Chris Colton

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Professor

Chris Colton

MB, BS, LRCP, FRCS, FRCSEd(Orth)
CLC BOA President 1995.jpg
President of British Orthopaedic Association 1995
Education Nottingham High School

Worksop College

St Thomas' Hospital, London
Medical career
Profession Orthopedic Surgery
Institutions Royal National Orthopaedic Hospital, London

Queens Medical Centre, Nottingham

University of Nottingham
Sub-specialties Trauma surgery
Paediatrics

Christopher Lewis Colton (born in September 1937) is an English orthopaedic surgeon and Professor Emeritus in Orthopaedic and Accident Surgery at the University of Nottingham. He is a past president of both the British Orthopaedic Association and of the AO Foundation.

Contents

Training and early career

Colton qualified in medicine and surgery in 1960, studying at St Thomas's Hospital Medical School in London. He became a Fellow of the Royal College of Surgeons of England in 1963. He pursued a career as an orthopaedic surgeon, studying in Bristol, at the Royal National Orthopaedic Hospital in London, and at Dala Orthopaedic Hospital at Kano in Northern Nigeria during the Biafran civil war. [1]

Surgical career

He was appointed as a Consultant Orthopaedic Surgeon in Nottingham in 1973. He was awarded an honorary title in Orthopaedic and Accident Surgery by the University of Nottingham in 1993, in recognition of his research and teaching in musculoskeletal trauma. [1] He served as president of the British Orthopaedic Association in 1995. [2] He held the presidency of the AO Foundation, a not-for-profit research and treatment centre for muscular trauma patients, from 1996 to 1998. [3]

Air crash injuries

Colton treated several casualties of the Kegworth air disaster in 1989 (in which a British Midland flight crashed onto the embankment of the M1 motorway) and he subsequently investigated the nature of the crash injuries. [4] [5] This project led to the first research-based definition of the passenger's brace position. [6] [7] [8] He is a member of the International Board for Research into Aircraft Crash Events (IBRACE). [9] [10]

Trauma surgery

Colton specialised in the treatment of skeletal injuries in both adults and children, with an emphasis on post-trauma reconstruction. He introduced the recognised Colton Classification of Olecranon Fractures in 1973. [11] He assisted his colleague Robert Mulholland to treat mountaineer Doug Scott, three weeks after he had badly fractured both legs in 1977 near the summit of Baintha Brakk in the Himalayas. [12] In September 1990, Colton, with his colleague John Webb, performed a bone graft on Prince Charles to restructure his fractured right arm following a polo accident. [13] [14] The operation was covered by The Times newspaper in a front-page article. [15]

In 1991, he operated on motorcycling world champion Ron Haslam, who had sustained an open fracture of his leg in a racing crash. When Haslam had fully recovered, he took Colton around the Donington Park race track on the back of a Norton motorbike. [16] After Kenyan conservationist Richard Leakey was critically injured when the light aircraft he was piloting crashed in Kenya in 1993, Queen Beatrix of the Netherlands paid for Colton to fly out to Nairobi to assess the treatment options. After ten operations in Nottingham, attempting to reconstruct his crushed legs, Colton eventually had to amputate both of Leakey's lower legs. [17]

Colton retired from surgical practice in 1997, partly in response to NHS healthcare reforms with which he disagreed. [18] Colton was granted Freedom of the City of London in 2007. [19] In 2015 he criticised the Labour Party's use of a fracture X-ray in its General Election campaign. [20] The "Chris Colton Trauma Lecture" is delivered each year at the University of Nottingham's Fracture Forum. [1]

Medical education

Colton has published articles and chapters in over 70 journals [11] [21] [22] [23] and books, including co-authoring the medical reference book, Atlas of Orthopaedic Surgical Approaches. [24]

He was Executive Editor of the AO Surgery Reference online guide for orthopaedic surgeons 2005–2011. [25]

Related Research Articles

<span class="mw-page-title-main">Orthopedic surgery</span> Branch of surgery concerned with the musculoskeletal and bones system

Orthopedic surgery or orthopedics is the branch of surgery concerned with conditions involving the musculoskeletal system. Orthopedic surgeons use both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, sports injuries, degenerative diseases, infections, tumors, and congenital disorders.

<span class="mw-page-title-main">Bone fracture</span> Physical damage to the continuity of a bone

A bone fracture is a medical condition in which there is a partial or complete break in the continuity of any bone in the body. In more severe cases, the bone may be broken into several fragments, known as a comminuted fracture. A bone fracture may be the result of high force impact or stress, or a minimal trauma injury as a result of certain medical conditions that weaken the bones, such as osteoporosis, osteopenia, bone cancer, or osteogenesis imperfecta, where the fracture is then properly termed a pathologic fracture.

<span class="mw-page-title-main">Cervical fracture</span> Medical condition

A cervical fracture, commonly called a broken neck, is a fracture of any of the seven cervical vertebrae in the neck. Examples of common causes in humans are traffic collisions and diving into shallow water. Abnormal movement of neck bones or pieces of bone can cause a spinal cord injury, resulting in loss of sensation, paralysis, or usually death soon thereafter, primarily via compromising neurological supply to the respiratory muscles as well as innervation to the heart.

<span class="mw-page-title-main">Clavicle fracture</span> Medical condition

A clavicle fracture, also known as a broken collarbone, is a bone fracture of the clavicle. Symptoms typically include pain at the site of the break and a decreased ability to move the affected arm. Complications can include a collection of air in the pleural space surrounding the lung (pneumothorax), injury to the nerves or blood vessels in the area, and an unpleasant appearance.

<span class="mw-page-title-main">Pelvic fracture</span> Broken bone in nonacetabular portions of pelvis

A pelvic fracture is a break of the bony structure of the pelvis. This includes any break of the sacrum, hip bones, or tailbone. Symptoms include pain, particularly with movement. Complications may include internal bleeding, injury to the bladder, or vaginal trauma.

<span class="mw-page-title-main">AO Foundation</span> Medical organisation based in Switzerland

The AO Foundation is a nonprofit organization dedicated to improving the care of patients with musculoskeletal injuries or pathologies and their sequelae through research, development, and education of surgeons and operating room personnel. The AO Foundation is credited with revolutionizing operative fracture treatment and pioneering the development of bone implants and instruments.

<span class="mw-page-title-main">Open fracture</span> Medical condition

An open fracture, also called a compound fracture, is a type of bone fracture that has an open wound in the skin near the fractured bone. The skin wound is usually caused by the bone breaking through the surface of the skin. Open fractures are emergencies and are often caused by high energy trauma such as road traffic accidents and are associated with a high degree of damage to the bone and nearby soft tissue. An open fracture can be life threatening or limb-threatening due to the risk of a deep infection and/or bleeding. Other complications including a risk of malunion of the bone or nonunion of the bone. The severity of open fractures can vary. For diagnosing and classifying open fractures, Gustilo-Anderson open fracture classification is the most commonly used method. It can also be used to guide treatment, and to predict clinical outcomes. Advanced trauma life support is the first line of action in dealing with open fractures and to rule out other life-threatening condition in cases of trauma. The person is also administered antibiotics for at least 24 hours to reduce the risk of an infection. Cephalosporins are generally the first line of antibiotics. Therapeutic irrigation, wound debridement, early wound closure and bone fixation are the main management of open fractures. All these actions aimed to reduce the risk of infections. The bone that is most commonly injured is the tibia and working-age young men are the group of people who are at highest risk of an open fracture. Older people with osteoporosis and soft-tissue problems are also at risk.

Peter Gordon Lawrence Essex-Lopresti FRCS Ed. was a British orthopaedic surgeon remembered for describing the Essex-Lopresti fracture and for his work on classification and treatment of fractures of the calcaneus.

Sir Frank Wild Holdsworth was an English orthopaedic surgeon remembered for pioneering work on rehabilitation of spinal injury patients. He described the Holdsworth fracture of the spine in 1963.

<span class="mw-page-title-main">Richard Lindsey Batten</span> English orthopaedic surgeon (1920–1997)

Richard Lindsey Batten FRCS was an English orthopaedic surgeon. He established the first blood bank in Nigeria, and introduced in Britain the AO technique for internal fixation of fractures. He taught orthopaedics at the Birmingham General Hospital, and was the first editor of the scientific trauma journal Injury

<span class="mw-page-title-main">Femoral fracture</span> Broken femur, at shaft or distally

A femoral fracture is a bone fracture that involves the femur. They are typically sustained in high-impact trauma, such as car crashes, due to the large amount of force needed to break the bone. Fractures of the diaphysis, or middle of the femur, are managed differently from those at the head, neck, and trochanter; those are conventionally called hip fractures. Thus, mentions of femoral fracture in medicine usually refer implicitly to femoral fractures at the shaft or distally.

<span class="mw-page-title-main">Olecranon fracture</span> Medical condition

Olecranon fracture is a fracture of the bony portion of the elbow. The injury is fairly common and often occurs following a fall or direct trauma to the elbow. The olecranon is the proximal extremity of the ulna which is articulated with the humerus bone and constitutes a part of the elbow articulation. Its location makes it vulnerable to direct trauma.

William Angus Wallace is a Scottish orthopaedic surgeon. He is Professor of Orthopaedic and Accident Surgery at the Faculty of Medicine & Health Sciences of the University of Nottingham. He came to widespread public notice for a life-saving surgery he performed using improvised equipment on a British Airways flight in 1995, and for treating Wayne Rooney before the 2006 FIFA World Cup.

<span class="mw-page-title-main">Rob Atkinson (surgeon)</span> Australian surgeon

Brigadier Robert Neville Atkinson,, FAMA is an Australian orthopaedic surgeon and retired senior officer of the Royal Australian Army Medical Corps, best known for his contributions to trauma and military surgery.

<span class="mw-page-title-main">Pilon fracture</span> Medical condition

A pilon fracture, is a fracture of the distal part of the tibia, involving its articular surface at the ankle joint. Pilon fractures are caused by rotational or axial forces, mostly as a result of falls from a height or motor vehicle accidents. Pilon fractures are rare, comprising 3 to 10 percent of all fractures of the tibia and 1 percent of all lower extremity fractures, but they involve a large part of the weight-bearing surface of the tibia in the ankle joint. Because of this, they may be difficult to fixate and are historically associated with high rates of complications and poor outcome.

The following outline is provided as an overview of and topical guide to trauma and orthopaedics:

<span class="mw-page-title-main">Müller AO Classification of fractures</span>

The Müller AO Classification of fractures is a system for classifying bone fractures initially published in 1987 by the AO Foundation as a method of categorizing injuries according to therognosis of the patient's anatomical and functional outcome. "AO" is an initialism for the German "Arbeitsgemeinschaft für Osteosynthesefragen", the predecessor of the AO Foundation.

A tension band wire is a form of orthopaedic internal fixation method used to convert distraction forces into compression forces, promoting bone healing.

The International Board for Research into Aircraft Crash Events (IBRACE) was founded on 21 November 2016 by a group of subject-matter experts in aviation, engineering, clinical medicine, and human factors. These experts are associated with organizations that include the Civil Aerospace Medical Institute, USA (CAMI); Cranfield University, England; GRM Consulting Ltd., England; Spire Liverpool Hospital, England; TÜV Rheinland, Germany; the University of Calgary, Canada; the University of Nottingham, England; and Wonkwang University, Korea.

Andrew Russell Murray FRCSEd was an Australian orthopaedic surgeon who pioneered developments in hand surgery while working at Leith Hospital, Scotland. These included pollicisation, the use of stainless steel joint prostheses to replace finger joints and the use of wire to stabilise finger fractures and bone grafts. He later worked as an orthopaedic surgeon in Brisbane, Australia. On 1 December 1955 he was shot dead by Karl Kast in the "Brisbane medical massacre".

References

  1. 1 2 3 "Bone & Joint 360 Author Feature". Bone & Joint Publishing . April 2013. Retrieved 23 April 2020.
  2. ↑ "Archives". British Orthopaedic Association . Archived from the original on 19 September 2020. Retrieved 21 January 2020.
  3. ↑ "AO Presidents". www.aofoundation.org. Retrieved 21 January 2020.
  4. ↑ Rowles, J. M.; Kirsh, G.; Macey, A. C.; Colton, C. L. (April 1992). "The use of injury scoring in the evaluation of the Kegworth M1 aircrash". The Journal of Trauma. 32 (4): 441–447. doi:10.1097/00005373-199204000-00006. ISSN   0022-5282. PMID   1569616.
  5. ↑ Ed W Angus Wallace, John M Rowles, Christopher L Colton (17 June 1995). "Management of Disasters and their Aftermath". BMJ. 310 (6994): 1615. doi:10.1136/bmj.310.6994.1615. ISSN   0959-8138. S2CID   72711560.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  6. ↑ Rowles, John (1992). "Impact Biomechanics of the Pelvis and Lower Limbs. in Occupants Involved in an Impact Aircraft Accident". University of Nottingham eTheses. Archived from the original on 23 August 2020. Retrieved 23 April 2020.
  7. ↑ Brownson, Peter (1993). "The brace position for passenger aircraft: a biomechanical evaluation" (PDF). University of Nottingham eTheses. Archived (PDF) from the original on 7 February 2017. Retrieved 23 April 2020.
  8. ↑ Civil Aviation Authority (1995). "A Study of Aircraft Brace Positions for Impact". CAA Paper. 95004.
  9. ↑ Davies, J. M., Wallace, W.A., Colton, C.L., & Yoo, K.I. (May 2018). "Two Aviation Accident Investigation Questionnaires for Passenger and Crew Survival Factors and Injuries". Aerospace Medicine and Human Performance. 89 (5): 483–486. doi:10.3357/AMHP.5030.2018. PMID   29673436 – via ResearchGate.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  10. ↑ Davies, Jan. "The Head Injury Criteria and Future Accident Investigations" (PDF). International Society of Air Safety Investigators. Archived (PDF) from the original on 25 July 2020. Retrieved 23 April 2020.
  11. 1 2 Colton, C. L. (1 January 1973). "Fractures of the olecranon in adults: classification and management". Injury. 5 (2): 121–129. doi:10.1016/S0020-1383(73)80088-9. ISSN   0020-1383. PMID   4774763.
  12. ↑ Scott, Doug (2017). The Ogre: Biography of a mountain and the dramatic story of the first ascent. Vertebrate Publishing. ISBN   978-1911342793.
  13. ↑ Wilson, Christopher (2003). The Windsor Knot: Charles, Camilla, and the Legacy of Diana. Citadel Press. ISBN   978-0806523866.
  14. ↑ Pittam, David (4 August 2017). "Cerebal palsy patient who now works at QMC thanks doctors for years of care". nottinghampost. Retrieved 21 January 2020.
  15. ↑ "Surgeon keeps the royal presshounds at bay". The Times. 24 September 1990.
  16. ↑ Haslam, Ron (2008). Rocket Men. Bantam Press. p. 260. ISBN   978-0553819366.
  17. ↑ "White Man's Burden". Sunday Telegraph Magazine. 17 June 1995.
  18. ↑ "Health reforms attacked by bishop as top surgeon quits". The Independent. 3 July 1995. Retrieved 21 January 2020.
  19. ↑ Freedom of City of London certificate R.CO.CO.12.9.2007
  20. ↑ Turner, Camilla (24 March 2015). "Labour accused of using 'inappropriate' election poster image of potential 'victim of child abuse'". The Daily Telegraph. ISSN   0307-1235 . Retrieved 21 January 2020.
  21. ↑ Johnson, J. R. (1988). "Orthopaedics. The principles and practice of musculoskeletal surgery. S. P. F. Hughes, M. K. D'A. Benson and C. L. Colton. 250 × 185 mm. Pp. 1077. Illustrated. 1987. Edinburgh: Churchill Livingstone. £125.00". British Journal of Surgery. 75 (6): 623. doi:10.1002/bjs.1800750647. ISSN   1365-2168.
  22. ↑ Colton, Christopher L. (1 January 1988). "An historical perspective of fracture surgery". Current Orthopaedics. 2 (1): 28–31. doi:10.1016/0268-0890(88)90055-2. ISSN   0268-0890.
  23. ↑ Colton, C. (1 April 2013). "Orthopaedic challenges in Ancient Egypt". Bone & Joint 360. 2 (2): 2–7. doi:10.1302/2048-0105.22.360124. ISSN   2048-0091.
  24. ↑ Stableforth, P. G. (1992). "Atlas of orthopaedic surgical approaches. C. L. Colton and A. J. Hall. 286 × 225 mm. Pp. 216 + viii. Illustrated. 1991. Oxford: Butterworth-Heineniann. £80". BJS (British Journal of Surgery). 79 (4): 377. doi:10.1002/bjs.1800790446. ISSN   1365-2168.
  25. ↑ "AO Surgery Reference". Archived from the original on 20 March 2006.
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