BOA 2023 Naughton Dunn Lecture: Incremental Changes - Lessons from the Past for the Present and Future

Description

The lecture delivered by Don McBride at the Naughton Dunn Lecture presents an engaging blend of humor, personal anecdotes, and insightful reflections on the evolution of orthopedic practices, particularly in foot and ankle surgery. McBride initiates with a light-hearted comment about his water intake before diving into the heart of his message.



He extends gratitude to the British Orthopaedic Foot & Ankle Society (BOFAS) for allowing him to speak, reminiscing about years spent attending its lectures, and highlighting the iconic presence of Jo Millard, a prominent figure in the field. McBride mentions various influential mentors and figures in his career, including the late Eric Anderson, illustrating the impact of their teachings and contributions to his understanding of orthopedic surgery.



Throughout the lecture, McBride juxtaposes historical quotes with modern practices, references recent advancements in technology, and discusses the delicate balance between utilizing innovative methods versus traditional hands-on approaches. A significant part of his address focuses on the guidelines for venous thromboembolism (VTE) and the slow progress of developing consensus in orthopedic practices.



McBride emphasizes the importance of patient selection and adapting procedures based on evidence, using his experience with calcaneal fractures as a case study. He expresses the challenges faced by orthopedic surgeons in light of rising technological advancements that may not always be readily accessible to the global population.



Concluding with profound observations about population growth and sustainability in the healthcare sector, McBride reiterates that many individuals worldwide still lack access to these technological advances, advocating for a return to fundamental values in medicine that prioritize patient-centered care above all. His talk ends on a note encouraging collaboration, innovation, and continuous questioning of established practices in the field of orthopedics.

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