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!
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.
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.
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.
Donna is a specialist nurse who qualified from John Moore’s University in 2005.
She has spent her nursing carer in orthopaedics and in 2013 gained her current role as Limb Reconstruction Specialist Nurse.
Donna’s role includes supporting LRS patients with their treatment and issues which they may occur from treatment i.e pin site or wound issues. She also offers support to wider MDT in the community by liaising with district nurses and GP’s regarding treatment.
Donna is involved in all LRS patients and their required wound management including specialist plastic procedures and is always happy to advise and support.
Donna works alongside all of the multi-disciplinary team within LRS as she covers inpatient and outpatient aspects of this service.
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I studied for a nursing degree at the University of Zaragoza and successfully graduated in 2012. With the aim of gaining more experience and to put into practice the knowledge acquired during my studies I came to Liverpool in April of 2014.
I would like to describe myself as passionate and eager in my job, quick to grasp new ideas and concepts without compromising quality. Capable of working in my own and valuable team player, using my interpersonal and communication skills.
In September of 2015, I had the pleasure to join the Limb Reconstrution Team as a scrub nurse , I quickly learn to take up more complex and leadership duties which helped me to built my confidence as a member of the team. This together with my passion for my job and my eagerness to learn, allowed me to improve all the skills I already had while gained many new ones in a very short time.
I assisted to the Joint reconstruction course in September 2015 and also to the LRS annual meeting at Leeds in 2016 in addition I completed the Principles of scrub and circulation theatre course at Edge Hill university in 2017, The Mentorship course at Liverpool John Moores University in 2018, Ilizarov course at Liverpool January 2019, Ilizarov course at Leeds October 2019 and Open tibia course at Madrid in November 2019.
Mel is a 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.
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Helen is a 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 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.
Giles qualified as a Chartered Physiotherapist in Liverpool in 1990. He commenced his career at Broadgreen Hospital to gain general physiotherapy experience as a rotational staff member, he then undertook a musculoskeletal rotation before specialising in Lower limb musculoskeletal patients as a team leader in 1995.
He moved to the Royal Liverpool Hospital to continue this role in 1997, and with the appointment of Mr S Nayagam, he became one of the initial members of the adult Limb Reconstruction Service MDT, responsible for the care of these patients and development of the LRS Outpatient service, culminating in the relocation to the specialist unit at Broadgreen Hospital in September 2015.
Giles has developed his extended scope role to support his colleagues and enhance the care offered to the patients. He has participated as a delegate and faculty member at courses in both the UK and internationally, including visiting The Ilizarov Institute in Kurgan, Russia.
Paula qualified as a Chartered Physiotherapist in Liverpool in 1982. having commenced her career at Aintree Hospitals to gain general physiotherapy experience as a rotational staff member, she moved to the Royal Liverpool University Hospital to pursue her keen interest in Orthopaedics and Musculoskeletal physiotherapy and was appointed as team leader for inpatient trauma and elective orthopaedic surgery there in 1986.
In 1989 Paula commenced her outpatient physiotherapy role and on the appointment of Mr S Nayagam in 1997, she became one of the initial members of the adult Limb Reconstruction Service MDT, responsible for the care of these patients and development of the LRS Outpatient service, culminating in the relocation to the specialist unit at Broadgreen Hospital in September 2015.
Paula has developed her extended scope role to support her colleagues and enhance the care offered to the patients. She has participated as a delegate and faculty member at courses in both the UK and internationally, including visiting The Ilizarov Institute in Kurgan, Russia.
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Completed her BSc (Hons) Degree in Occupational Therapy in Manchester and was born and bred in Liverpool, she is currently a Specialist Occupational Therapist working within the Limb Reconstruction Service at Liverpool University Hospital Foundation Trust. and has over 25 year’s experience working within the field of Occupational Therapy; Ann-Marie has 5 years clinical experience within the Limb Reconstruction Service Team, 10 years in High Secure Forensics (Psychological Services) and 10 years in a variety of physical healthcare settings.
Ann-Marie is able to offer both psychological and physical support to help prepare the patient/service user for life after Limb Reconstruction Surgery. Ann-Marie will see patients both as an inpatient and outpatient dependent upon individual need. Ann-Marie is able to offer stress and anxiety management support to patients/service users if appropriate; she also has the skills required to assess and manufacture bespoke splints, to temporary modify footwear to accommodate external fixators or leg length discrepancies and complete assessments for compression garments when appropriate.
Outside of her professional role Ann-Marie provides support for vulnerable children with the local authority fostering service.
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 a 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 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.
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.
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Mr Simon Graham is a Limb Reconstruction Surgeon and Clinical Senior Lecturer at the University of Liverpool and Liverpool School of Tropical Medicine. He also has honorary positions at the university of Oxford and the University of Cape Town. Simon completed his orthopaedic and trauma training in Merseyside and undertook a fellowship in limb reconstruction in Cape Town, South Africa.
He joined the department in 2020 and has an interest in acute complex trauma, open fractures, non-union surgery and bone infection. He has completed a PhD investigating fracture healing in HIV positive patients and he is actively involved with research across sub-Saharan Africa.
Simon has also completed a master’s degree in mechanical engineering and published widely in the literature, presented his research internationally and leads a team developing global orthopaedic research in low-income countries.
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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