Site updates

What is new in OrthoVellum.

Follow new topic additions and major reference updates as the reference library expands. Each entry links directly to the pages that changed.

Latest update
10 July 2026
Topics listed
37
Update type
Reference library
Content improvement

Clearer teaching diagrams on two basic-science topics

Two teaching diagrams have been refreshed. The immunology topic now carries a clearer two-panel figure comparing MHC class I and class II antigen presentation — class I on any nucleated cell presenting to CD8+ cytotoxic T cells, and class II on antigen-presenting cells presenting to CD4+ helper T cells — in place of an older text-box graphic that repeated the on-page summary. The hip biomechanics topic has an updated single-leg-stance free-body diagram showing the abductor force, the body-weight and abductor lever arms, and the resulting hip joint reaction force.

Experience

A beautiful new look — OrthoVellum now reads like a living surgical atlas

We have given the whole platform a considered visual redesign. Every page now shares one calm, cohesive design language — a modern surgical atlas printed on soft paper. Topic and operative pages now read on a single clean sheet, with a refined display serif for headings, elegant hand-drawn anatomical engravings, and museum-style figures for the numbers that matter. Your study consoles, readiness scores and progress bars all speak the same visual language now, so the site feels like one place rather than many. We also added self-marking to the image cases (ISAWE) and the clinical CIM stations: after you reveal a model answer you can grade yourself — Got it, Partial or Missed — and your marks are remembered, so you can see how a case went last time and target what to revise. It is the same trustworthy content you know, presented far more beautifully and consistently.

What changed
  • One cohesive, atlas-quality look

    A single design language across every page — display-serif headings, a warm paper feel, hand-drawn anatomical engravings and one clean reading sheet — so the whole site feels considered and consistent.

  • Grade yourself on image & clinical cases

    ISAWE image cases and CIM stations now let you self-mark against the model answer (Got it / Partial / Missed) and remember your marks, so you can see how you did and focus your revision.

  • Clearer progress and readiness

    Readiness, analytics and dashboard bars now use one consistent, colour-coded meter — your mastery, coverage and weak spots read at a glance.

Experience

A more polished look — and clearer signposts to what you can unlock

We have given the main section pages — Topics, Question bank, ISAWE and CIM cases, Operative procedures, Viva, Mock exams and Revise — a visual refresh. Each now opens with a calm, hand-drawn anatomical or clinical illustration behind its header (bones and joints on the reference library, radiograph plates on the image-based cases, surgical instruments on the operative guides), so the site feels more crafted without ever getting in the way of the content. We have also made it clearer, right where you land, which tools are part of a subscription and where the free preview ends — with a one-tap link to the plans — so there is no more guessing about what unlocks what. And when you choose an exam, the exam page now guides you straight to your next step: practising if you already have access, or the right plan if you do not.

What changed
  • A calmer, more crafted look

    Section pages now open with a subtle anatomical or clinical illustration behind the header — refined, not flashy — so the site feels more considered while staying just as fast and readable.

  • Clearer about what you can unlock

    On the practice sections you can now see at a glance which tools a subscription includes and where the free preview ends, with a direct link to the plans — or a quiet note that it is already included when you are subscribed.

  • Every exam points to your next step

    Choosing an exam now leads somewhere useful: straight into practice and readiness tracking if you already have access, or the matching plan if you are getting started.

Experience

A faster, more polished study experience — on every device

We have made a round of quality-of-life improvements across the site so studying feels quicker and smoother, especially on your phone. You can now search the whole library — topics, MCQs and cases — straight from the mobile menu. In MCQ practice you can answer entirely from the keyboard (press 1–5 or a–e to choose, Enter to submit and again to move on), and the results screen now shows a review map so you can see at a glance which questions you missed and jump back into any one to re-read its explanation. The live viva examiner now runs the exact number of stations you choose, advancing you from one to the next. When you are signed in, the homepage greets you with a way to pick up where you left off and a shortcut to your dashboard. And side-by-side comparison tables now stack into tidy, readable cards on small screens instead of scrolling sideways.

What changed
  • Search from your phone

    The search box is now in the mobile menu, so you can jump to any topic, MCQ or case from a phone in one tap — not just on desktop.

  • Answer MCQs from the keyboard

    Press 1–5 (or a–e) to pick an option and Enter to submit, then Enter again to advance — fast, exam-realistic drilling without reaching for the mouse.

  • Review exactly what you missed

    The quiz-complete screen now shows a colour-coded results map of every question; tap any one to jump back and re-read its explanation.

  • Live viva, your chosen length

    The live examiner now runs the number of stations you select and moves you through them one by one, instead of stopping after a single case.

  • Pick up where you left off

    Signed in, the homepage now surfaces your in-progress topics and a shortcut to your dashboard, so you can get back to studying immediately.

Exam Practice

CIM cases now unfold stage by stage, like the real exam

Clinical Investigation & Management stations now play out the way they do on exam day — as a guided walk-through rather than one long page. You start with just the clinical scenario: read the history and examination, and decide your approach before anything else is shown. When you are ready, reveal the investigations and interpret them, then work through the examiner questions and compare with the model answers, and finally the teaching points and follow-ups. A stage tracker in the study console shows where you are and lets you jump back to any stage you have already seen, and you can restart the walk-through to drill a case again. It is a much closer rehearsal of the pressure and pacing of the real CIM viva.

What changed
  • Staged, exam-realistic reveal

    Each station is presented in order — clinical scenario, then investigations, then questions and model answers, then teaching and debrief — so you commit to a plan before the next piece of information appears.

  • A walk-through tracker you can navigate

    The study console shows every stage, marks the ones you have completed, and lets you jump back to review, with the countdown timer alongside so you can practise to time.

  • Restart and drill

    Once you have finished a station you can restart the walk-through in one tap to run it again from the top.

AI Mentor

Ask Aster anything — a grounded orthopaedic Q&A mentor

Your AI mentor, Aster, can now answer any orthopaedic question you type. Just ask — “What is the blood supply to the femoral head?”, “How do I classify tibial plateau fractures?”, “Compare cemented and uncemented hip replacement” — and Aster gives a clear, consultant-level answer drawn from OrthoVellum’s verified library, with links straight to the source topics so you can read deeper. The answer now streams in as it is written, so you never wait on a blank screen, and every reply comes with suggested follow-ups and a one-tap way to be examined on the same topic. It stays honest: where Aster adds general knowledge beyond our verified pages it says so plainly, and it always reminds you to confirm clinical decisions with your seniors.

What changed
  • Ask anything, grounded in verified content

    Type any orthopaedic question and Aster answers from OrthoVellum’s own referenced topic library, citing the exact pages it drew on so you can jump in and read the full detail.

  • Answers that stream as they are written

    Replies now appear progressively, word by word, so the mentor feels fast and responsive instead of leaving you waiting.

  • From a question to a viva in one tap

    Every answer offers suggested follow-ups and a “Practise this” button, so you can move straight from understanding a topic to being examined on it.

  • A refreshed, more futuristic mentor

    The AI Mentor overview and practice screens have a cleaner, more immersive look that leads with the new ask-anything experience alongside tutorials, vivas and MCQ drills.

Platform

Cleaner, easier-to-scan topic pages

Dense reference sections across every topic — anatomy, clinical assessment, investigations, management, complications and more — now lay out as clean, colour-coded cards instead of long single-column lists, so they are far quicker to scan and revise from. Where a section follows a natural order, like a clinical examination or post-operative care over time, it now reads as a clear step-by-step timeline.

What changed
  • Scannable section cards

    Long lists of clinical points are grouped into tidy, colour-coded cards that use the full width of the page, so the structure of each section is obvious at a glance.

  • Step-by-step timelines

    Genuine sequences — the look, feel, move clinical examination and immediate-to-long-term post-operative care — now display as a connected timeline that mirrors the order you would actually follow.

  • Clear, readable labels

    Every section is titled with a colour-coded label that stays crisp and easy to read in both light and dark mode.

Hand & Upper Limb

New fight bite mechanism schematic

The human bites and fight bites topic now includes a two-panel MCP joint schematic showing how a clenched-fist tooth puncture can enter the extensor tendon and joint capsule, then seal as the hand opens and the tissue layers slide out of alignment.

Rheumatology

New crowned dens syndrome CPPD diagram

The pseudogout and CPPD disease topic now includes a two-panel C1-C2 schematic showing axial and coronal views of periodontoid calcification around the dens, highlighting why crowned dens syndrome can mimic meningitis with acute neck pain and fever.

Topics included in this update
Paediatrics

New congenital scoliosis vertebral anomaly diagram

The congenital scoliosis topic now includes a four-panel schematic comparing hemivertebra, benign block vertebra, unilateral unsegmented bar, and bar plus contralateral hemivertebra, with curve direction and prognosis cues in one quick-reference view.

Topics included in this update
Anatomy

New sciatic nerve and piriformis variant diagram

The sciatic nerve anatomy guide now includes a clean Beaton and Anson classification diagram showing how the common peroneal and tibial divisions relate to the piriformis muscle, from the usual inferior course through the less common split and transmuscular variants.

Topics included in this update
Operative surgery

New dorsal wrist extensor compartment diagram

The forearm, wrist and hand surgical approaches guide now includes a clean axial anatomy diagram of the six dorsal wrist extensor compartments, showing the radius, ulna, extensor retinaculum, tendon groups and Listers tubercle in one quick-reference view.

Reference library

A complete Professionalism & Ethics reference library

Professionalism and ethics is a real, examinable domain on the boards — and until now you could practise questions on it but had nothing to read. We have added a full 15-topic reference library you can study from: core bioethics principles, informed consent and shared decision-making (Montgomery), disclosure of complications and the duty of candour, decision-making capacity and end-of-life, the impaired or disruptive colleague, conflicts of interest and industry relationships, medicolegal principles and negligence (Bolam/Bolitho), patient safety and wrong-site surgery prevention (the WHO checklist), medical error and root-cause analysis, systems-based practice and safety culture, value-based care and stewardship, research ethics and integrity, communication and teamwork, safe handover, and professional boundaries and social media. Each reads like a proper exam topic — the framework an examiner wants, worked viva scenarios, pearls and traps — and every reference was checked by hand against its original source. They sit alongside the existing professionalism question bank and the "safe surgeon" oral scenarios, so you can now both study the domain and test yourself on it.

ABOS exam prep

A much deeper US Boards (ABOS) Part II oral library, plus more image-based questions

The ABOS Part II Oral defends your own clinical decisions, so we have grown the oral library from a handful of cases into a comprehensive set of more than 200 — covering every domain you can be examined on: Trauma, Adult Reconstruction, Sports, Spine, Hand, Foot & Ankle, Shoulder & Elbow, Paediatrics and Orthopaedic Oncology, plus the "safe surgeon" professionalism and ethics station. Each case opens with a realistic scenario and imaging, then plays out as a structured case defence — the diagnosis and applied knowledge, your initial work-up, the operative options and how you choose between them, the key surgical steps, the post-operative plan and the complications to anticipate — with five examiner pointers on exactly what earns the mark. The cases go beyond the bread-and-butter into the harder calls examiners love: floating knee, exchange nailing for non-union, periprosthetic fracture and infection work-up, pelvic discontinuity, posterolateral-corner reconstruction, congenital pseudarthrosis of the tibia, limb-salvage for sarcoma, metastatic spinal disease and more. Every case was reviewed individually for accuracy. We have also continued to grow the image-based question bank — the OITE and Part I lean heavily on films — so more of your single-best-answer practice now shows a real radiograph (bone tumours, implants and constructs, fractures and classic findings) and asks what you see or what you would do next, with every image checked by hand. Rehearse the orals domain by domain in the ABOS Part II oral hub.

FRCS exam prep

More FRCS Section 1 single-best-answer questions where the bank was thinnest

We have evened out the FRCS (Tr&Orth) Section 1 written bank so no topic feels light. The arthroplasty, knee and sports, and foot and ankle areas have a fresh set of single-best-answer questions on the subtopics that previously had only one or two — so every blueprint topic now has a solid floor of questions to drill, and a full mock pulls evenly across them. The new questions are deliberately spread across diagnosis, definitive management, complications and operative decision-making, each written in the UK single-best-answer style (NICE, BOA / BOAST and registry framing) at fellowship depth, with a worked explanation of why the best answer wins and why each distractor falls short. Every question was reviewed individually for accuracy before going live. Practise them in the FRCS qbank, by subspecialty, or inside a full timed mock.

Viva & orals

Every viva now flows like a real oral — branching examiner questions, not a single model answer

We have rebuilt the entire viva and orals bank so each case plays out like a real examiner table. Instead of one long model answer, every scenario now opens with the diagnosis and then escalates the way a real examiner does — through the anatomy and classification, interpreting the investigations, defending your management, talking through the operative steps, and then the curveballs: an intra-operative complication thrown at you mid-procedure, and the patient who comes back at three months with a problem. Across the whole bank that is roughly 850 cases, each with seven to nine progressive examiner prompts, and every prompt carries its own model answer, the key points to hit, and a one-line insight on what the examiner is actually rewarding. The questions probe operative and technical depth — distinct from the clinical-judgement vivas — so FRACS, FRCS, ABOS and EBOT candidates can rehearse the back-and-forth of the oral, not just read a textbook answer. Every fact has been checked against the source content.

What changed
  • It pushes you, like a real examiner

    Each case starts broad and gets harder — name the classification, read the film, defend the plan, then handle the complication. You practise thinking on your feet, not reciting.

  • Intra-operative curveballs

    Cases throw the kind of thing that actually happens in theatre — brisk bleeding, a fracture during implant removal, a screw that has gone too far — and ask what you do next.

  • The examiner’s insight, every step

    Every prompt reveals not just the model answer and key points, but a short note on what earns the mark at that exact moment.

Subscriptions

Subscribe to the US Boards (ABOS) or European Board (EBOT) on their own

You can now take out a single-exam subscription for the US Boards (ABOS / OITE) or the European Board (EBOT / FEBOT) on its own — exactly like FRACS and FRCS — instead of needing All Access. Each track is a complete preparation package: its own single-best-answer question bank, image interpretation, clinical investigation & management cases, timed mocks, readiness tracking and viva practice, with the live AI Mentor available as well. Pick your exam and pay only for the one you are sitting (Exam Access from A$29/month, or Exam + AI Mentor from A$49/month), or choose All Access if you want every track together. The pricing page now lets you choose any of the four exams directly.

ABOS exam prep

New image-based "best management" questions for the US Boards (ABOS)

The real ABOS Part I and the AAOS OITE are heavily image-based and love to show you a film and ask what you would do next, so we have added a large set of new image-stem single-best-answer questions in exactly that style. Each one presents a realistic radiograph, MRI, CT or clinical photo and asks for the most appropriate management, spanning trauma, adult hip and knee reconstruction, spine, sports medicine, hand, paediatrics and orthopaedic oncology — from a displaced hip fracture, open tibia, cauda equina and an unstable ankle to a pilon fracture, periprosthetic fracture, rotator cuff tear, scaphoid and Achilles injuries, a paediatric supracondylar fracture, and the safe work-up of a suspected bone tumour. Every image is checked by hand and every answer is referenced to current evidence. We have also tuned the ABOS question bank so these image questions appear more often, making your practice feel much more like the real exam.

Exam essays

New Generic Surgical Competency questions for the FRACS written paper

The FRACS written paper includes short-answer questions on the generic, non-clinical competencies every surgeon needs, and we have added a dedicated set to the Essays library to cover them. There are seven new short-answer questions, each with a worked first-person model answer, mapped to the RACS competencies: communicating with an angry family after a complication, providing culturally safe care for an Aboriginal and Torres Strait Islander patient, safe clinical handover and a near-miss, leading the theatre team through an intraoperative crisis, advocating for a patient facing access and equity barriers, supervising a trainee who will operate, and professionalism online and in public. You will find them under the new "Generic Competency" filter in Essays.

Operative surgery

Four new upper-limb surgical approaches, in full

We have added four detailed surgical-approach guides that candidates ask for again and again: the anterolateral (anterior, brachialis-splitting) approach to the humerus, the anterolateral approach to the distal humerus, the direct approach to the ulnar shaft along its subcutaneous border, and the volar (Russe) approach to the scaphoid. Each one walks through positioning and landmarks, the internervous plane, the step-by-step dissection, the structures genuinely at risk and how to protect them, a clear comparison with the alternative approaches, model viva answers and an exam cheat-sheet — with verified anatomy and radiograph images and the supporting evidence gathered at the end. They round out the operative surgery library so the upper-limb approaches you are most likely to be examined on are all covered. Operative Surgery is now split into two clearly separate sections — Operative Procedures and Operative Approaches — so you can browse exposures on their own; find the new guides under Operative Approaches.

What changed
  • The radial nerve, handled carefully

    The humeral approaches make the brachialis split and the radial nerve crossing from the spiral groove to the front explicit — exactly the points examiners probe.

  • Approaches, compared

    Each guide sets its approach side by side with the alternatives (for example anterolateral versus posterior for the distal humerus, and volar versus dorsal for the scaphoid) so you can justify your choice.

  • Viva-ready

    Every approach ends with model viva answers, the classic traps, and a focused cheat-sheet for last-minute revision.

  • A dedicated Approaches section

    Operative Surgery is now two clearly separate sections — Operative Procedures and Operative Approaches — each with its own page, so you can browse surgical exposures on their own.

Operative surgery

The operative surgery library — redesigned, and now fully illustrated

Our whole operative surgery library has been rebuilt to be cleaner and faster to learn from, and every single one of its 459 procedures and approaches now carries a relevant clinical image. Each page now follows one simple, consistent flow — a snapshot, the imaging, indications, the operation (or the approach) step by step, complications, aftercare, and a focused viva-and-exam section — with all the supporting evidence and references gathered neatly at the end rather than scattered through the page. We have also reorganised the library so procedures sit under the right region: knee, shoulder, hand, foot and ankle and the rest are now grouped correctly, so browsing by area gets you where you expect. And to make every technique easier to picture, we have added a verified image to each one — post-operative radiographs, intra-operative exposures, arthroscopic views and clear anatomy — every image checked structure by structure for accuracy before it went live and labelled as an educational illustration. Browse it all from the Operative Surgery section.

What changed
  • One clean, consistent flow

    Every procedure and approach now reads the same simple way — snapshot, imaging, indications, the operation step by step, complications, aftercare and a focused viva section — with references gathered at the end.

  • Illustrated end to end

    All 459 operative topics now carry a relevant radiograph, intra-operative photo, arthroscopic view or anatomy image, each verified in detail before going live.

  • Grouped by the right region

    Procedures and approaches now sit under the correct subspecialty — knee, shoulder, hand, foot & ankle and more — so browsing by area lands where you expect.

Exam preparation

Pick your exam once — the whole site follows

Choosing which exam you are sitting is now front and centre. The homepage leads with a "Choose your exam" picker, and each of the four exams — FRCS (Tr & Orth), FRACS, ABOS / US Boards and EBOT / FEBOT — is a single click into its own tailored hub: a blueprint-weighted question bank, coverage map, readiness score and oral practice. Your choice is remembered and shown in the top bar, so the regional guidelines, registries and terminology on topic pages line up with the exam you are preparing for. EBOT / FEBOT now sits alongside the others in that selector, pointing European candidates to EFORT and the national European joint registries.

What changed
  • Choose your exam, front and centre

    The homepage hero and a dedicated picker let you jump straight into FRCS, FRACS, ABOS or EBOT / FEBOT preparation — no more hunting through menus.

  • Your exam is remembered

    The exam you pick is saved and shown in the top bar, and topic pages tailor their regional guidelines, registries and drug terminology to it.

  • EBOT / FEBOT included

    European candidates can now set their context too, with pointers to EFORT and the national European arthroplasty registers.

EBOT / FEBOT exam prep

A new EBOT / FEBOT exam track for the European Board

OrthoVellum now has a dedicated track for the European Board of Orthopaedics & Traumatology (EBOT / FEBOT), sitting alongside FRACS, FRCS and the US Boards. It is mapped to the real exam: Section 1 is a best-of-five single-best-answer paper across the five European sections — Upper Limb, Lower Limb, Spine, Paediatrics and Basic Science — and Section 2 is five structured 30-minute orals. The new track home gives you a blueprint-weighted adaptive question bank that draws on our best-of-five question pool (so you can sit a full 100-question mock shaped exactly like the real written paper), a coverage map of every subspecialty, a live readiness score, and a Section 2 orals hub that lets you rehearse each of the five oral sessions on clinical and imaging cases with model answers. Open it from the Exam Tracks page and pick EBOT / FEBOT.

What changed
  • Mapped to the real European exam

    Section 1 best-of-five written across Upper Limb, Lower Limb, Spine, Paediatrics and Basic Science, plus the five Section 2 orals — structured the way the EBOT / FEBOT actually runs.

  • A true-to-format written mock

    A blueprint-weighted adaptive question bank that builds a full 100-question best-of-five mock in the real section proportions, surfacing your weakest areas first.

  • Section 2 orals you can rehearse

    Five oral sessions — Upper Limb, Lower Limb, Spine, Paediatrics and Basic Sciences — each rehearsable on clinical and imaging cases with model answers, traps and follow-ups.

ABOS / US Boards prep

Image-based ABOS / OITE questions — real-looking films on the high-yield diagnoses

The ABOS and OITE question bank now looks far more like the real thing. The in-training and board exams are heavily image-based, so we have added a clean, exam-style film to more than fifty of the high-yield image-diagnosis questions — the kind where you interpret the picture and then choose your answer. You will now see the actual radiograph, MRI or clinical photograph at the top of these questions: fracture films (tibial plateau, femoral and tibial shaft, distal humerus, bimalleolar ankle, pelvic and acetabular injuries, scaphoid waist, paediatric femur), classic deformities and arthroplasty films (adult and early-onset scoliosis, hip and knee replacements and their revisions, megaprosthesis, dislocations and loosening), tumour and metabolic films (osteosarcoma, Ewing, giant-cell tumour, chondrosarcoma, metastasis, vertebra plana, healing callus), paediatric hips (DDH, Perthes, SCFE, cerebral-palsy hip surveillance, clubfoot), and soft-tissue MRI and clinical photos (ACL, PCL, meniscus, multi-ligament knee, lumbar disc herniation and stenosis, cervical disc, Achilles rupture, soft-tissue sarcoma, Dupuytren, trigger finger, distal-biceps rupture, diabetic foot, hallux rigidus, Lisfranc). Every single image was checked, structure by structure, against what it is meant to show before it went live, and each is labelled as an educational illustration. Practise them from the ABOS question bank and the full-length OITE-style mock.

What changed
  • See the film, then answer

    More than fifty high-yield ABOS/OITE diagnosis questions now open with the radiograph, MRI or clinical photo you interpret — matching the image-heavy real exam.

  • Across every domain

    Trauma, adult reconstruction, sports, spine, hand, foot & ankle, paediatrics, oncology and basic science all gained exam-style images on their classic visual diagnoses.

  • Checked image by image

    Each picture was verified in detail against the finding it is meant to show before going live, and is clearly labelled as an educational illustration.

FRCS exam prep

Deeper, harder FRCS (Tr&Orth) oral cases across every station

The FRCS Section 2 oral practice bank has grown again — now over 700 examiner-style cases — with a wave of the more advanced, frequently-tested viva topics that separate a pass from a strong pass. New cases include the applied basic-science questions examiners love (perioperative anticoagulation and reversal, nerve conduction studies and DEXA, statistics and critical appraisal, nuclear bone imaging, orthobiologics and graft substitutes, and implant-wear science), spinal cord injury physiology and metastatic-spine decision-making, deeper trauma principles, adult reconstruction and revision arthroplasty, small-joint hand arthritis and the vascular hand, knee reconstruction technique, sports-medicine special topics, musculoskeletal-oncology adjuncts, and shoulder arthroscopy with the rarer instability patterns. Every case is balanced across the four orals and the operative viva, and each one was checked individually for accuracy before it went live. Practise them from the Section 2 orals hub, by station, or inside the full timed Section 2 mock.

Study dashboard

A rebuilt study dashboard that shows your progress and what to do next

Your dashboard has been rebuilt from the ground up into a single study cockpit. It now opens with a personalised greeting and a clear strip of your key numbers — your day streak, topics studied, MCQs answered, accuracy and hours logged — followed by a "Jump back in" row that takes you straight back to the topics you have in progress (or, if you are just starting, a few good first steps). A new "Your library at a glance" section shows everything available to you across every format — topics, MCQs, image-and-short-answer scenarios, viva practice, operative surgery, clinical investigation and management, clinical exams and essays — each one a single click away. Below that you will find your daily challenge, exam readiness and focus areas, your performance trends, recent activity and viva history, and all your study tools (schedule, exam countdown, focus timer and progress export) in one tidy place. The whole page has been redesigned to be cleaner and easier to read, with consistent cards and a layout that adapts neatly to phone, tablet and desktop, and everything you do is saved automatically so it is there when you come back.

What changed
  • Your numbers at a glance

    A live snapshot of your streak, topics studied, MCQs answered, accuracy and study hours the moment you arrive.

  • Jump back in

    Resume the topics you have in progress in one click — or get clear first steps if you are just getting started.

  • Your whole library, one click away

    Every study format — topics, MCQs, ISAWE, viva, operative surgery, CIM, clinical exams and essays — surfaced with live counts and direct links.

  • Cleaner, consistent design

    A redesigned, easier-to-read layout with tidy cards that adapts smoothly across phone, tablet and desktop.

Exam essays

Every essay rewritten as a model viva-style answer you can actually use

We have rewritten the entire Essays library so each one reads the way you would actually answer in the exam. The question is now broken into clear numbered parts, just as an examiner would ask it, and the model answer is written in the first person and in plain, straightforward language — the way a candidate would talk through a case. For a clinical scenario it walks through it in order: an opening line on what the problem is and the plan, then the history I would take, how I would examine the patient, the investigations I would request and what I am looking for with each, the differential, and finally the management options with the reasons for the choice, ending in a short summary. Ethics and basic-science essays follow the same first-person style with a structure that suits them. All 183 essays across every subspecialty have been updated, with the clinical facts, classifications and references kept intact.

Flashcards

A rebuilt flashcard experience on a curated, exam-reviewed deck

Flashcards have been rebuilt from the ground up. You now open to a study hub that shows your overall mastery, how many cards you have studied, and what is due today, with a clear progress bar for every subspecialty. Choose how to study — work through cards that are due, start fresh with new cards, drill your weak spots, or browse the whole deck — and filter by type (Topics, Approaches, Operative) and level (Core, Intermediate, Advanced). Each card flips to reveal a concise, exam-pitched answer with a pearl, and you rate how well you recalled it; spaced repetition then schedules each card for the ideal moment, showing you the next review interval as you rate. Your progress is saved automatically, so if you stop part-way the hub greets you with a "Resume — X of Y done" so you can carry straight on. The deck itself is fully curated and individually reviewed for the FRCS, FRACS and ABOS exams and has grown to over 2,900 cards. It now includes a complete operative-surgery library — indications, key steps and complications for the full range of procedures — alongside a comprehensive surgical-approach atlas covering the internervous plane, landmarks and structures-at-risk for every classic approach across the limbs, spine and pelvis. The same deck powers the mobile app, so your revision is consistent wherever you study.

Exam essays

Fifty-seven new model essays across every subspecialty

We have substantially expanded the Essays library with fifty-seven new long-answer model essays covering many of the most frequently examined topics in the written fellowship papers, now including a full set of musculoskeletal oncology essays (Ewing sarcoma, metastatic bone disease from an unknown primary, osteochondroma and hereditary multiple exostoses, aneurysmal bone cyst, fibrous dysplasia, plasmacytoma and myeloma bone disease, and simple bone cyst). Each is a full, structured answer — introduction, classification, assessment, management and a synthesising conclusion — with a marking scheme, key references, common pitfalls and examiner tips, so you can see exactly how a top-scoring response is built. The new essays span trauma (Monteggia, pilon, tibial plateau, acetabular, femoral and tibial shaft, subtrochanteric and intertrochanteric hip, Galeazzi, olecranon and patella fractures), foot and ankle (talar neck, ankle and syndesmosis, tarsal coalition, fifth-metatarsal/Jones, Morton’s neuroma, navicular stress fracture, subtalar dislocation, turf toe, Freiberg and lesser-toe deformities), upper limb (clavicle, scaphoid, Kienböck, radial head, capitellum, Dupuytren and rotator cuff disease), the cervical spine (odontoid, Jefferson, facet dislocation, os odontoideum, atlantoaxial instability, craniocervical dissociation and cervical radiculopathy), paediatrics (lateral condyle and radial neck fractures, Blount disease, osteogenesis imperfecta, cerebral palsy, limb deficiencies, juvenile osteochondritis dissecans, discoid meniscus and tibial eminence fractures) and basic science (osteoporosis, Paget disease, heterotopic ossification and the spectrum of spondylolisthesis). Find them all under Essays, filterable by subspecialty.

Topic images

More real radiographs and clinical photos on the topic pages

We have started adding genuine, openly-licensed clinical images — real radiographs, MRI and clinical photographs rather than illustrations — to topics that were light on imagery. Every image is checked by eye before it goes up (so the caption matches exactly what the film shows) and is from a properly licensed, commercially-usable source with the credit shown. First topics in this wave include Charcot neuroarthropathy, Blount disease, Brodie abscess, boutonnière deformity, Köhler disease, scaphoid nonunion and more, with the wave ongoing.

Topics included in this update

Charcot Neuroarthropathy

Expanded / foot-ankle

Blount Disease (Tibia Vara)

Expanded / paediatric

Brodie Abscess

Expanded / trauma

Boutonnière Deformity

Expanded / hand

Genu Valgum and Genu Varum

Expanded / paediatric

Köhler Disease

Expanded / paediatric

Congenital Pseudarthrosis of the Tibia

Expanded / paediatric

Scaphoid Nonunion

Expanded / hand

Adamantinoma

Expanded / oncology

Multiple Myeloma (Spine)

Expanded / spine

Coccydynia

Expanded / spine

Clinodactyly

Expanded / hand

Transitional Fractures (Tillaux / Triplane)

Expanded / paediatric

Multiple Epiphyseal Dysplasia

Expanded / paediatric

Congenital Talipes Equinovarus (Clubfoot)

Expanded / paediatric

Osteogenesis Imperfecta

Expanded / paediatric

OPLL (Ossification of the PLL)

Expanded / spine

Open-Book Pelvis

Expanded / trauma

Hammer Toes

Expanded / foot-ankle

Plantar Fibromatosis (Ledderhose)

Expanded / foot-ankle

Neuromuscular Scoliosis

Expanded / paediatric

Basilar Invagination

Expanded / spine

Syringomyelia

Expanded / spine

Cyclops Lesion

Expanded / sports-medicine

Segond Fracture

Expanded / trauma

Proximal Hamstring Avulsion

Expanded / sports-medicine

Smith's Fracture

Expanded / trauma

Pseudo-Jones Fracture

Expanded / trauma

Maisonneuve Fracture

Expanded / trauma

Paediatric Radial Neck Fractures

Expanded / trauma

Periprosthetic Joint Infection

Expanded / adult-reconstruction

SCIWORA

Expanded / paediatric

Reverse Hill-Sachs Lesion

Expanded / sports-medicine

THA Aseptic Loosening

Expanded / adult-reconstruction

Proximal Row Carpectomy

Expanded / hand

Periacetabular Osteotomy

Expanded / adult-reconstruction

Revision Shoulder Arthroplasty

Expanded / shoulder-elbow

Remplissage Procedure

Expanded / sports-medicine

Complex MCP Dislocation

Expanded / hand

Pediatric Monteggia Fractures

Expanded / paediatric

Patellar Tendinopathy (Jumper's Knee)

Expanded / sports-medicine

Haglund Deformity

Expanded / foot-ankle

Pectoralis Major Rupture

Expanded / sports-medicine

High Tibial Osteotomy

Expanded / adult-reconstruction

Mucopolysaccharidoses

Expanded / paediatric

Angiosarcoma

Expanded / oncology

Pigmented Villonodular Synovitis

Expanded / oncology

Melorheostosis

Expanded / oncology

Split Cord Malformation

Expanded / paediatric

Tumoral Calcinosis

Expanded / oncology

Nora Lesion (BPOP)

Expanded / oncology

Non-Ossifying Fibroma

Expanded / oncology

Isolated Ulna (Nightstick) Fractures

Expanded / trauma

Freiberg Disease (Freiberg Infraction)

Expanded / foot-ankle

Hoffa Fracture

Expanded / trauma

Hallux Varus

Expanded / foot-ankle

Heterotopic Ossification

Expanded / adult-reconstruction

Intramedullary Spinal Cord Tumours

Expanded / spine

Isthmic Spondylolisthesis

Expanded / spine

Ficat–Arlet Staging (AVN)

Expanded / adult-reconstruction

Kellgren–Lawrence Grading

Expanded / adult-reconstruction

Tönnis Grade (Hip OA)

Expanded / adult-reconstruction

Schatzker Classification

Expanded / trauma

Mason Classification

Expanded / trauma

Gartland Classification

Expanded / paediatric

Neer Classification

Expanded / trauma

Rockwood AC Classification

Expanded / trauma

Weber Ankle Classification

Expanded / trauma

Salter–Harris Classification

Expanded / paediatric

Vancouver Classification

Expanded / adult-reconstruction

Frykman Classification

Expanded / trauma

Letournel–Judet Classification

Expanded / trauma

Catterall Classification

Expanded / paediatric

Crowe Classification

Expanded / adult-reconstruction

Ogden Classification

Expanded / paediatric

Herbert Classification

Expanded / hand

Hardcastle Classification

Expanded / foot-ankle

Allman Clavicle Classification

Expanded / trauma

Garden Classification

Expanded / trauma

Bado Classification

Expanded / trauma

Brooker Classification

Expanded / adult-reconstruction

Steinberg Staging (AVN)

Expanded / adult-reconstruction

Denis Classification

Expanded / spine

Mayo Elbow Classification

Expanded / trauma

Levine–Edwards Classification

Expanded / spine

Dameron–Torg Classification

Expanded / foot-ankle

Nurick Grade

Expanded / spine

Mirels Score

Expanded / oncology

Kocher Criteria

Expanded / paediatric

Spinal Instability Neoplastic Score (SINS)

Expanded / spine

Gruen Zones

Expanded / adult-reconstruction

Herring Lateral Pillar Classification

Expanded / paediatric

Stulberg Classification

Expanded / paediatric

Psoriatic Arthritis (Hand)

Expanded / hand

Phalangeal Fractures of the Foot

Expanded / foot-ankle

Open Tibial Fractures

Expanded / trauma

Ischiofemoral Impingement

Expanded / adult-reconstruction

Latarjet Procedure

Expanded / sports-medicine

Fat Embolism Syndrome

Expanded / trauma

Spontaneous Osteonecrosis of the Knee

Expanded / sports-medicine

Paraspinal Abscess

Expanded / spine

Pathological Fractures (Humerus)

Expanded / oncology

Pathological Fractures (Femur)

Expanded / oncology

Paediatric Acute Osteomyelitis

Expanded / paediatric

Navicular Fractures

Expanded / foot-ankle

Polydactyly of the Foot

Expanded / paediatric

Popliteal Artery Entrapment

Expanded / sports-medicine

Radioulnar Synostosis

Expanded / paediatric

Shoulder Osteoarthritis

Expanded / shoulder-elbow

Triquetral Fractures

Expanded / hand

Toddler's Fracture

Expanded / paediatric

Vertebroplasty & Kyphoplasty

Expanded / spine

Wrist Arthrodesis

Expanded / hand

Rheumatoid Hand & Wrist

Expanded / hand

Proximal Femoral Focal Deficiency

Expanded / paediatric

Teardrop Fractures

Expanded / spine

Nerve Sheath Tumours

Expanded / oncology

Neurofibroma

Expanded / oncology

Tibial Hemimelia

Expanded / paediatric

SNAC Wrist

Expanded / hand

Multiple Hereditary Exostoses

Expanded / oncology

Hand Replantation

Expanded / hand

Chordoma

Expanded / oncology

Böhler's Angle

Expanded / trauma

Segond Fractures

Expanded / trauma

Paediatric Tibial Fractures

Expanded / paediatric

Hip Arthroscopy

Expanded / sports-medicine

Sartorius Anatomy

Expanded / anatomy

Bado Classification (Monteggia)

Expanded / trauma

Spontaneous Osteonecrosis of the Knee

Expanded / adult-reconstruction

Spondylolisthesis

Expanded / spine

Non-Ossifying Fibroma

Expanded / oncology

Neurofibroma

Expanded / oncology

Marjolin's Ulcer

Expanded / oncology

Study tools

Landmark trials now appear right on the topic page

When you open a topic, you will now see the landmark trials that matter for that condition — the result and the one-line exam take-home — right at the bottom of the page, each linked to PubMed. So on the distal radius page you get DRAFFT and the elderly-wrist evidence; on the ACL page you get KANON, MOON, STABILITY and MARS; on the ankle fracture page you get AIM. It is drawn from our growing library of verified landmark trials and shows only where a trial genuinely applies.

What changed
  • The evidence, where you study the condition

    No need to leave the topic — the trials that examiners expect you to cite are summarised in place, with a link to browse the full library by domain.

ABOS exam prep

ABOS / US Boards: a landmark-trial evidence library, a full-length timed mock and a Part II oral hub

A big upgrade to the ABOS / US Boards (and OITE) lane. There is a new High-Yield Evidence library — the landmark trials the boards love to test, what each actually showed and the one-line exam take-home, organised by blueprint domain and linked straight to PubMed. There is a full-length (~275-question) mock that mirrors a real OITE / Part I sitting across all ten domains, with a live timer and a per-domain score at the end. And there is now a dedicated Part II Oral hub to rehearse case-defence orals domain by domain, including the “safe surgeon” ethics station. The evidence library and oral hub are free to browse.

What changed
  • High-yield evidence, by domain

    Fifty landmark trials and scoring systems across all eleven blueprint domains — SPRINT, FLOW, CRASH-2, PREVENT CLOT, HIP ATTACK, HEALTH, FAITH, TOPKAT, WHiTE 5, KANON, MOON, STABILITY, MARS, DRAFFT, SWIFFT, carpal tunnel, PROFHER, UKUFF, CSAW, shoulder-instability, Achilles, AIM, TARVA, Lisfranc, CRISTAL, the WHO checklist, Mirels, OVIVA, INFORM, the cervical-myelopathy, vertebroplasty, meniscectomy, cartilage-repair and spondylolisthesis evidence and more — each with its design, result and exam take-home, grouped by blueprint domain with a jump-to-domain nav and linked to PubMed. Free to browse.

  • A full-length, exam-realistic mock

    Sit a ~275-question paper drawn across all ten domains in blueprint proportions — the closest thing to the real all-day OITE / Part I sitting — alongside the quicker 75-question blueprint mock.

  • A live timer on every set

    Practice sets and mocks now show a running clock while you work and report your total time and seconds-per-question at the end, so you can pace yourself for the real exam.

  • A dedicated Part II oral hub

    Rehearse the Part II Oral Certifying exam domain by domain — Trauma, Adult Reconstruction, Sports, Spine, Hand, Foot & Ankle, Shoulder & Elbow, Paediatrics, Oncology — plus a “safe surgeon” professionalism and ethics station, each opening a focused case-defence session with model answers.

ABOS exam prep

ABOS / US Boards: a new Ethics & Professionalism domain, and every domain now drillable

The ABOS / US Boards lane just got a big upgrade. There is a brand-new Professionalism & Ethics domain — the part of the boards that tests informed consent, disclosing complications, patient safety, conflicts of interest and the “safe surgeon” judgement — covered both as single-best-answer questions and as Part II oral scenarios with model answers. You can now drill any ABOS blueprint domain on its own, sit a full blueprint-weighted mock, and get a per-domain score at the end so you know exactly where to focus.

What changed
  • A whole new Ethics & Professionalism domain

    Informed consent, disclosing complications, patient safety and wrong-site prevention, impaired colleagues, conflicts of interest, decision-making capacity and end-of-life, research ethics and more — as practice questions plus Part II “safe surgeon” oral scenarios with model answers and examiner tips.

  • Every ABOS domain is now drillable

    Pick any single blueprint domain — Trauma, Adult Spine, Adult Reconstruction, Sports, Hand, Foot & Ankle, Shoulder & Elbow, Paediatrics, Oncology, General Principles or Professionalism — and practise just that area.

  • A full-length mock with a per-domain score

    Sit a timed paper drawn across all domains in blueprint proportions, then see how you scored in each domain at the end — a clear, focused study to-do list.

FRCS exam prep

Sit a full, timed FRCS Section 2 mock

You can now run the whole FRCS (Tr&Orth) Section 2 oral exam end to end in one sitting. The new mock walks you through all four oral stations plus the operative viva in exam order, each timed as on the day, and finishes with a per-station readiness breakdown so you know exactly where you stand. Start it from the Section 2 orals hub.

What changed
  • The whole exam in one sitting

    Adult & Spine, Trauma, Children’s & Hand, Applied Basic Sciences and the operative viva, presented in exam order with a live countdown for each station — a realistic exam-day rehearsal rather than isolated questions.

  • Answer aloud, then check yourself

    Read each stem, commit to your answer out loud, reveal the model answer and examiner tips, and mark each question ready or needing work.

  • Know where you stand

    At the end you get a per-station breakdown of how many questions you felt ready on and which to revisit — a clear study to-do list. A fresh set of cases is drawn each time you run it.

FRCS exam prep

A much deeper FRCS (Tr&Orth) oral practice bank

The FRCS Section 2 oral practice has more than doubled — from around 200 to 450 examiner-style cases — and is now balanced across all five stations, with every case checked individually for accuracy. Trauma, Applied Basic Sciences and the operative viva saw the biggest growth, and the four orals plus the operative viva are evenly resourced so no station feels thin.

What changed
  • Trauma orals, end to end

    The trauma oral now spans the whole syllabus — pelvic and acetabular patterns, hip and femoral fractures, knee and tibial injuries, foot and ankle trauma, upper-limb fractures, spinal trauma and the trauma principles (open fractures, compartment syndrome, fat embolism, non-union and the mangled limb).

  • Applied Basic Sciences, properly covered

    The UK exam’s most demanding oral now reaches across imaging physics, biomaterials and biomechanics, bone pharmacology, tissue and cell biology, skeletal genetics and embryology, and statistics — the breadth examiners actually probe.

  • Operative viva for real procedures

    The operative viva now walks through reconstruction and complex cases — revision hip and knee replacement, periacetabular osteotomy, complex spine, shoulder and elbow reconstruction, and tumour and limb reconstruction — with the approach, steps and structures at risk laid out.

  • Checked individually, and tidied

    Every new case was reviewed one by one for accuracy, and older duplicate cases were merged so each topic appears once, in its best home.

Quality & trust

Every reference checked — real citations you can trust

We verified every citation across the topic library against PubMed and CrossRef — more than five thousand unique references, each confirmed to be a real, findable paper. Where a citation pointed to the wrong record it has been corrected. When you follow a reference from OrthoVellum to read the source, it will be there.

What changed
  • No invented references

    Every PubMed ID attached to the evidence cards across the library was checked against PubMed itself, and the few citations without a PubMed ID (clinical guidelines and classic papers) were confirmed in CrossRef. Every reference resolves to a genuine source.

  • Mismatches corrected

    A handful of citations that named the right paper but linked to the wrong record — or carried an incomplete author line — have been fixed so the title, authors, year and identifier all agree.

  • An ongoing standard

    This verification is now part of how the library is maintained, so the references stay trustworthy as content continues to grow.

Community

A more active community — a daily case, and discussion built into every page

The community is now woven into your study rather than tucked away on its own page. A “Case of the day” greets you with one image to call before you reveal the answer, and every topic, ISAWE scenario and CIM case now has a one-click way to start or join a discussion about exactly what you are reading. Reading stays free for everyone; you only sign in when you want to post.

What changed
  • A new Case of the day

    Each day the community opens with a single image case — commit to your diagnosis, reveal the case, then give your answer and see how others called it. A low-effort daily habit to keep your pattern recognition sharp.

  • Discuss what you are reading, in one click

    Every topic page, ISAWE scenario and CIM case now ends with a quick way to ask a question or start a discussion about that exact subject — pre-tagged to the right subspecialty — so you no longer have to go looking for the right place to post.

  • Free to read, friendlier to join

    Browsing the community is free for everyone. Signing in is only needed to post, comment or vote — and your name now shows on what you contribute.

  • Fresh articles, more often

    Behind the scenes we have streamlined how articles are published, so new blog posts and clinical notes can go up more frequently without long waits.

FRCS exam prep

A structured home for the FRCS (Tr&Orth) Section 2 orals

The FRCS oral practice is now organised exactly as the real exam: a dedicated Section 2 hub presents the four oral stations — Adult & Spine, Trauma, Children’s & Hand, and Applied Basic Sciences — plus the operative vivas, each opening a focused examiner table drawn only from that station’s cases. The Applied Basic Sciences oral, the one UK candidates most often under-prepare, is highlighted with its own set so you can drill it on its own.

What changed
  • Each oral as its own examiner table

    Pick a single oral and you get a focused rehearsal set of just that station’s cases — read the stem like a candidate, answer aloud, then reveal the model answer, the examiner’s traps and the follow-ups, and mark each as ready or needing more work.

  • The Applied Basic Sciences oral, front and centre

    Oral 4 — biomechanics, biomaterials, tissue healing, microbiology and critical appraisal — now has its own clearly-signposted station, so the most demanding UK viva is no longer buried among the others.

  • Mapped to the real Section 2 structure

    The four 30-minute orals and the operative vivas are laid out in exam order from the FRCS track page, so it is obvious what to practise and where you stand across the whole oral exam.

Image library upgrade

A library-wide image quality and licensing upgrade

Every image across the topic library has been reviewed one by one for quality, accuracy and licensing — third-party watermarks and any patient-identifying photographs have been removed, and the whole image library tidied so pages stay clean, load quickly, and sit firmly within copyright.

What changed
  • Every image reviewed, one by one

    Every radiograph, scan, clinical photograph and diagram across the topic library has been checked individually for quality, accuracy and proper licensing. Anything that did not meet the standard was replaced or removed, so you can trust what you see on every page.

  • Cleanly licensed and watermark-free

    Every clinical image now comes from an openly-licensed source appropriate for a subscription resource and is free of third-party watermarks, so the pages read cleanly and the reference library stays comfortably within copyright.

  • Patient privacy protected

    Any image that could identify a patient has been retired in favour of clearer, consent-safe alternatives.

  • Leaner and faster

    Several hundred unused image files were pruned behind the scenes, keeping the site light and quick to load.

Exam practice

A bigger, sharper image-based short-answer (ISAWE) library

The image-based short-answer practice library has grown to close to a thousand timed scenarios across every subspecialty, and its images have been carefully upgraded: many are now genuine, openly-licensed radiographs, each one reviewed so the questions and model answers describe exactly what is on the film.

What changed
  • Close to a thousand image-based scenarios

    The ISAWE library now spans almost a thousand timed, single-image cases across trauma, paediatrics, hand, foot and ankle, hip, knee, shoulder, spine, oncology, infection and basic science — so there is a relevant scenario to practise for almost any radiograph you might meet on the day.

  • Real, properly-attributed radiographs

    Many scenario images have been upgraded to genuine, openly-licensed radiographs from recognised teaching collections, each carrying clear source attribution — so what you study looks like what you will be shown in the exam.

  • Every image matched to its questions

    Each scenario image has been reviewed individually so the questions and model answers describe exactly what is on the film — the projection, the side, and the findings. Where an image and its answers did not line up, the case was corrected so your practice is never misleading.

  • Clearer case previews

    Every ISAWE card now shows its clinical stem at a glance, so you can choose the scenario you want to drill without opening each one first.

Content improvement

Osteomyelitis classification diagram refreshed

The osteomyelitis pathophysiology topic now includes an updated Cierny-Mader classification diagram to make host status, anatomic type and management implications easier to review.

Operative surgery

New gold-standard operative surgery page: distal radius corrective osteotomy

We have added a comprehensive gold-standard operative surgery page on corrective osteotomy for symptomatic distal radius malunion. The page covers the full pre-operative workup (radiographic parameters, three-dimensional CT planning and patient-specific instrumentation), both the volar opening-wedge and dorsal closing-wedge techniques with structural bone grafting, intra-articular step correction in young patients, concurrent management of the DRUJ (ulnar shortening, wafer resection and the Sauvé–Kapandji procedure), implant and fixation choices, the full spectrum of complications (FPL and EPL tendon rupture, under- and over-correction, nonunion, persistent DRUJ symptoms) and a graded post-operative rehabilitation protocol. Aimed at FRACS, FRCS, EBOT, ABOS and DNB/MS candidates and at any surgeon preparing for an upper-limb oral.

Content improvement

Osteopetrosis management algorithm refreshed

The osteopetrosis topic now includes a clearer clinical management flowchart covering ARO transplant assessment, supportive care, ADO surveillance, fracture pathways and antiresorptive cautions.

Topics included in this update
Content improvement

Juvenile idiopathic arthritis management algorithm refreshed

The juvenile idiopathic arthritis topic now includes a clearer management flowchart linking medical escalation, rehabilitation, contracture care, leg length management and rare end-stage reconstruction decisions.

Platform redesign

A complete redesign of the OrthoVellum experience

Every part of OrthoVellum has been rebuilt around how you actually study: a cleaner, full-width reading layout, memory aids placed beside the exact text they reinforce, smarter image handling, a teaching-focused question experience, and rebuilt exam simulators — all with a refreshed light-first design and a full dark mode that stays consistent across the entire site.

What changed
  • A cleaner, full-width reading layout

    Topic pages now use the full width of your screen with a modular layout. The clinical narrative reads first, with a study panel — reading time, your progress, and related topics — kept alongside. It stays comfortable whether you read on a laptop, a wide monitor, or your phone.

  • Memory aids sit beside the relevant text

    Mnemonics, key numbers, and quick reminders now appear next to the exact paragraph they reinforce, so you take in the fact and its aid together. Each classification is shown once, in full, where it belongs — no more reading the same ladder three times.

  • Smarter images

    Radiographs and clinical photographs now size themselves sensibly instead of dominating the page, sit side-by-side where that saves space, and carry their captions cleanly. Films rest on a calm dark mount; photographs and diagrams sit frameless. Any image can be opened larger with a click.

  • One consistent style for tables, callouts, and tabs

    Every table across the site now shares a single clean style, comparison and reference tables read the same way, and grouped sections — like sport-specific or stepwise tabs — now read as one tidy unit under their heading.

  • Question practice that teaches

    In MCQ practice, the explanation for each option now opens directly beneath it, so the reasoning is exactly where your eye already is — making it faster to learn from both the correct answer and the distractors.

  • Exam simulators rebuilt

    ISAWE and CIM cases now run as a focused exam workspace: a prominent image you can enlarge, a built-in timer, laboratory results presented as a clean report with abnormal values flagged, and model answers that reveal in place beneath each question so you can mark your own attempt.

  • Operative surgery and clinical examinations

    Procedures and examination routines now read as a clear, illustrated sequence — each step shown with its figure alongside, the examiner’s focus highlighted, and references within reach.

  • Viva and the OrthoMentor AI examiner

    The viva library and the AI examiner now share one clean question-and-model-answer experience built for oral-exam rehearsal.

  • A modular study dashboard

    The dashboard brings your daily challenge, exam readiness, weak areas, recent activity, and study tools together into one tidy, responsive overview.

  • Light and dark, everywhere

    A refreshed light-first design with a complete dark mode, applied consistently to every section of the site, with accessibility and reduced-motion preferences respected throughout.

Content expansion

Non-ossifying fibroma topic added

A new oncology topic covers non-ossifying fibroma and fibrous cortical defect recognition, fracture-risk thresholds, fibrous dysplasia differentiation, Jaffe-Campanacci syndrome and pathological fracture management.

Content improvement

Topic rendering and imaging updates

Several hand, trauma, sports medicine, paediatric and radiology chapters have been maintained so tabbed sections display reliably and recent imaging-topic updates are recorded in the site update history.

Content improvement

Five topic visual refreshes added

The Achilles tendon rupture, achondroplasia, ACL injuries, adamantinoma and adjacent segment disease chapters have been refreshed with section-level visual summaries and updated image-attribution records to make assessment, imaging, management and complications easier to review.

Content expansion

Landmark orthopaedic trials topic added

A new research and statistics topic covers major orthopaedic trials across trauma, sports/knee, arthroplasty, paediatrics and spine, including DRAFFT, PROFHER, FLOW, FAITH, HEALTH, FORCE, KANON, METEOR, FIDELITY, MOON, CRISTAL, EPCAT II and SPORT, with emphasis on practice signals, limitations and safe clinical application.

Content expansion

Revision TKA bone-loss reconstruction topic added

A new adult reconstruction topic covers revision TKA bone-loss assessment, AORI classification, zonal fixation, cement and screws, metal augments, metaphyseal cones, sleeves, stems, constraint selection, operative sequence, complications and evidence signals.

Content improvement

Scaphoid fractures topic expanded

The scaphoid fractures chapter has been refined with a clearer complications section covering nonunion, proximal pole avascular necrosis, humpback malunion and scaphoid nonunion advanced collapse, alongside the existing imaging and operative decision material.

Topics included in this update
Content expansion

Sprengel deformity topic added

A new paediatric shoulder topic covers congenital elevated scapula, omovertebral bone, associated anomaly screening, Cavendish and Rigault classification, imaging, non-operative care, Woodward and Green procedures, nerve-risk planning, complications and follow-up.

Topics included in this update
Content expansion

High-pressure injection hand emergency topic added

A new hand trauma topic covers recognition of high-pressure injection injury, material-specific risk, imaging, emergency management, operative debridement, complications, rehabilitation and practical decision points for paint, grease, solvent, water and gas injuries.

Content expansion

Spine and foot/ankle surgical approach guides added

New advanced approach guides cover cervical, thoracic, thoracolumbar and lumbar spine corridors plus anterior ankle, posterolateral ankle, medial ankle, sinus tarsi, extensile lateral calcaneus, dorsal midfoot and first-ray exposures. The pages emphasise approach choice, safe intervals, danger structures, wound planning, closure and practical operative steps.

Content expansion

15 advanced orthopaedic topics added and expanded

A new advanced topic group covering operative approaches, wrist instability, paediatric trauma, revision arthroplasty, sarcoma referral, critical appraisal, ballistic trauma, vascular trauma, compartment syndrome, acetabular fracture imaging, and cervical spine surgery. The pages include decision pathways, reviewed images, practical examination points, imaging interpretation, operative planning, and management frameworks.

Content expansion

17 paediatric orthopaedic topics added

A major paediatric orthopaedics expansion covering gait, hip surveillance, paediatric trauma, congenital limb differences, infection, deformity correction, and common high-yield clinical presentations.