CURRICULUM VITAE

Balachandran Venkateswaran

MS Ortho, FRCS Orth

Consultant Orthopaedic and Trauma Surgeon with a special interest in Shoulder and Elbow surgery
Mid Yorkshire Hospitals NHS Trust
Honorary Senior Lecturer, University of Leeds
Clinical tutor and Clinical governance Lead in Orthopaedics

Name:           Balachandran VENKATESWARAN

GMC              Specialist Registration 4589956

Membership    British Medical Association
British Orthopaedic Association
British Association of Elbow and Shoulder Surgeons
European Society of Shoulder and Elbow Surgery
American Association of Orthopedic Surgeons
Indian Orthopaedic association


Postgraduate Qualification         F.R.C.S. Orthopaedics,Royal College of Surgeons England, London, Nov. 2002
F.R.C.S. (Glas.)
Royal College of Surgeons, Glasgow, Feb. 1998
M.S. Orthopaedics
Madras Medical College, India, 1993 to 1996

Publications

•    Mid term Clinical and Sonographic outcome in arthroscopic repair of the Rotator Cuff. Journal of Bone and Joint Surg Br 2008 October; 90(10);1341-7

Arthroscopic capsular release for posttraumatic shoulder stiffness.J Shoulder Elbow Surg. 2008 May-Jun;17(3):410-4..

•    In vivo rotator cuff blood flow measurment using laser doppler flowmetry
Journal of Bone Joint Surg Br. 2008 Jul;90(7):893-8

•    Peripheral paresthesia in patients with subacromial impingement syndrome.
Arch Orthop Trauma Surg. 2007 Sep;127(7):609-12. Epub 2007 Jul 25.

•    Age – related outcome in carpal Tunnel Surgery.  
Authors: Porter P, Venkateswaran B, Wray CC.
Journal:  Journal of Bone and Joint Surgery (B) July 2002. 84B; 5: 688-91

•    Early Experience with the PlantTan Fixator plate for 2 and 3 part fractures of the proximal humerus
Authors: Burton DJC, Wells G, Watters A, Schilders E, Venkateswaran B
Journal: Injury (36) 2005: 1190 -1196

•    Extension of the Working Length of an Intramedullary Nail.
Authors: Venkateswaran B, Smith R M
Journal: Injury (32) 2001: November: 719-24

•    An easy Preoperative method to determine Tibial Intramedullary nail Length
Authors:   Venkateswaran B Warner RM Tulwa N Shaw D L Deacon P
Journal: Injury (34) 2003: 752 – 755 and
European journal of Trauma 2002; Supplement 1.Abstract. Vol. 28 (232): 90

•    Delayed presentation of tuberculosis of the Talo-navicular joint: a case report.
Authors: Foster P.A.L, Bismil.Q, Venkateswaran B, Shanker J
Journal: Foot and Ankle Surgery (9) 2003: 237-9

•    Irreducible Postero-lateral Dislocation of the Knee Joint with Fracture of the Lateral Condyle of the Femur – A Rare Case Presentation
Authors:  Sridar, Venkateswaran, Professor K Sriram
Journal:   Annual Journal of the TamilNadu Orthopaedic Association: 35-38, 1996.

•    Vascular Injuries complicating Fractures.
Authors:  Venkateswaran, Jeganathan, Professor K Sriram
Journal:  Annual Journal of the TamilNadu Orthopaedic Association: 40-42, 1996

•    Arthroscopic Capsular Release for post-traumatic Shoulder Stiffness
Authors: Venkateswaran B, Funk L, Levy O, Copeland S
Study of 21 patients at 3-5 years follow up.
Journal: “Proceedings of the International Congress on Shoulder Surgery 2004” by the AAOS

•    The implications of sagittal malpositioning of the stem in cemented Charnley total hip replacements
Authors: Venkateswaran B Porter P Rawes M L Deacon P Stone M, Macdonald D A
Proceedings of the EFORT congress, Helsinki, Finland 2003

•    A.O. Dynamic Condyle Screw in Proximal and Distal Femoral Fractures.

Authors:  Venkateswaran B, Mayilvahanan N
This dissertation was accepted as part of the requirements for the award of degree of M.S. Orthopaedics, India, March 1996. A prospective study over 3 years of 14 distal femoral fractures and 18 proximal femoral fractures treated with the DCS.

•    Surgical Management of Proximal Humeral Fractures
Chapter in Current orthopaedics May 2008

•    Management of infections after Shoulder arthroplasty.
Venkateswaran B, Levy O
Chapter in The Brazilian Orthopaedic Association’s Publication on Shoulder Arthroplasty 2004

•    Surgical Approaches for instability Surgery of the shoulder
Venkateswaran B, Levy O, Copeland S
Chapter in ‘Current Orthopaedics’ on Instability of the Shoulder, 2004.

•    Resurfacing arthroplasty of the Shoulder
Venkateswaran B, Copeland S
As a Chapter for the book on “Shoulder Replacement in Osteoarthritis” from Centro Chirurgia, by Porcellini, Campi and Paladini, Bologna Publishing House,
Italy.

Presentations

• The results of Arthroscopic Stabilisation of unstable shoulders BESS 2010 Oxford

• The reliability of Office Ultrasound in diagnosis of Rotator Cuff pathology BESS 2009 London

• Accelerated Rehabilitation in healing of tuberosities after hemiarthroplasty for shoulder fractures BESS 2009 London

• In vivo rotator cuff blood flow measurment using laser doppler flowmetry BESS 2008 Liverpool

• Correlation between Constant Score and Euroqol scores in patient with impingement BESS 2007

• Pitfalls in arthroscopic treatment of Acromioclavicular joint dislocations with the tightrope BESS 2007

• Clavicular fracture fixation with intramedullary nail BESS 2007

• EQ5D – Correlation of Quality of life score with Constant score SECEC European meet Athens 2006

• Arthroscopic Rotator Cuff Repair– Mid - long term Results (2 - 6 YEARS FU) – reretear rate and comparison with clinical outcome   International Conference on Shoulder Surgery 2007 Brazil

• Proximal Humeral fractures treated with nail  SECEC European meet Athens 2006

• Comparison of arthroscopic decompression alone with cuff repair in small tears  SECEC European meet Athens 2006, BESS 2006 Edinburgh

• Arthroscopic Tightrope fixation of ACJ dislocatrions  BTS 2006 , BESS 2007

• DHS and gamma nail In intertrochanteric Fractures  BTS 2006 Leeds

• Remanipulation rates After Reduction of Distal Radius Fractures Under Haematoma Block in the Emergency Department.  BTS 2005 London

• Assessment of the prevalence of neurological symptoms in impingement syndrome of the shoulder   A0A 2005 Perth Australia, AAOS 2006 Seattle USA

• Results of Arthroscopic Rotator Cuff Repairs at an average of 2 years follow up    BESS  July 2005

• Assessment of Blood flow in the Rotator cuff by Laser Doppler Flowmetry     BESS 2004 , SECEC sep 2005

• Arthroscopic Capsular Release for post-traumatic Shoulder Stiffness Study of 20 patients at 3-5 years follow up.  International congress on Surgery of the Shoulder, Washington, 2004

• Arthroscopic Bankart repair in recurrent shoulder instability:  A comparison of different techniques at an average of  3 years follow up.  International Congress on Surgery of the Shoulder, Washington, 2004

• Variables affecting Constant score.  International Congress on Surgery of the Shoulder, Washington, 2004

• Validation of a new Simple Quantitative Test for Assessment of Subscapularis Strength.  International Congress on Surgery of the Shoulder, Washington, 2004

• Remanipulation rates After Reduction of Distal Radius Fractures Under Haematoma Block in the Emergency Department.  Accepted for a podium presentation at the BTS meeting 2004

• Comparisons of Quality of life outcomes following hemiarthroplasty: Is there a difference between cemented Thompson’s and uncemented Austin Moore replacements..   British Trauma Society Meeting, London, October 2003

• The implications of sagittal malpositioning of the stem in cemented Charnley total hip replacements. EFORT congress, Helsinki, Finland 2003

• An easy Preoperative method to determine Tibial Intramedullary nail Length. Combined Meeting in Sydney 2004, The European Trauma Congress at Vienna May 2002, The British Trauma Society meeting October 2001. The Holdsworth meeting, Wakefield Nov 2, 2002

• Distal femoral Fractures in the Elderly : One year follow up of   Noiles hinged knee replacements in comparison with other modalities of treatment. British Trauma Society Meeting 2002.

• Age and Outcome in Carpal Tunnel decompression surgery. British Orthopaedic Association’s Annual Congress 2001

• Acute Compartment Syndrome – Early and Late presentation.  Regional conference of the Tamil Nadu Orthopaedic Association, Madras, India, February 1996

• A.O. Dynamic Condylar Screw in Proximal and Distal Femoral Fractures.  The South Zone Orthopaedic conference of the Indian Orthopaedic Association, Madras, 1995.

• Surgical management of a Difficult Supra-Articular Pilon Fracture. Conference of the Asian Association for Dynamic Osteosynthesis, Hong Kong, September 1994.

Awards

•    An easy Preoperative method to determine Tibial Intramedullary nail Length
Authors:   Venkateswaran B Karthikeyan K Warner RM Tulwa N Shaw D L Deacon P
This paper presented by my co-author won the Fitton prize and £600 for the best paper for the year at the Yorkshire Regional Trainee meeting at Leeds 2002 – 2003

•    The implications of sagittal malpositioning of the stem in cemented Charnley total hip replacements
Authors: Venkateswaran B Porter P Rawes M L Deacon P Stone M, Macdonald D A
Presented and won the Second Prize for the best paper and £300 at the Yorkshire Regional Trainee meeting for the Fitton Prize Dec 2002.

•    Age and Outcome in Carpal Tunnel decompression surgery
.    Authors: Venkateswaran B, Porter P, Wray CC
I won the Fitton prize and £600 for the best paper by a trainee for the year 2000 -2001

•    Acute Compartment Syndrome – Early and Late presentation.
Authors: Venkateswaran, Prof K Sriram
Conference of the Tamil Nadu Orthopaedic Association, India, February 1996
Awarded Best Paper and won The Professor M Natarajan’s Gold Medal.

Present NHS Job Committment

Clinical commitments as a Consultant in the NHS are as under

•    3 clinics and 2 operating theatre sessions with a 1:5 week on call Rota. +additional work when needed. The team i work with and my secretary are very competent and complement and help deliver high quality care.

•    On calls are  busy and I provide specialist upper limb trauma service which means am on call for complex upper limb trauma on a daily basis. 

•    taken a Clinical lead for upper limb and developed the upper limb pathway for primary care , and represented upper limb service discussions

•    introduced combined upper limb meet within trust,

•   as Clinical Governance lead have revamped the governance and audit meetings and improved reflective practice in the department as a whole. I am grateful for this role and the team is also brilliant and colleagues contribute a lot in the delivery of this aspect of service.

•    collect outcome data on all patients pre and post operatively  enabling us to give good quality care and above led to prospective studies and presentations

•    Set up the one stop clinic with ultrasound for diagnosis at same sitting –has reduced the patients’ journey time from 8-12 weeks to 1 day. Have reduced the demand on radiology.

•    written patient information leaflets (on Trust’s intranet now)

•    Trained 2 extended scope practitioners who work alongside in clinics improving access

•    Deliver high quality day case surgery and have changed Shoulder stabilisations and some rotator cuff repairs to day case surgery

•    All the above improved the journey for the patient and is a readily accessible service.
Audit of the service - patient satisfaction survey by independent observer showed 97% satisfaction rate except for clinic waiting times.

Recruitment and Teaching resposibilities

•    Participate in recruitment of trainees in the region and for recent MMC/ MTAS recruitment
•    sat in multiple interviews for trust locums, middle grade and Consultant appointments

Undergraduate:
•    As Honorary Senior Lecturer, Academic unit of Orthopaedics, University of Leeds organize and teach the attached medical students
Junior Doctors:
•    As Clinical Tutor in Orthopaedics MidYorkshire Trust organize teaching and responsible for the training needs of all trainees
•    Organise Tuesday AM teaching with invited speakers - includes workshops, radiology sessions, clinical patient sessions and didactic lectures and presentations. Circulate teaching programme every month
•    act as educational supervisors to FY/ST over the whole year
Multidisciplinary training :
•    have trained 4 Extended scope practitioners, theatre and ward nurses to deal with the workload in shoulder surgery increased since 2005
Higher surgical training
•    Trust representative to the Specialist Training Committee in Orthopaedics
•    Attend Deanery STC meet (1/2 yearly) and represent my colleague’s
•    Disseminate information from such meetings
•    organize local placement of trainees
•    Participate SAC/ PMETB visits
•    Assist in the ½ day regional teaching programme/ RITA
•    Completing and overseeing the RITA forms of all specialist registrars and other trainees.
•    Examiner for practice exams at annual RITA

Faculty – Surgical Training

•   Organise Yorkshire Shoulder Course at Dewsbury- Clinical course giving a thorough overview of the shoulder clinical examination with regional/national faculty. 
•   Faculty and help organise the Dewsbury Anatomy Course
•   Faculty in the AO UK Education (national and international)

Faculty in the Basic Surgical Skills Course, RCS England