, Clayson AD. Identification and treatment of pelvic ring non-union. Podium presentation at 7th European Trauma Congress, Ljubljiana, Slovenia, May 2006.
  1. Alvi F, Yang L, Board T N. An analysis of wire tension in fine-wire fixators. Poster presentation at 7th European Trauma Congress, Ljubljiana, Slovenia, May 2006.
  1. Board T N, Jackson K, Siddiqi Q, Chawenga S and Mannion S. Morsellised full thickness skin grafting: A better solution for wound coverage in the developing world. Podium presentation at XXIII SICOT/SIROT World Congress, 2-9 September 2005, Istanbul.
  1. Board T N, Srinivasan M. The importance of irrigation fluid temperature in arthroscopic shoulder surgery. Podium presentation at XXIII SICOT/SIROT World Congress, 2-9 September 2005, Istanbul.
  1. Board T N, Yang L and Saleh M. In-vitro pressure analysis of external fixators. Podium presentation at XXIII SICOT/SIROT World Congress, 2-9 September 2005, Istanbul.
  1. Fox A, Board T N and Srinivasan M S. Improvement in shoulder function following manipulation for adhesive capsulitis: How long does is last? Podium presentation at 7th EFFORT Congress, June 4-7 2005, Lisbon.
  1. Board T N, Yang L and Saleh M. An experimental comparison of the bone implant interface in tensioned wire and half pin external fixators. Poster presentation at 7th EFFORT Congress, June 4-7 2005, Lisbon.
  1. Board T N. A new method of foot fixation for tibial nailing using a traction table. Poster presentation at 7th EFFORT Congress, June 4-7 2005, Lisbon.
  1. Choudry Q, Board T N, Mohan R and Shah V. Hip resurfacing: Can we flatten the learning curve? Poster presentation at 7th EFFORT Congress, June 4-7 2005, Lisbon.
  1. Board T N, Clarke S and Srinivasan M S. Hot or cold?: Irrigation fluid temperature in arthroscopic shoulder surgery. Poster presentation at 7th EFFORT Congress, June 4-7 2005, Lisbon.
  1. Board T N, Choudry Q, Parmar R and Srinivasan M S. Arthoscopic stabilisation of the shoulder: Which type of bioabsorbable anchor?Poster presentation at 7th EFFORT Congress, June 4-7 2005, Lisbon.
  1. Board T N, Briggs R, Watson D, Clarke S and Srinivasan M S. The effect of irrigation fluid temperature on core body temperature during arthroscopic shoulder surgery. Podium presentation at European Orthopaedic Research Society 2004, Amsterdam.
  1. Board T N, Yang L and Saleh M. Fine-wire or half-pin? An in-vitro study of the pressure distribution at the implant-bone interface of external fixators. Poster presented at European Orthopaedic Research Society 2004, Amsterdam.
  1. Board T N and Lowrie I G. A new method of foot fixation for tibial nailing using a traction table. Poster presented at European Orthopaedic Research Society 2004, Amsterdam.
  1. Board T N, Choudry Q, Mohan R and Shah V. How steep is the learning curve in hip resurfacing? Poster presented at European Orthopaedic Research Society 2004, Amsterdam.
  1. Board T N, Choudry Q, Parmar R and Srinivasan M S. Prospective analysis of arthroscopic Bankhart repair with two types of bioabsorbable fixation devices. Poster presented at European Orthopaedic Research Society 2004, Amsterdam.
  1. Fox A, Board T N, Srinivasan M S.