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 trauma and orthopaedic surgeons who have spent considerable time working at Major Trauma Centres 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.

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 need. We are both fluent in English and Dr Giotikas is also fluent in Greek. We are also familiar with working through translators as need. We do accept instructions for Legal Aid work, criminal cases and public and media relations.

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

Areas of orthopaedic medicolegal reporting expertise

  • Fractures, particularly complex fractures of the acetabulum and the pelvis

Andrew has been involved in medico-legal work since starting as an NHS consultant in 2012, having written approximately 100 reports to date. Andrew has provided expert-witness testimony and medical reports for specialist lawyers and for people who have been injured. He writes reports on all aspects of general orthopaedic trauma surgery and hip/knee replacement surgeries. He has a specialist interest in polytraumatic injuries, complex lower limb trauma surgery and pelvic & acetabular fractures. This fits with his NHS practice, which deals almost exclusively with complex orthopaedic trauma and complex hip and knee replacement operations. Andrew can be instructed for either claimant and defendant instructions, and more than 10% of his work is as a joint expert witness. As necessary, Andrew will give evidence in court or to tribunals.

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)

Alan Norrish

Alan Norrish

Consultant Trauma and Orthopaedic Surgeon, Senior Research Fellow and Associate Medical Director
BSc, MB BChir, LLM, PhD, FCS (ECSA), FRCS (Tr & Orth), PGDip HSM, AFHEA

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 and foot fractures
  • Bone loss & open fractures
  • Amputations for trauma
  • Bone & joint infection
  • Hip and knee replacement infection
  • Limb reconstruction using circular frames & external fixation
  • Post-traumatic limb deformity correction

1994 BSc (Hons), Pharmacology and Medical Science (First Class), University of London
1999 MB BChir (Distinction in Surgery), University of Cambridge
1999 PhD, Wellcome Trust 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), Elected to fellowship at the Royal College of Surgeons, Edinburgh.  I have also been elected as a Fellow of the Royal College of Surgeons of England in 2016
2007 LLM, Master of Laws degree in Medical Law (Distinction Awarded), Cardiff Law School, University of Cardiff
2015 PG Dip HSM, Postgraduate Diploma in Health Service Management, Keele School of Management, Keele University
2016 FCS (ECSA), Fellow (by election) of the College of East, Central and Southern Africa
2020 AFHEA, Associate Fellowship of the Higher Education Academy

  • Fellow of the British Orthopaedic Association
  • Fellow of the Royal College of Surgeons of England
  • Member of the International Society of Trauma and Orthopaedics (SICOT)
  • Member of British Limb Reconstruction Society
  • Member of the Orthopaedic Trauma Society
  • Member of AOTrauma Foundation
  • Member of British Association of Surgery of the Knee
  • Member of the British Hip Society
  • Member of World Orthopaedic Concern

Alan currently (2021) has 85 publications listed on Google Scholar.  He has over 600 citations with h-index of 13 and an i10-index of 13 (a measure of research impact).  Below is a selection of publications.

  1. Kuroda Y, Young M, Shoman H, Punnoose A, Norrish AR, Khanduja V. Advanced rehabilitation technology in orthopaedics—a narrative review. International Orthopaedics. 2020 Oct 13:1-8.
  2. Sumal AS, Jarvis GE, Norrish AR, Brassett C, Whitaker RH. The role of the angle of the fibularis longus tendon in foot arch support. Clinical Anatomy. 2020 Sep 28.
  3. Y Kuroda, M Saito, EN Çınar, A Norrish, V Khanduja. Patient-related risk factors associated with less favourable outcomes following hip arthroscopy: a scoping review. 2020. The Bone & Joint Journal 102 (7), 822-831
  4. TA Coughlin, JM Nightingale, Y Myint, DP Forward, AR Norrish, BJ Ollivere. Patient-reported outcomes in young patients with isolated fracture of the hip: mean 57 months’ follow-up. 2020. The Bone & Joint Journal 102 (6), 766-771
  5. ZB Hussain, H Shoman, PWP Yau, G Thevendran, F Randelli, M Zhang, MS Kocher, A Norrish, V Khanduja. Protecting healthcare workers from COVID-19: learning from variation in practice and policy identified through a global cross-sectional survey. 2020. Bone & Joint Open 1 (5), 144-151
  6. Raut, J. Kamal, A.R. Norrish, V. Khanduja. The impact of acetabular labral tears on sexual activity in women. Journal of Hip Preservation Surgery. 2019, Dec 6(4):301-303
  7. A.R. Norrish & C. Lavy. Fundamental principles in the Operating Theatre and the importance of Global Health.  Bailey & Love’s Short Practice of Surgery, 27th Edition: The Collector’s edition. Editors: Norman Williams, P Ronan O’Connell, Andrew McCaskie. 2018. CRC Press. ISBN 9781498796507
  8. YN Hammad, A Johnson, A.R. Norrish. Chronic osteomyelitis of the tibia in a runner: catastrophic consequences of shin splints. BMJ case reports .2018
  9. R Anderson, J Bates-Powell, C Cole, S Kulkarni, E Moore, A.R. Norrish, E Nickerson. Impact on length of hospital stay from dedicated infectious diseases input for orthopaedic infection patients compared with sporadic infection specialist input. 2017. Orthopaedic Proceedings 99 (SUPP_22), 29-29
  10. D’jon Lopez, E Moore, A.R. Norrish. Management of the infected total hip arthroplasty. Indian Journal of Orthopaedics. 2017. 51 (4), 397
  11. A Punnoose. A.R. Norrish and K. Pak. Extracorporeal shock wave therapy for achilles and patellar tendinopathy: meta-analysis and a systematic review of the literature. 2017. Journal of Physiotherapy and Physical Rehabilitation. 2:1, 1-7
  12. G Yip, S Lewis, A Norris, P Hull and A Carrothers. Capacity planning for the implementation of major trauma centres. Bulletin of the Royal College of Surgeons of England. March 2016. 98(3):122–126,
  13. H. Taki, M. Krkovic, E. Moore, A. Abood, A.R. Norrish. Chronic long bone osteomyelitis: diagnosis, management and current trends. Br J Hosp Med (Lond). 2016 Oct;77(Sup10):C161-C164.
  14. D. Lopez, E. Moore, E. Nickerson, A.R. Norrish. (2016) Indium-111 White-Cell SPECT CT Scan: An Emerging Imaging Modality With Great Potential In Bone And Joint Infection. Bone Joint J 98 (SUPP 23), 71- 72
  15. A. Punnoose, A.R. Norrish, A., I. Wellwood, & K. Pak (2015). The effectiveness of shockwave therapy on achilles and patellar tendinopathy: a systematic review and meta-analysis. Physiotherapy, 101, e1240.
  16. D.J.W. Cash, A.R. Norrish, V. Khanduja (2014) Establishing a link between Addenbrooke’s Hospital, Cambridge and Yangon General Hospital, Myanmar. Bone & Joint Journal News; Issue 3, 6-8
  17. H. Budd, B. Ollivere, A.R. Norrish (2014). Capacity Building in developing world orthopaedics: can senior trainees help? Bone & Joint 360, Vol. 3 Issue 4, 7-10
  18. Tew, D., Norrish, A.R. (2014) Chapter 19 ‘Orthopaedic cases’. Pg 223-235. A Surgeon’s Guide to Anaesthesia and Peri-operative Care, edited by J. Sturgess, J. Davies, K. Valchanov. Cambridge Orthopaedic Press
  19. T. Southorn, A.R. Norrish, K. Gardener, R. Baxandall (2013) Reducing the carbon footprint of the operating theatre: a multicentre quality improvement report. J Perioper Pract. 2013 Jun;23(6):144-6
  20. S. Daivajna, M. Kaminaris, D. Giotikas, and A.R. Norrish (2013) Low-intensity pulsed ultrasound (lipus) –an alternative treatment for non-union of long bone fractures? Bone Joint J 2013 vol. 95-B no. SUPP 23 28
  21. D. Giotikas, S. Daivajna, M. Kaminaris and A.R. Norrish (2013) Management of recalcitrant osteomyelitis of the native hip and pelvis with a two-stage debridement and a rectus femoris pedicled interposition graft: a case report of four operations. Bone Joint J 2013 vol. 95-B no. SUPP 23 15
  22. H. Parwaiz R. Baidyaray A. Norrish (2012) Day surgery in orthopaedic trauma: The cost savings and length of stay potential. Injury Extra; 43:10, 113
  23. De Rosa A, Norrish A. (2012) The need for early treatment of clubfeet in peripheral hospitals in sub- Saharan Africa: a survey of clubfoot management in Zambia. Trop Doct. 2012 Apr;42(2):125-6. Epub 2012 Feb 15.
  24. A. Norrish, J. Bates and W.J. Harrison. (2009) Chronic long bone osteomyelitis and limb length discrepancy: a prospective series of 42 patients. J Bone Joint Surg Br 2009 vol. 91-B no. SUPP I 130
  25. Norrish, A. R., Jibri, Z. A., Hopgood, P. (2009) The LISS plate treatment of supracondylar fractures above a total knee replacement: a case-control study. Acta Orthop. Belg., 2009, 75, 642-648.
  26. Lubega, N., Mkandawire, N. C., Sibande, G. C., Norrish, A. R., Harrison, W. J.. Joint replacement in Malawi: establishment of a national joint registry. Journal of Bone and Joint Surgery (Br). 2009, Vol. 91-B: 341-343.
  27. Richardson, J., Hill, A. M., Johnston, C. J. C., McGregor, A., Norrish, A. R., Eastwood, D., and Lavy, C. B. D.. Fracture healing in HIV-positive populations. Journal of Bone and Joint Surgery (Br), 2008; Vol. 90-B: 988 – 994.
  28. King, T., Le Quesne, H., Norrish, A. R.. Bilateral Panner’s disease and sickle cell anaemia: an unusual case. Annals of African Surgery. 2008. Vol. 2, Jun. 47-49.
  29. Norrish, A. R., Lewis, C. P., and Harrison, W. J.. Pin-track infection in HIV-positive and HIV-negative patients with open fractures treated by external fixation: a prospective, blinded, case-controlled study. Journal of Bone and Joint Surgery (Br), Jun 2007; 89-B: 790 – 793.
  30. Norrish A.R. ‘Worthy work. How to set up an advanced training fellowship abroad. Surgeons News, Jan 2007 6:1, 46
  31. Norrish, A. R., Rao, J & Parker, M.. Prosthesis survivorship and clinical outcome of the Austin Moore hemi- arthroplasty: an 8 year mean follow-up of a consecutive series of 500 patients. Injury, 2006 Aug; 37(8): 734-9.
  32. Norrish A.R. ‘In the footsteps of Dr Livingstone’: a report of an advanced training fellowship in Central Africa. Annals of the Royal College of Surgeons of England, 2006 (Suppl) 88: 306-307
  33. Norrish, A. R., Hanif, M., Sheikh, R. & Gadir, M.. The outcome of lumbar micro-discectomy performed as a day case procedure: a comparison of 67 consecutive patients undergoing surgery on a day case or inpatient basis. The Journal of One-Day Surgery. 2005 Vol. 15, No. 1, pg 74-76.
  34. Clifton, R., Norrish, A. R., Howell F. R.. Reducing blood loss after total hip arthroplasty: A prospective randomised controlled trial to evaluate the efficacy of temporarily clamping drains. Hip International; 2005 15:108-111.
  35. Johnston, P., Norrish, A. R., Brammer, T., Walton, N., Hegarty, T. A. & Coleman, N. P.. Reducing methicillin-resistant Staphylococcal aureus (MRSA) patient exposure by infection control measures. Annals of the Royal College of Surgeons of England. 2005 Mar; 87(2): 123-
Dimitrios Giotikas

Dimitrios Giotikas

Consultant Trauma and Orthopaedic Surgeon

Injury Prognosis
PO Box 1279,
Cambridge,
CB1 0UW

+44 (0) 1223 778211

Areas of orthopaedic medicolegal reporting expertise

  • Multiple fractures
  • Long bone fractures
  • Femur, tibia, humerus & forearm fractures
  • Bone loss & open fractures
  • Amputations for trauma
  • Bone & joint infection
  • Limb reconstruction using circular frames & external fixation
  • Post-traumatic limb deformity correction

Dr Giotikas primary medical qualification, the “Ptychio Iatrikes” (MBBS equivalent) was undertaken at the Aristoteleian University in Thessaloniki, Greece. He completed his medical qualification in July 1998. He continued my postgraduate surgical training thereafter in the Military Academy of Corps Officers of Hellenic Army (Medical section), receiving his postgraduate diploma in October of 1998. He completed his specialty training at a big tertiary hospital in Central Greece, to which the whole spectrum of orthopaedics was referred (general and complex trauma, infection, bone cancer, paediatric, cerebral palsy and complex arthroplasty). He was well trained with a broad and comprehensive knowledge in the management of a wide spectrum of orthopaedic disorders. In March 2008 he was awarded a Specialist Certificate in Trauma & Orthopaedics by the Greek Ministry of Health, marking the completion of his training.

In August 2011 he was registered on the United Kingdom Specialist Register for Trauma and Orthopaedic Surgery. Since 2012, he has worked at two of the biggest and busiest Major Trauma Centres and teaching hospitals in the UK; Addenbrookes Hospital in Cambridge and The John Radcliffe hospital in Oxford. Before he came to the UK, his 3.5-year experience as a Consultant at both district military hospital and war-zone hospital levels (in Greece and Afghanistan) equipped him to competently manage the full range of orthopaedic trauma. His clinical experience is precisely about the implementation of the Major Trauma pathway for polytrauma patients from their arrival to the hospital until their repatriation and often during their rehabilitation. He has acquired a thorough understanding of the procedures and problems relating to patient recovery and the short and long-term implications of trauma.
His PhD research was on minimally invasive total knee replacement. To date, he has presented or published projects sharing clinical experience (retrospective case series, comparative studies, case reports) and projects investigating clinical questions (RCT’s) on the fields of trauma, limb reconstruction and knee surgery.

Aug 2011 Specialist registration in Trauma and Orthopaedic Surgery, United Kingdom

Mar 2008 Specialist Certificate in Trauma & Orthopaedics (CCT equivalent), Greek Ministry of Health

Oct 1998 Military Academy of Corps Officers of Hellenic Army (Medical section) Diploma

Jul 1998 Primary Medical Qualification “Ptychio Iatrikes” (MBBS equivalent)
Aristoteleian University, Thessaloniki, Greece

Member of British Orthopaedic Association
Member of the Hellenic College of Orthopaedic Surgeons.
Member of Hellenic Association of Orthopaedic Surgery and Traumatology

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