Clinical updates, teaching notes, and editorial context.
A compact update layer for evidence shifts, practical clinical learning, and changes to the reference library. Articles are organised for fast scanning before deeper study.
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- 20 Aug 2026
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7 articles in safety
Never Events: Wrong Site, Wrong Implant, Retained Items
Wrong site surgery is the single most common never event, and orthopaedics owns a disproportionate share of the wrong-implant category. Why they still happen, and what actually prevents them.
OrthoVellum
patient safety / never events
Duty of Candour: What It Requires and How to Do It Well
Being open after harm is both a professional obligation and, above a threshold, a statutory one. The rules are clearer than most surgeons think — and the instinct to wait until you know more is the wrong one.
OrthoVellum
duty of candour / medico-legal
Capacity and Best-Interests Decisions in Orthopaedic Practice
Capacity is decision-specific, time-specific, and presumed until disproved. The commonest error in surgical practice is treating a refusal you disagree with as evidence of incapacity.
OrthoVellum
capacity / consent
Informed Consent After Montgomery: How Standards Differ Worldwide
The legal standard for disclosure is no longer set by the profession — it is set by reference to the patient. What that means in orthopaedic practice, and how the test differs across jurisdictions.
OrthoVellum
consent / medico-legal
The Medico-Legal Duties of a Surgeon: A Global Overview
Negligence, consent, candour and regulation are four separate systems with different tests and different consequences. A map of what actually binds a surgeon, and how it differs by jurisdiction.
OrthoVellum
medico-legal / professionalism
Local Anaesthetic Systemic Toxicity (LAST): Management Protocol
A life-saving guide to LAST. Immediate recognition, the Lipid Rescue protocol, and safe dosage calculations for the orthopaedic surgeon.
Orthovellum Team
anaesthesia / emergency
Radiation Safety in the Orthopaedic Theatre: The Invisible Hazard
Understanding the physics of scatter, the biological risks of ionizing radiation, and the practical 'ALARA' strategies to protect yourself and your team.
Orthovellum Team
radiation / fluoroscopy