Content area
The images are excellent but the site is not very user friendly and can be difficult to navigate.*** http://www.netanatomy.com/ Has some excellent cross-sectional pages at various levels of both upper and lower limbs and the trunk and is well worth a look.**** http://www.jbjs.org.uk/ The Journal of Bone and Joint Surgery has full online access to back issues for subscribers along with links to upcoming courses and events for trainees and consultants.**** http://www.ejbjs.org/ The American journal has online access to issues, CME resources and online quizzes and examinations.**** http://www.wheelessonline.com/ Wheeless's online textbook is a useful resource for a overview of subjects but can be text heavy with few pictures.** http://www.siumed.edu/surgery/ortho/residents/ The Southern Illinois University School of Medicine orthopaedic resident's site has some good descriptions on joint injection/aspiration and local anaesthetic blocks and basic patient management and is a useful resource for junior trainees.*** http://www.orthopaedics.co.uk/ A great resource for trainees with information about pathology, management and rehabilitation mainly of knee pathology. The Stryker trauma pages <http://www.trauma.stryker.com/physicians/index.php> are also well worth a browse with the operative techniques for their trauma implants.**** Synthes, the commercial company affiliated with the AO Foundation, has an excellent website with access to all its current and many older operative techniques <http://www.synthes.com/html/Product-Literature.6952.0.html>.***** Depuy <http://www.depuy.co.uk> has a huge site with operative techniques, operative video and is worth sticking in your bookmarks.***** Smith and Nephew <http://ortho.smith-nephew.com/uk/Home.asp> also has product information. Easy to navigate and useful, this site is a real find.***** Zimmer <http://www.zimmer.co.uk> has a fairly commercial site but you can register for access to product guides and operative techniques.*** Biomet <http://www.biomet.com> has operative techniques and product overviews available for download without registration.**** Acumed <http://www.acumed.net/> requires registration to access its detailed product information but also has useful case studies, highlighting its products with some good images.***** Management and government sites There are many political and management sites that a trainee can utilise while preparing for interview. <www.nice.org.uk>, <www.doh.gov.uk>, <www.healthcarecommission.org.uk>, <www.npsa.nhs.uk/>, and <www.gmc-uk.org/> are just a few to get you started.
The way orthopaedic trainees gain and utilise information is changing. The internet provides a vast resource of knowledge for the potential ‘orthopod’ to use, browse and regurgitate. The problem lies in sorting the wheat from the chaff. Searching for information on diagnosis and treatment options is a minefield of excellent resources and crank mumbo jumbo sitting next to each other. Searching for an image is almost as likely to have you up in court or before the GMC as finding what you want. This review aims to point trainees in the right direction to finding knowledge and resources on the net.
Educational websites
http://www.orthoteers.com/
An excellent resource for revision and day-to-day use. Constantly being updated and expanded it provides information on all major branches of orthopaedics along with an excellent image database. It has successfully negotiated the transition from free to commercial while retaining its credibility as the internet answer to Miller's textbook (Review of Orthopaedics).*****
http://www.shoulderdoc.co.uk/index.asp
Mr Len Funk's other site provides information on a wide variety of upper limb problems and also has some excellent interactive tools and links and access to Stephen Copeland's now out-of-print text on shoulder surgery.****
http://ortho.hyperguides.com/
A free resource provided by Stryker and it has some tutorials, lectures and video streaming of surgery.****
http://som.flinders.edu.au/FUSA/ORTHOWEB/notebook/home.html
A good Australian site, text-based with few images.***
www.worldortho.com
This Australian site has a large image database along with online textbooks and quizzes.***
http://www.instantanatomy.net/
A free anatomy resource which is fairly basic but has some good surface anatomy diagrams along with diagrams of muscle insertion/origin and innervations.***
http://www.bartleby.com/107/
More detailed anatomy can be found at this free online version of Gray's Anatomy textbook. The images are excellent but the site is not very user friendly and can be difficult to navigate.***
http://www.netanatomy.com/
Has some excellent cross-sectional pages at various levels of both upper and lower limbs and the trunk and is well worth a look.****
http://www.jbjs.org.uk/
The Journal of Bone and Joint Surgery has full online access to back issues for subscribers along with links to upcoming courses and events for trainees and consultants.****
http://www.ejbjs.org/
The American journal has online access to issues, CME resources and online quizzes and examinations.****
http://www.wheelessonline.com/
Wheeless's online textbook is a useful resource for a overview of subjects but can be text heavy with few pictures.**
http://www.siumed.edu/surgery/ortho/residents/
The Southern Illinois University School of Medicine orthopaedic resident's site has some good descriptions on joint injection/aspiration and local anaesthetic blocks and basic patient management and is a useful resource for junior trainees.***
http://www.orthopaedics.co.uk/
A great resource for trainees with information about pathology, management and rehabilitation mainly of knee pathology. The rehabilitation and return-to-function sections are particularly useful as this is often information patients want and trainees don't have.****
Orthopaedic manufacturers' websites
Stryker <http://www.stryker.co.uk/> has some information on its products and excellent links to the Exeter and Avon websites, <http://www.exeterhip.co.uk> and <http://www.avonpatella.com/index3>, which have background information along with operative techniques and pre-operative planning. The Stryker trauma pages <http://www.trauma.stryker.com/physicians/index.php> are also well worth a browse with the operative techniques for their trauma implants.****
Synthes, the commercial company affiliated with the AO Foundation, has an excellent website with access to all its current and many older operative techniques <http://www.synthes.com/html/Product-Literature.6952.0.html>.*****
Depuy <http://www.depuy.co.uk> has a huge site with operative techniques, operative video and is worth sticking in your bookmarks.*****
Smith and Nephew <http://ortho.smith-nephew.com/uk/Home.asp> also has product information. However, the link they provide to residents' corner <http://www.residentscorner.com/default.asp?pid=&flash=true> is superb with anatomy, surgical approaches and product manuals. Easy to navigate and useful, this site is a real find.*****
Zimmer <http://www.zimmer.co.uk> has a fairly commercial site but you can register for access to product guides and operative techniques.***
Biomet <http://www.biomet.com> has operative techniques and product overviews available for download without registration.****
Acumed <http://www.acumed.net/> requires registration to access its detailed product information but also has useful case studies, highlighting its products with some good images.*****
Management and government sites
There are many political and management sites that a trainee can utilise while preparing for interview. <www.nice.org.uk>, <www.doh.gov.uk>, <www.healthcarecommission.org.uk>, <www.npsa.nhs.uk/>, and <www.gmc-uk.org/> are just a few to get you started. It is also a good idea to look up local sites when going for an interview.
Invaluable information can be gained from the trust's website, the local MP's or MSP's websites and the local press to obtain knowledge on local issues affecting the department you hope to work in.
Peter Gallacher1, Richard Roach2, and
1Department of Trauma and Orthopaedics, Stafford General Hospital Stafford ST16 3SA, UK
2Department of Orthopaedics, Princess Royal Hospital Telford TF1 6TF, UK
Copyright Royal College of Surgeons of England Sep 2008