Mr Phillip Johnston MD FRCS (Tr & Orth)

Philip Johnston

Mr Johnston was educated at Eastbourne College in East Sussex and read Medicine at Cambridge University (Downing College) and at the School of Clinical Medicine at Addenbrooke's Hospital in Cambridge. He qualified as a doctor in 1995 and was included on the specialist register for Trauma & Orthopaedics from 2008. He was appointed Consultant in 2009. His qualifications include BA Hons (Neurosciences), MB BChir, MA (Cantab), MD and FRCS (Tr & Orth).

His basic surgical training included lecturing in anatomy at Cambridge University and junior doctor posts at Guy's, The Royal Free, Chelsea & Westminster and Atkinson Morley's Hospitals in London. Pre-specialist orthopaedic posts included Kingston Hospital in Surrey and New Cross Hospital in Wolverhampton. His specialist orthopaedic training was based in East Anglia, with a final year spent on a Royal College of Surgeons of England Fellowship in hand surgery.

During his specialist training, he undertook a period of laboratory-based research into molecular influences in Dupuytren's disease, leading to the award of MD. He has published scientific papers in relation to Dupuytren's disease and also in thumb base arthritis, ganglion, hip fracture, clavicle fracture, infection control and frozen shoulder. He has presented nationally and internationally on many topics relating to hand & wrist, upper limb trauma and general trauma. Mr Johnston practices in both the NHS and the Independent Sector, subspecialising in conditions of the hand and wrist, and in general trauma to the upper limb. Conditions commonly seen include carpal tunnel syndrome, degenerative conditions of tendons (trigger finger, trigger thumb and other painful conditions around the wrist and elbow) and conditions related to arthritis (base of thumb, wrist and fingers). Injuries commonly seen include wrist (distal radius) fracture, scaphoid fracture, wrist sprain, finger and thumb ligament injury and fractures in the digits. The majority of conditions do not require surgery.

Common operations undertaken include carpal tunnel decompression, trigger finger release, excision of ganglion, treatment for Dupuytren's, trapeziectomy and other operations for hand and wrist osteoarthritis.

He also undertakes treatments for traumatic conditions including fixation of wrist fractures (distal radius and scaphoid) and reconstruction following these injuries (osteotomy for distal radius malunion and bone grafting and fixation for scaphoid non-union).

The British Society for Surgery of the Hand (BSSH) collects surgeon-specific outcome data following surgery for basal thumb arthritis and for Dupuytren's. Mr Johnston's outcome scores following trapeziectomy (treatment for basal thumb osteoarthritis) are better than the national average comparing with all other contributing hand surgeons in the UK. Similarly, his BSSH outcome scores for Dupuytren's surgery are on a par with the national average.

In total over the past 8 years, he has performed, or supervised, just over 4500 operative procedures, or on average approximately 560 operations annually. Within this, on average per year, are 95 carpal tunnel decompressions, 14 operations for basal thumb arthritis, 42 Dupuytren's procedures, 20 trigger digit releases, 12 scaphoid procedures (acute fixation or treatment of non-union) and 30 procedures for distal radius fracture.

Mr Johnston maintains an up to date knowledge-base through attendance at specialist meetings (British Society for Surgery of the Hand, British Orthopaedic Association) and has acted as faculty on courses run by both organisations, for example BSSH instructional course series, e.g. http://www.bssh.ac.uk/_userfiles/pages/files/professionals/Events/6_6%20Faculty.pdf

In addition, he acts as faculty for AOUK, the foremost international fracture management organisation, which aims to educate surgeons from medical school to retirement (lifelong learning) and which runs arguably the best fracture fixation courses in the world, e.g. http://www.aouk.org/01_course.html