Manoj Ramachandran BSc(Hons) MRCS FRCS(Tr&Orth) is Paediatric and Young Adult Orthopaedic Fellow, Royal National Orthopaedic Hospital Rotation, Stanmore, Middlesex. He qualified from KIng's College Hospital Medical School, London with multiple honours in 1996 and was proxime accessit the the University of London Gold Medal. He completed his basic training on the Oxford and Hammersmith rotations, and became a Member of the Royal College of Surgeons of England in 1999 and a Fellow (Trauma and Orthopaedics) in 2005. Alex Malone is a Specialist Orthopaedic Registrar based at the Royal National Orthopaedic Hospital in Stanmore. He qualified from St Mary's Medical School, London in 1996, completed basic surgical training and became MRCS in 1999 and a Fellow (Trauma and Orthopaedics) in 2005. He has taught, designed and directed MRCS courses since 2001 and has recently been appointed Honorary lecturer and the Royal Free Medical School. Christopher Chan is a Consultant Colorectal and General Surgeon based at Barts and the London NHS Trust. He qualified from the United Medical and Dental Schools of Guys and St Thomas', having completed his general surgical training in Cambridge and London and his specialist colorectal training in London and Sydney. He is an invited Lecturer at the Royal College of Surgeons of England and Final FRCS Fellowship Courses.