Stuart William Waterston

• NHS Tayside

Limitations in surgical training time have reduced the number of microvascular procedures carried out by plastic surgery trainees. Cadaveric dissection can complement learned technique and improve confidence1. Traditional formalin fixation techniques produce relatively rigid tissues that do not provide a realistic simulation of live surgical dissec...

In the UK higher specialist surgical training can begin a minimum of two years following graduation from medical school and currently lasts at least seven or eight years depending on specialty. This is far from the whole story for most trainees, however. Due to high levels of competition, extended periods at pre-specialist training level or formal...

Release and autografting remains a mainstay of treatment of cutaneous and joint-associated contractures. However, owing to secondary contraction of grafts and the increase of children undergoing burn reconstructive surgery, recurrence of contractures is not uncommon. Locally available, well-vascularised tissue that will contract minimally and grow...

Many of the ideas contained within the GMC's 'Tomorrow's Doctors' could be considered as old ideas reworked for modern medical education. Sir John Struthers, a pioneer in the field of medical education, touched on many of the issues in 'Tomorrow's Doctors' in his writings published over one hundred years ago. The study of the history of medicine, o...

To ascertain whether tendon samples harvested from patients with calcific insertional Achilles tendinopathy showed features of failed healing response, and whether abnormal quantities of type II collagen had been produced in that area by these tenocytes. Comparative laboratory study. University teaching hospitals. Tendon samples were harvested from...

This series highlights a previously unreported hazard for children within the home, hair straightening irons. Thermal injury is a common reason for presentation at the emergency department. Contact burns from domestic irons and hair curling tongs are well documented in the literature. We have become aware of this new hazard in the home, which has r...

To ascertain the differences in patients' perceived outcomes between conservative, percutaneous or open repair of Achilles tendon ruptures. We studied 111 patients who had been managed for a unilateral closed Achilles tendon rupture. We excluded patients with open Achilles tendon lesions, patients whose tear had occurred more than seven days from o...

There is considerable and ongoing debate surrounding the teaching of anatomy to medical students, and the anatomical knowledge of those medical students once they graduate. Few attempts have been made to gather the opinions of clinicians on this subject. A questionnaire was sent to 362 senior clinicians in hospitals affiliated to the University of...

Sir John Struthers (1823--1899), a past president of the Royal College of Surgeons of Edinburgh and Regius Professor of Anatomy at the University of Aberdeen, was an accomplished scientist and medical educator. Much of his career was spent in shaping the medical curriculum of the nineteenth century. He was a strong proponent of a sound basic scienc...

To ascertain whether lectins could be a useful tool for investigation of the extracellular matrix of degenerated and normal tendons. Hematoxylin-eosin-stained slides were assessed blindly using a semiquantitative grading scale for fiber structure, fiber arrangement, rounding of the nuclei, regional variations in cellularity, increased vascularity,...

To test whether the association between blood groups and Achilles tendon rupture (ATR) reported in some Scandinavian countries and in Hungary was present in our region. We studied 78 patients treated at Aberdeen Royal Infirmary from 1990 to 1996, and compared their distribution of ABO blood groups with that found in 24.501 blood donors typed at the...

Type I collagen is the main collagen in tendons; type III collagen is present in small amounts. Ruptured Achilles tendons contain a significantly greater proportion of type Ill collagen, which predisposes them to rupture. We used an in vitro model to determine whether tenocytes from Achilles tendons that were ruptured (N = 22), nonruptured (N = 7),...

To determine the incidence of Achilles tendon rupture in Scotland from 1980 to 1995. Retrospective analysis of prospectively collected data. Data were obtained from the National Health Service Information and Statistics Division and analyzed in terms of age- and gender-specific incidence rates and time trends by age group. A total of 4,201 patients...

Many of the ideas contained within the GMC's 'Tomorrow's Doctors' could be considered as old ideas reworked for modern medical education. Sir John Struthers, a pioneer in the field of medical education, touched on many of the issues in 'Tomorrow's Doctors' in his writings published over one hundred years ago. The study of the history of medicine, o...