||RECENT CHANGES TO CLINICAL PRACTICE
2011 onwards: Adoption of ‘wide awake’ local anaesthetic for medium to minor hand surgery cases. Buffering and adrenalin mixed with local anaesthetic minimises pain on injection and bleeding during surgery. Very good for common proceedures such as Carpal Tunnel Release.
2012 onwards: Good experience of collagenase injection for modest and selected Dupuytrens’ cases
2013: Mr Savage successfully completes annual appraisal of practice.
2013: Mr Savage successfully completes General Medical Council Revalidation for Fitness to Practice, a rigorous multifaceted assessment of all areas of clinical practice and conduct, including high scores for 360 appraisal by colleagues and patient feedback, and facilitator interview.
2014: successful use on hand fracture ‘locking’ plates for complex fractures
Mr. Robert Savage was appointed Consultant to the Royal Gwent Hospital in 1990. His practice is dedicated to Hand Surgery, which is a sub-specialty of Orthopaedic and of Plastic Surgery, and encompasses Upper Limb Surgery.
He uses standard and advanced techniques of medical and surgical treatment for hand conditions including Nerve compression, Dupuytren’s contracture [including the Collagenase injection], Rheumatoid hand arthritis, Fractures and joint injuries of the hand and wrist, hand Tumours and Swellings. He performs surgery to the shoulder for impingement, arthritis, tendon rupture and fractures
For many years he has worked for the British Society for Surgery of the Hand, a charity whose principle aim is to promote training, education and research in hand disorders. He was an invited member of the Editorial board of The Journal of Hand Surgery (European) from 1997 to 2000 and continues to review papers. He was elected to the Society’s Council [2002-2005] Honorary Secretary [2003-2006] and Honorary Treasurer [2010-2014] and has held a number of other related committee posts.
He has many peer reviewed original publications in Hand and Orthopaedic Journals and book chapters for national and international publication. He has taught at national and international meetings mainly on his principle research interest of tendon repair methods.
He is a member of the British Orthopaedic Association, the British Society for Surgery of the Hand, and the Royal Colleges of Surgery of England and of Edinburgh.
Mr Savage contributes to local teaching of undergraduates, postgraduate surgical trainees, nurses and physiotherapists, through clinical teaching symposia and lectures. He has lectured at National training and scientific meetings on Hand Surgery topics. In Cardiff he is a regular lecturer and demonstrator on a training course for junior surgeons.
Since 2005 Mr Savage has been invited guest lecturer, in Spain, Australia, Greece, South Korea, China, and America - here, as a guest of the American Society for Surgery of the Hand - to symposia on tendon repairs including his original six strand repair technique, flexor sheath pulley management, and tendon repair rehabilitation.
Mr. Savage graduated in Medicine at the London Hospital Medical College, one of the traditional teaching hospitals of London University, in 1976, obtaining the degree MB BS [Bachelor of Medicine and Bachelor of Surgery]. After junior posts in medicine, surgery and orthopaedics he passed the FRCS [General Surgery] examination in 1981.
To obtain Higher Surgical Training he was appointed to the Cardiff and Newport rotation in Trauma and Orthopaedic Surgery. He obtained further training in Hand Surgery at the St. Lawrence Regional Plastic Surgery Centre where Hand Surgery was performed to a high standard. In 1987 he was appointed to a Fellowship in Hand Surgery at the prestigious Derby Hand Unit.
He passed the Trauma and Orthopaedic specialty examination, FRCS [Orth] from the Royal College of Surgeons of Edinburgh in 1989.
In 1991 he was awarded the higher medical degree MS [Master of Surgery] by London University, for his research work on the Mechanics of Flexor Tendon Repairs.
In Continuing Medical Education he learns through twice yearly training courses run by the British Society for Surgery of the Hand, and the European and International Federations of Hand Surgery Societies.
He has passed ‘annual appraisal’ and ‘revalidation’ as set out by the General Medical Council.
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