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Birmingham Orthopedic Foot and Ankle Clinic - Hari Prem:A Brief Resume

BASIC MEDICAL DEGREE – MBBS: 1987

POST GRADUATE QUALIFICATIONS:
MS ORTH (Master of Surgery –Orthopaedics) – 1990
FRCS (Tr & Orth) –2002

FELLOWSHIPS – (TRAINING IN SPECIAL FIELDS WITHIN ORTHOPAEDICS):
Arthroscopy and Arthroplasty Fellowship – Adelaide Australia – 1996
Paediatric Orthopaedic Surgery – Manchester -2004
Ankle Replacement Surgery – Wigan (Manchester) -2005

PROFESSIONAL MEMBERSHIPS:
British Society for Children’s Orthopaedic Surgery
British Orthopaedic Foot and Ankle Society
Fellow of the Royal College of Surgeons of England

UK ORTHOPAEDIC TRAINING:
Year 1-4 Registrar Rotation -Based at Guy’s and Thomas’ Hospitals, London , with postings at hospitals in Dartford, Croydon and Lewisham.
Year 5-6 Registrar Rotation – Based at Manchester - Paediatric Orthopaedic Training at Booth Hall Children’s Hospital followed by an Ankle Replacement Fellowship with Mr.Wood at Wrightington Hospital. Mr.Wood who recently retired, is a world renowned expert in this field and had done the maximum number of ankle replacements in the UK, at that time.

AUSTRALIAN TRAINING (3 YEARS in SOUTH AUSTRALIA):
Flinders Medical Centre at Flinders University
Royal Adelaide Hospital
Mobdury Public Hospital
Queen Elizabeth Hospital

RESEARCH INTERESTS
The foot has a complex and fascinating biomechanical function and it consists of nearly 30 joints packed together! The main focus of my studies has been to look at the biomechanical aspects current surgeries and where possible implement surgical methods early, to realign the deformities, so that joints can be kept moving and arthritis prevented.

I have special interest in the causes of pain in flatfeet and clubfeet.

IMPORTANT SCIENTIFIC PUBLICATIONS AND PRESENTATIONS:
Acquired unilateral pes planus in a child caused by a ruptured plantar calcaneonavicular (spring) ligament. Shuen V, Prem H. J Pediatr Orthop B. 2009 May;18(3):129-30.

Total ankle replacement: medium-term results in 200 Scandinavian total ankle replacements. Wood PL, Prem H, Sutton C. J Bone Joint Surgery Br 2008 May;80 (5): 605-9

Major Paediatric Orthopaedic Surgery on a afternoon day case list – BCH experience – British Society for Children’s Orthopaedic Surgery, Bristol, June 2008

Soft tissue Ilizarov correction of congenital talipes equinovarus--5 to 10 years postsurgery. Prem H, Zenios M, Farrell R, Day JB. J Pediatr Orthop. 2007 Mar;27(2):220-4.

Change of AP tibio-talar alignment after total ankle replacement – British Orthopaedic Foot and Ankle Society, Oxford, Nov 2005

AREAS OF EXPERTISE AND SPECIAL INTEREST:
Foot and ankle Surgery in adults and children
Limb lengthening and correction of birth deformities
Non-union or mal-union of tibia or of bones in the foot and ankle

TEACHING AND TRAINING:
I enjoy teaching medical and nursing students and consider it a privilege to be involved in training of future orthopaedic surgeons. I am currently an educational supervisor for F2 (Foundation Year 2 doctors) at the Birmingham Children’s Hospital. At the Royal Orthopaedic Hospital, a Registrar (orthopaedic trainee) and a senior Fellow (for specialist training in Foot and Ankle surgery) are part of my unit.

I lecture at FRCS Orth examination courses and have been part of the faculty at courses in the field of Paediatric Orthopaedics and Foot and Ankle surgery

THE NON-MEDICAL SIDE!
The greatest joys of my life are the things I do with my wife and daughter. We share a common enthusiasm for badminton, cycling, music, gardening, travel and making desserts! Close ties with my extended family are also important to me. I am fortunate to have a network of friends with whom I have a regular schedule of social events both for fun and charity.