The Liverpool Limb Reconstruction Service is a team of exceptionally experienced staff who dedicate their knowledge and skills to patient care.
I am one of the Limb Reconstruction Medical Secretaries. With 30 years of NHS experience behind me it is a privilege to now be part of such a specialised team.
T: 0151 706 3545
I have worked for the NHS since 2012 and joined the LRS Team in 2018 working for Mr Fischer, based at Aintree. I really enjoy working for LRS and working with the team.
T: 0151 529 6378
Yvonne was one of the founding members of the limb reconstruction service from its very beginning so she has seen it all. Including all its ups and downs!
T: 0151 706 3440
Dawn has 26 years experience in the NHS and have been with the team for many years. The team has grown so much over this time. She thoroughly enjoys being part of the LRS Family.
T: 0151 706 3545
Donna Britton is our Specialist Nurse. She has been in position since 2013 and is always happy to support patients and district nurses for any issues regarding pin site care, wound care and other nursing matters.
T: 0151 706 3529
Mel is a Senior Physiotherapist who graduated from Coventry University in 1999. Having spent the majority of her career treating Musculoskeletal outpatients, she became a static member of the Limb Reconstruction Team in 2015.
Mel has a special interest in the late stage rehabilitation of limb reconstruction patients. Additional Mel teaches Pilates and is a keen triathlete.
Fiona Daglish qualified as a physiotherapist in 1990; having gained a breadth of experience within respiratory, neuro rehabilitation, musculoskeletal outpatients, orthopaedics, burns and plastic surgery across the North West of England, she settled on specialising in trauma and orthopaedics and was appointed inpatient physiotherapy team lead at the Royal Liverpool University Hospital in 1995.
Fiona’s interest in the management of trauma and deformity within circular fixators was peaked when Mr S Nayagam was appointed in 1997 and she has been part of the Adult Liverpool Limb Reconstruction Service since its inception.
She has attended courses and conferences as both delegate and speaker across the UK and internationally: this has given Fiona extensive experience in building and adjusting fixators to enhance patient function and facilitate rehabilitation and recovery alongside more traditional physiotherapy treatment.
Working alongside specialist nursing, occupational therapy and physiotherapy colleagues Fiona is involved in pre-operative assessment and preparation of patients for surgery, and post-operative assessment and management of complex trauma and deformity correction.
Helen is a Senior Physiotherapist who graduated from The University of Manchester in 2001. She completed her rotations within acute hospitals in the Manchester region and specialised in musculoskeletal Physiotherapy in 2005. She has a Diploma in Orthopaedic Medicine and holds postgraduate qualifications in McKenzie Mechanical Diagnosis and Therapy.
Helen obtained a static post in Limb Reconstruction in 2015. She was proud to have a poster accepted for presentation at the International Limb Reconstruction Conference in 2019.
Elizabeth is a Senior Physiotherapist in the LRS team. She qualified from Robert Gordon University, Aberdeen in 2003.
Over the years she has worked predominantly in musculoskeletal settings and has been lucky enough to work with the Liverpool LRS team on various occasions.
Elizabeth happily became a static member of the LRS team in 2015 when the opportunity arose.
Jon grew up in South Africa and was awarded a degree in Medical Biochemistry from the University of Cape Town in 1992, followed by a scholarship to study Medicine at Oxford University.
After graduating he trained in internal medicine in Newcastle-upon-Tyne, gaining membership of the Royal College of Physicians in 2000, and then obtained a PhD in Immunology, working in the Infectious Diseases department at St George’s Hospital, London.
He moved to Liverpool in 2005 to specialise in Clinical Microbiology, and took up his current post as a Consultant Microbiologist at the Royal Liverpool University Hospital in 2010. In this post he established a Consult Service for in-patients with complex infections, with equal input from Clinical Microbiologists and Infectious Diseases Physicians.
He has a subspecialty interests in Orthopaedic Infection and Antimicrobial Stewardship, and is active in teaching and research.
Mr. Fischer was bought up in North West England. Following completion of a Biochemistry BSc in Bristol, he studied Medicine in Liverpool. His interest in Orthopaedic surgery, stems from a placement as a medical student, with the Limb Reconstruction Service in Liverpool.
Mr. Fischer completed his higher surgical training in Greater Manchester. He has completed fellowships in Liverpool and Birmingham, focusing on all aspects of limb reconstruction.
He was appointed at Aintree University Hospital in 2017, the Merseyside, Cheshire and Isle of Man Major Trauma Centre, where he became part of the Major Trauma Service, augmenting the service to manage complex limb injuries.
In November 2019, Aintree and the Royal Liverpool Hospital merged to become Liverpool University Hospitals NHS Foundation Trust. Now, Mr. Fischer provides acute trauma care at Aintree and has become part of the Limb Reconstruction Team at Broadgreen Hospital.
His specific clinical interests are the management of open lower limb fractures; the poly-traumatised patient; the management of fractures about the knee and ankle; the treatment of bone infection; treatment of problem fractures; reconstruction surgery when fracture treatment goes wrong and hind-foot reconstruction. He has expertise in the use both internal devices plates and nails, including magnetic intramedullary lengthening nails, and external fixators.
Mr. Fischer is a keen educator and helps co-ordinate the medical student activities in the Liverpool Orthopaedic and Trauma Service.
Mr Giotakis trained in Orthopaedics in Verona in Italy and joined the Liverpool Limb reconstruction service as a fellow in 2002.
He was appointed as a Consultant in the in adult Limb reconstruction Service in 2004. His interest acute complex limb trauma surgery which he currently practices at Aintree hospital and elective non union, osteomyelitis and deformity correction surgery in Broadgreen hospital.
He is a British Limb Reconstruction Society executive committee member.
Badri Narayan has been working as a Consultant in Trauma and Orthopaedics with subspecialty interest in Limb reconstruction Surgery at the Royal Liverpool and Broadgreen Hospitals from 2002.
He is an examiner for the national and international intercollegiate Surgical Board. He was previously Training Programme Director for the Mersey Region, member of the Specialist
Advisory Council, member of the Training Standards Committee of the British Orthopaedic Association and part of Council of the British Limb Reconstruction Society.
Mr Selvadurai Nayagam is a limb reconstruction surgeon who has international recognition for his expertise in the care of paediatric and adult patients.
After completing his orthopaedic training in the 1990s, Mr Nayagam set up the limb reconstruction teams in Liverpool at both Alder Hey and the Royal Liverpool & Broadgreen Hospitals. This limb reconstruction team has been established as a centre of excellence within the field for many years and has a network of alumni around the globe.,
Mr Nayagam is an editor-in-chief of the journal Strategies in Trauma & Limb Reconstruction and has also edited textbooks such as ’Apley’s System of Orthopaedics and Fractures’ and ‘Paediatric Orthopaedics: A System of Decision Making’. His work on national and international committees has helped to shape standards and guidelines in the field.
Having retired in June 2019 he is currently working part time with his successors and will retire from clinical practice in 2020.
Mr Nick Peterson graduated from Liverpool University and spent time working in Melbourne, Australia before returning to join the Mersey trauma and orthopaedic rotation.
During training he was awarded national and regional prizes, published and presented at a national and international level and co-created the mobile application OrthoFlow.
His specialist interest is limb reconstruction surgery and after completing his training in Liverpool he visited units in Baltimore – USA, Cape Town – South Africa and Fukushima – Japan.
Mr Peterson also has an paediatric limb reconstruction practice at the Alder Hey Children’s Hospital NHS Foundation Trust where he treats congenital and acquired conditions affecting the upper and lower limbs in children and runs a transition service that allows continuity of care into adulthood.
His practice includes the use of internal and external devices for deformity correction including limb lengthening with magnetic intramedullary nails.
Along with his colleagues in the limb reconstruction department he offers treatment of congenital and acquired deformity, nonunions, posttraumatic deformities and bone infections. Mr Peterson also offers treatment for knee and ankle arthritis.
Mr Prior trained in Glasgow before moving to Liverpool to complete his orthopaedic training. He later went on to complete fellowships in Leeds and Melbourne, Australia.
Mr Prior has published work on a variety of orthopaedic topics and won regional prizes during his training for research.
He is a regular contributor to the education of trainee surgeons and has previously organised the Alder Hey FRCS instructional course. He is a faculty member on several orthopaedic courses teaching general paediatric orthopaedic surgery, basic science and paediatric limb reconstruction.
Mr Prior has a specialist interest in the correction of congenital and acquired deformities in the upper and lower limbs. He also has a professional interest in the management of complex trauma in children and is the orthopaedic trauma lead for Alder Hey.
Kiran Saldanha is a Consultant Orthopaedic Surgeon at Whiston and St Helens Hospitals. He has been employed in the NHS since 2001. He trained in Orthopaedics in the Mersey region and completed a fellowship in Limb Reconstruction in Sheffield.
He is a lower limb Orthopaedic Surgeon managing problems arising from arthritis, sports injuries and foot deformities. He provides comprehensive service for limb trauma and reconstruction working closely with the Plastic Surgeons from the Mersey Regional Plastic Surgery Unit.
Rose trained in Liverpool doing the combined registration course (RGN /RSCN) in 1980.
In 1984 started her career journey in Orthopaedics doing the Orthopaedic Nursing Certificate at Robert Jones and Agnes Hunt Orthopaedic Hospital. On completion of the course worked as a Staff Nurse then Ward Sister on the Paediatric Unit at Oswestry
1994 she was appointed to her current post. Initially appointed to set up and provide a Hospital at Home service to support early discharge. The role now also includes a specialist nurse role within the Limb Reconstruction and Hip teams.
Alison started her training as an Adult Nurse in Southport 1981
In 1985 she started her career at Alder Hey where she developed an interest in theatre nursing. She then commenced on an Operating Department Nursing course where she gained experience in all specialities.
On completion of the course she returned to Alder Hey theatres and developed a special interest in Orthopaedics.
In 1994 she returned to her studies and qualified as a Registered Sick Children’s Nurse.
In 2005 she was asked to join the Limb Reconstruction team as a Clinical Nurse Specialist, were she divides her time between theatre and outpatients (fixator nurse) clinic.
As part of the Liverpool LRS team she teaches nationally and international.
Hayley graduated from the university of Salford in 2005 and started working in Alder Hey as senior physiotherapist in 2009.
She worked in clinical gait analysis for 8 years and during this time was involved in a number of research projects with Liverpool John Moores University.
In 2019 she specialised in limb reconstruction and orthopaedic outpatients. She has a specific interest in gait compensations in leg length discrepancy and rehabilitating gait following limb equalisation.
Hayley is trained in acupuncture and is a certified Clinical Pilates instructor with the Australian Physiotherapy and Pilates Institute.
Dave graduated from the University of Huddersfield in 2002, and immediately started working at the Royal Liverpool and Broadgreen University Hospitals. Having developed an interest in Paediatrics as a student, he moved to Alder Hey in 2004, working through many different areas, including Respiratory Care, Orthopaedics and Neurodevelopmental care in the community.
It was during this period that he decided that he wanted to specialise in Musculoskeletal Rehabilitation and Limb Reconstruction, and began working permanently in out-patients in 2009.
He has a particular interest in conditions affecting the lower limb, working within the post-surgical knee service for several years.
Dave is a member of the British Limb Reconstruction Society, and has been an integral part of the renowned Liverpool Limb Deformity Correction Team, helping maintain best practice within the service and helping introduce new management methods into the care of these patients. He has lectured domestically and internationally at conferences and on courses regarding the management of patients undergoing deformity correction.
Dave is also a member of Haemophilia Chartered Physiotherapists Association offering developmental; assessments, care and support for individuals suffering from bleeding disorders.
Mr Leroy James is originally from Trinidad & Tobago and studied medicine at University of the West Indies before commencing his orthopaedic training in the Mersey Deanery. His fellowship training in paediatric orthopaedic surgery and limb reconstruction took place at Alder Hey, Oswestry and Melbourne, Australia. He has also visited units in Bristol, Milan and Murnau, Germany.
Mr James is a faculty member for several orthopaedic courses and provides specialist services for limb lengthening, amputation, skeletal dysplasia and metabolic bone disorders. He has a specialist interest in limb deformity surgery, complex foot & ankle pathology, infection and trauma.
Mr James is currently the clinical director of the orthopaedic department at Alder Hey Children’s Hospital NHS Foundation Trust.
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
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