The Mersey Orthoplastic group was founded back in 1999 and for several years, was run by Durai Nayagam and Ken Graham, the two funding members.
They single (or better) double-handedly provided Orthoplastic care for open fractures and infection in Merseyside. The two raised the bar in terms of care provision for these conditions and their work created the foundations for the expansion of the Unit.
With their close collaboration, remarkable surgical skills and an open mind they pushed the boundaries and also raised the bar to a very high level on care provision.
Key to their success was also the presence of a very focused and dedicated group of allied health professionals. Two More Orthopaedic surgeons joined the group: Badri Narayan in 2002 and Nikos Giotakis in 2004.
The majority of joined procedures since recently was taking place at the Royal Liverpool site with the more complex ones requiring free tissue transfer took and still take place at Whiston hospital.
Surgeons from both specialties travel across all hospital as and when needed.
Kiran Saldanha then joined in Orthopaedics in Whiston and since then consistent Limb Reconstruction expertise and Plastic surgery expertise have been present on both sites.
Dave Bell and Hassan Shaaban were the next Plastic Surgeons to join and the unit subsequently continued to expand enjoying now the collaboration of nine Plastic surgeons and nine Orthopaedic Limb reconstruction surgeons.
The MOPG was one of the first centres in the country where Orthopaedic and Plastic surgeons formed such close collaboration and performed routinely joined surgical procedures . Their work and that of other units that adopted this collaborative work spirit where the major drivers in the evolution of our National Guidelines in open fracture management. Adoption of these practices more widely made the UK World leaders in the care of such injuries publishing currently, publishing some of the best outcomes in terms of reduction of infection rates.
In addition to the direct care the group provides for several years now, the members meet on a quarterly basis each year running Audit meetings during which clinical cases are presented, audit presentations take place and matters regarding issues with care provision are discussed. The aim of these meetings is to improve open fracture and osteomyelitis care and education in the region.
The group also organises a yearly cadaveric course in collaboration with the Liverpool University Human Anatomy Resource Center on the management of open fractures. The course attracts delegates Nationally and Internationally. More information on the course you can find here: https://opentibia.org/.
MOPG is an non profit organisation and amongst our activities we raise funds that are used to support Allied health professionals in Medical Education.
A great moment for the group was represented by hosting of the joined British Limb reconstruction and BAPRAS meeting in Liverpool in 2016. This meeting was very successful educationally with many National and International highly regarded Speakers in the field.
The Mersey Orthoplastic group now runs in four sites:
Broadgreen hospital which is the main elective adult limb reconstruction site, Aintree major trauma center following the merger of Royal Liverpool and Aintree in November 2019, Alder Hey Children’s hospital and Whiston hospital.
Below you can see the Plastic Surgeons that are part of the group while the Orthopaedic surgeons are listed on the staff pages under the Limbrecon.com staff page.
Mr Bell is a Consultant Plastic & Reconstructive Surgeon specialising in hand surgery and microsurgery at St Helens & Knowsley NHS Trust. He also works at the Major Trauma Centre in Aintree with Orthopaedic surgeons developing the orthoplastic approach to lower limb and other trauma reconstruction.
He is an active member of the Mersey Orthoplastic group and as a fully trained Plastic Surgeon on the Specialist register is also a member of BAPRAS and BSSH. His hand surgery interest is post trauma reconstruction. This includes soft tissue, nerve and tendon reconstruction.
He is a surgical trainer and educational innovator, leading courses for Surgical Art, Mersey Orthoplastic Group, Bfirst and BSSH both nationally and internationally. He is also actively involved with Bfirst providing reconstructive surgical training to LMIC nations and has been involved in trips to Sierra Leone, Sudan, Kenya and Myanmar.
Sian Falder has been a consultant in burns and plastic surgery since 2008. She qualified in Medicine from St Mary’s Hospital Medical School (now part of Imperial College) in 1992 and obtained a First Class degree in the History of Medicine.
She trained in plastic surgery in Bristol and Merseyside obtaining the specialist qualification in plastic surgery FRCS(Plast) in 2005. She also holds a Diploma of Tropical Medicine. Sian undertook a fellowship year of training in burns in Australia. She is the Lead Clinician for the Burn Service and is a member of the British Burn Association research special interest group and the National Burn Standards Committee.
She has published a number of academic papers. She leads Alder Hey’s partnership with Kanti Children’s Hospital in Kathmandu, Nepal and works with Interburns charity. She has taken up the role of Director of Clinical Effectiveness and Service Transformation in Alder Hey and attends Trust Board.
Adel Fattah is a British-trained plastic surgeon with a specialist interest in facial palsy and microsurgical reconstruction. He has undertaken extensive training in all areas of paediatric plastic surgery with both nationally and internationally recognised experts in the field. He received his clinical schooling at the University of Cambridge with subsequent post-graduate training in London, which included terms at Great Ormond St. Hospital and the St Andrew’s Centre for Burns and Plastic Surgery, the largest plastic surgery centre in the UK.
Adel completed his training by spending two years at ‘SickKids’ in Toronto, the largest paediatric facility in North America. He is now a Consultant Plastic Surgeon at Alder Hey where he has established a microsurgical reconstructive service.
Adel has maintained active research interests since his PhD and has won a number of prizes for his work presented at over 40 national and international conferences. He has also published over 35 articles mainly regarding facial palsy, craniofacial reconstruction and microsurgery. He also acts as a reviewer for a number of academic journals. Adel is an avid teacher and has produced teaching videos for a number of surgical procedures and is committed to training the next generation of plastic surgeons.
St Helens and Knowsley Teaching Hospitals, Whiston and Liverpool University Hospital NHS FT
Ms Hamnet is involved in managing complex open fractures, cases of osteomyelitis in joined orthoplastic lists and other cases of plastic and reconstructive surgery at the Aintree, Broadgreen sites and in Whiston
Liverpool University Hospitals Foundation Trust. His main Subspecialty Interest is on Hand Surgery. He is heavily involved in managing open fractures at Aintree Major Trauma Center site.
St Helens and Knowsley Teaching Hospitals, Whiston and Liverpool University Hospitals NHS Foundation trust. Mrs Nagarajan is working regularly closely with the trauma and Limb reconstruction Surgeons in Aintree and Broadgreen Hospitals
St Helens and Knowsley Teaching Hospitals, Whiston
Mr Shaaban commenced his career in Plastic Surgery in Manchester in October 1997, he was appointed as a Consultant Plastic Surgeon at Leeds Teaching Hospital and Honorary Senior Lecturer at Leeds University. He moved to Liverpool as a Consultant Plastic Surgeon at Whiston Hospital in December 2008. He is a member of British Association of Plastic and Reconstructive Surgeons (BAPRAS).
In the NHS, Mr Shaaban works in the field of reconstruction following trauma and cancer surgery. His interest lies in the field of facial, breast and body contouring cosmetic surgery. He has a specialist interest in cosmetic laser therapy and also non-surgical cosmetic procedures such as wrinkle reduction injections, tissue fillers and chemical peels.
Mr Shaaban is a fellow of the Royal College of Surgeons and was awarded the colleges coveted “Hallett Prize” for his performance in the fellowship exam. Following his Master’s degree in Surgery, Mr Shaaban went on to complete an MD Degree in Plastic Surgery and an advanced BTech certificate in Medical Lasers.
Mr Shaaban has published over 20 international peer-reviewed papers in Plastic Surgery Journals.
Royal Liverpool Children’s Hospital, Alder Hey
Mr Sharma has a special interest in paediatric microsurgery, limb reconstruction and nerve injury. He attended University College London (UCL), and was selected against national competition to be one of only a six students to do a combined medical degree and PhD. He qualified as a doctor in 2003 and spent his junior years training in London.
Pundrique undertook specialist training in plastic surgery in and around London and the South East, including at UCL, the Cambridge University Hospitals NHS Trust, and the St Andrew’s Centre for Plastic Surgery and Burns in Chelmsford. After attaining FRCS(Plast) exam, he had further training in head and neck reconstruction and microsurgery at the Norfolk and Norwich University Hospital, and in reconstructive microsurgery at Chelmsford.
He also undertook sub-speciality fellowships in at Great Ormond Street Hospital and Sick Kids Hospital in Toronto, training in all aspects of paediatric plastic surgery but in particular focussing on limb and facial reconstruction.
St Helens and Knowsley Teaching Hospitals, Whiston
I’ve been specialising in plastic surgery for more than 15 years, and I feel very fortunate to perform procedures that can make such a positive impact on people’s lives. I’ve a breadth of experience that has ranged from simple removal of unsightly moles or eyebags, to putting people back together after shark bites. So whatever treatment you may be looking for, my field of expertise encompasses all aspects of cosmetic surgery, and I hope to provide you with experienced advice on any cosmetic procedure of the face, body and breasts.
I studied medicine at the University of Leeds (1998) and trained locally in Manchester and Leeds, and then internationally in Perth, Australia. In 2011 I was awarded Fellowship of the Royal College of Surgeons in Plastic Surgery, and I’m on the GMC Specialist Register as a plastic surgeon. I have a postgraduate degree (MD, University of Manchester) awarded for a two-year period of medical research I undertook in Sweden looking at reconstruction after peripheral nerve injury.
I specialised in Cosmetic Surgery with National Interface Fellowship in Reconstructive Cosmetic Surgery. I worked closely with plastic surgeons, ENT, maxillofacial surgeons and ophthalmologists, which enables me to provide you with a combined experience in all aspects of cosmetic breast, body, eyelid, ear and facial surgery.
I’m also a fully accredited Consultant Plastic Surgeon with an NHS practice based at Whiston Hospital, the largest plastic surgery centre in the Northwest. My specialist NHS service is focused on the correction of breast asymmetry and deformity, hand injuries, complex limb reconstruction, and facial reconstruction for skin cancer. I work within the Regional Centre for Complex Abdominal Wall reconstruction, specializing in tummy tuck and scar revision for the cosmetic repair of diastasis recti and problematic hernias.
I’m Manchester born and live locally. I enjoy cycling, swimming, skiing, but I have the most fun spending time in family life with my wife and 3 daughters.
The Liverpool Limb Reconstruction Service operates within Liverpool providing care at Broadgreen hospital as the main site for elective limb reconstruction surgery, Aintree Major Trauma Center, Whiston Hospital and Alder Hey Hospitals
Contact the Liverpool Limb Reconstruction Service via our Secretaries on: