Orthopaedic Medicolegal Reporting

We specialise in orthopaedic medicolegal reporting for both personal injury and clinical negligence. We have a strong track record of expert witness work in these areas. We are instructed both by Claimant’s Solicitors (~50%) and Defendant’s Solicitors (~40%) and occasionally as a joint expert witness (~10%).

We are normally able to examine a client within 2 weeks from receiving the instructions with medical records and we are able to return a completed high quality, evidence-based report normally within 4 weeks from examining the client.

Where clients do not need to be examined, e.g. for liability assessment in clinical negligence claims, the report can be returned normally within 4 weeks from receiving instructions and all relevant documentation.

We are both full-time trauma and orthopaedic surgeons working in a Major Trauma Centre and dealing with patients suffering major injuries as part of our routine day-to-day work. We have lectured nationally and internationally and run courses on the management of orthopaedic trauma and have been principal and chief investigators on national and international trials in the field of orthopaedic trauma.

We also have our own sub-specialist areas of interest where we have a national and international reputation.

We are willing to accept UK-wide instructions. We have consultation rooms in Cambridge and London. We can use consultation rooms in other cities as needed. We are both fluent in English only, but familiar with working through translators as needed. We do accept instructions for Legal Aid work, criminal cases and public and media relations.

Alan Norrish

Alan Norrish

Consultant Orthopaedic Surgeon
BSc, MB BChir, LLM, PhD (Cantab), FRCS (Tr
& Orth), PG Dip HSM

Injury Prognosis
PO Box 1279,
Cambridge,
CB1 0UW

+44 (0) 1223 778211

Areas of orthopaedic medicolegal reporting expertise

Trauma:

  • Multiple fractures
  • Long bone fractures
  • Femur, tibia, humerus & forearm fractures
  • Bone loss & open fractures
  • Massive endoprosthetic replacement of the bone
  • Amputations for trauma
  • Bone & joint infection
  • Limb reconstruction using circular frames & external fixation

Elective surgery:

  • Joint replacement
  • Prosthetic joint infection
  • Revision hip and knee arthroplasty

Since qualifying and being appointed as a Consultant in 2007, trauma and lower limb reconstruction surgery has been his main interest. From Africa to Kabul he has treated a full range of patients with complex acute and chronic trauma, often working in major/national trauma centres. He has a particular interest in the reconstruction of fracture non-union, bone defects and bone infections with the use of circular frames. This was recognised when he was invited to give an instructional lecture at the Annual British Orthopaedic Association Congress on the treatment of bone infection. He founded and co-leads a multidisciplinary regional bone and joint infection service in Cambridge. He has also acquired considerable experience in minimally invasive osteosynthesis and other biological techniques of fracture fixation. The areas that are particularly suited to both of these techniques are complex femur, knee, ankle and foot fractures. He is an International Faculty member for AO Trauma and a taskforce member of the AO ORP curriculum development committee in Davos. He also has significant experience of the use of mega-prosthesis for complex trauma and infection indications.

Knee: He has a wide experience in elective knee surgery including uni-compartmental, total knee replacement and knee revision arthroplasty. He also regularly performs knee arthroscopy and anterior cruciate ligament reconstruction (including meniscal repair, meniscectomy, chondroplasty and microfracture) and patella realignment surgery.

Hip: He has also developed considerable experience in elective hip surgery including hip replacement and resurfacing, hip revision surgery and peril-prosthetic fracture surgery, hip decompression for avascular necrosis, hip osteotomy and hip fusion.

1994 BSc (Hons), Pharmacology and Medical Science (First Class), University of London
1999 MB BChir (Distinction in Surgery), University of Cambridge
1999 PhD, Centre for Molecular Mechanisms in Disease, University of Cambridge
2002 MRCS, At the Royal Colleges of Surgeons in both Edinburgh & Glasgow
2006 FRCS (Trauma and Orthopaedics), Royal College of Surgeons, Edinburgh
2007 LLM, Master of Laws degree (Distinction Awarded), Cardiff Law School
2015 PG Dip HSM – Postgraduate Diploma in Heath Service Management, Keele University

Fellow of the British Orthopaedic Association
Fellow of the Academy of the European Federation of National Associations of Orthopaedics and Traumatology
International Affiliate member of the American Academy of Orthopaedic Surgeons
Member of AO Trauma International
Member of British Trauma Society and the Orthopaedic Trauma Society
Member of the International Society of Orthopaedic and Trauma Surgery
Founder Member of the Faculty of Medical Leadership and Management
Fellow of the Royal College of Surgeons of Edinburgh
Fellow of the Royal College of Surgeons of England
Member of World Orthopaedic Concern
Member of British Limb Reconstruction Society
Member of British Association of Surgery of the Knee
Member of the British Hip Society
Affiliate Member of the Chartered Management Institute
Member of the European Bone and Joint Infection Society
Member of the European Society of Sports Traumatology, Knee Surgery and Arthroscopy
Fellow of the Royal Society of Medicine

Andrew Carrothers

Andrew Carrothers

Consultant Orthopaedic Surgeon
VR, MBChB, MA (Cantab), DipIMC RCSEd, FRCS (Tr & Orth)

Injury Prognosis
PO Box 1279,
Cambridge,
CB1 0UW

+44 (0) 1223 778211

Trauma: 

  • Fractures, particularly complex fractures of the acetabulum and the pelvis
  • Injuries caused by major trauma
  • Multiple fractures
  • Long bone fractures
  • Femur, tibia, fractures
  • Hip, Knee and Ankle joint injuries
  • Open fractures
  • Massive endoprosthetic replacement of the bone
  • Amputations for trauma

Elective surgery: 

  • Hip and Knee Joint replacement
  • Revision hip and knee arthroplasty
  • Complications of hip and knee replacement including fracture

Since qualifying and being appointed as a Consultant in 2012, pelvic & acetabular trauma and lower limb reconstruction surgery has been his main interest. He has a specialist interest in polytraumatic injuries. This fits with his NHS practice, which deals almost exclusively with complex orthopaedic trauma and complex hip and knee replacement operations.

In addition, he is a Trauma and Orthopaedic Surgeon in the Royal Army Medical Corps (V), having served in both Iraq and Afghanistan, allowing extensive exposure to and management of high energy ballistic and blunt polytrauma.

He is an International Faculty member for AO.

Knee: He has a wide experience in elective knee surgery including uni-compartmental, total knee replacement and knee revision arthroplasty. He also regularly performs knee arthroscopy (including meniscal repair, meniscectomy, chondroplasty and microfracture).

Hip: He has also developed considerable experience in elective hip surgery including hip replacement, hip revision surgery and peril-prosthetic fracture surgery. In addition, he is leading a UK NHS NIHR RCT in the management of complex hip/acetabulum fractures, including his published‘fix & replace’ surgical concept.

2018 MA (Cantab), University of Cambridge
2012
Clinical Fellowship Diploma, University of Toronto
2011 FRCS (Tr & Orth) Intercollegiate Specialty Board
2008 BOA Biomechanics and Materials Certificate
2008 DipIMC RCSEd
(Diploma Immediate Care, Royal College of Surgeons Edinburgh)
2007 Battlefield Advanced Trauma Life Support Instructor
2005 MRCSEd, Royal College of Surgeons Edinburgh
2001 MBChB, University of Manchester

Fellow of the British Orthopaedic Association
Affiliate Member Canadian Orthopaedic Association
International Affiliate member of the American Academy of Orthopaedic Surgeons
Member of AO Trauma International
Member of British Trauma Society and the Orthopaedic Trauma Society
Fellow of the Royal College of Surgeons of Edinburgh
Member of the British Hip Society
Affiliate Member of British Association of Surgery of the Knee
AO Trauma Fellow (51645)
Royal Army Medical Corps (V)

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