CURRICULUM VITAE

(abbreviated)

Mr Fortune Iwuagwu

MBBS, MSc. (Lon), FRCS (Glas), FRCS (Ed), FRCS (Plast Surg)

CONSULTANT PLASTIC, RECONSTRUCTIVE, AND HAND SURGEON

Address For All Correspondance:
P O Box 10272, Brentwood, Essex, CM14 9GD

Telephone:
07508 824858
(office)

Email:
austingracesuk@aol.com
info@austingraces.com

GMC Number:
Full Reg. No. 4058629

Date of CCST:
19 Feb’ 2002
(Specialist Entry Date 19 Aug’ 2002)

Indemnity:
(PRASIS) PRASIS/2010/0031

Qualifications:
MBBS (Nig), MSc. (Lon), FRCS (Ed),
FRCS(Glas), FRCS (Plast Surg).

Present Posts:
Consultant Plastic, Reconstructive and Hand Surgeon,
St Andrew’s Centre,
Broomfield Hospital,
Chelmsford, Essex.

Consultant Plastic, Reconstructive and Hand Surgeon (Hon),
Whipps Cross University Hospital,
London.

Summary of Training

On finishing my basic surgical training, I embarked on training in all aspects of Plastic and Reconstructive surgery in various internationally recognised units in the country including Billericay (now Chelmsford), Manchester, Nottingham and Bristol. I furthered my training in my chosen subspecialty (Hand Surgery) at the British Society for Surgery of the Hand, and became a Fellow in the highly reputable Hand Unit in Chelmsford. Later I did a Hand and Microsurgery Fellowship in the world recognised Kleinert and Kutz Hand Surgery Centre, Louisville, Kentucky USA, where I trained under Dr Harold Kleinert, who is recognised as one of the fathers and pioneers of modern hand surgery.

On returning to the United Kingdom, I was appointed a Consultant Plastic, Reconstructive and Hand Surgeon at the St Andrews Centre for Plastic Surgery and Burns at Broomfield Hospital in Chelmsford, and the Whipps Cross University Hospital in London in 2002. St Andrew’s Centre is the regional centre for plastic surgery and has one of the busiest hand trauma units in the country, dealing with all aspects of hand trauma and post trauma sequelae.

My main interests are hand trauma, post hand trauma reconstruction, breast reconstruction, and scars. I also do a significant amount of general plastic surgery.

Teaching / Examining

I am on the board of examiners for the FRCS (Plast) Intercollegiate exit exam, which is a national test held twice a year.

I have successfully organised (local convenor) this national examination in Broomfield hospital, Chelmsford (September 2011).

I am actively involved in the training of the next generation of surgeons in my NHS practice, as well as in formal courses held nationally and internationally.

I am the Director / Convenor of the Core Skills Course in Hand Surgery, which has been held twice yearly at the Royal College of Surgeons of England, London, since 2010. This is a fresh cadaveric course aimed at trainees in plastic surgery, trauma and orthopaedic surgery, and accident and emergency. This was developed from the Basic Skills Course in Hand Surgery which was also held at the college.

Previously I taught on the Basic Skills Course in Hand Surgery and later became the Director of the course in 2007.

Research

I am a member of the St Andrews Research (STARS) group. I am actively involved in the tendon research programme which I have developed with the collaboration of Dr Raj Mootanah. We are studying different core suture tendon techniques. Presently I am only working with porcine tendons using a biomechanical tension machine which measures the tensile strength (both cyclical and static) and displacement in the different tested core suture techniques.

Publications (In Peer Review Journals)

1. Masters in Surgical Science (M Sc.) Thesis – University College London. Iwuagwu F.C (Sept 1996) Comparative morphological study of the early cellular response in injured loaded and unloaded extensor digitorum longus tendons of the rat (first 7 days).

2. Iwuagwu F C. & Frame J. D. Silicone breast implants: complications [British Journal of Plastic Surgery (1997),50,632-636]

3. Iwuagwu F C. & Frame J.D. Silicone breast implants: Concerns and controversies. (British Journal of Plastic Surgery – in press)

4. Iwuagwu F.C. & Bailie F. Oral fluid therapy in paediatric burns (5% – 10% BSA): an appraisal. [Burns – 24:470 –474; 1998]

5. Iwuagwu F.C. & McGrouther D. A. The early cellular response in injured loaded and unloaded extensor digitorum longus tendons of the rat. (Plastic and Reconstructive Surgery, 102:2064-2071, 1998 )

6. Iwuagwu F.C., Wilson D, Bailie F. The use of skin grafts in post burns contracture – 10-year review. (Plastic and Reconstructive Surgery journal 103(4):1198-204, 1999.

7. Iwuagwu F C, Payne F, Rigby H, Reid C D R. Juvenile xanthogranuloma: a clinicopathological case report. (British Journal of Plastic Surgery 52(7):591-596, 1999.

8.Iwuagwu F C, Shaaban H, Lees V C. A biomechanical study of reattachment versus distal multistrand repair in distal division of the flexor digitorum profundus. (Journal of Hand Surgery (British and European), 28B: 4: 369-372, 2003.

9. Iwuagwu F C, and Gupta A. A simple tendon retrieval method. (Journal of Hand Surgery (British and European), 29B:2:191-193.

10. Iwuagwu F C, Misra A. Composite V-Y advancement flaps for the coverage of distal defects on the dorsum of multiple digits, J Hand Surg Eur vol 2007, 32(2): 333-6.

11. Figus A,Iwuagwu F C and Elliot D. Subacute compression neuropathies after trauma and surgery of the hand. Plast Reconstr Surg 2007, 120(3): 705-12.

12. Dillon C,Iwuagwu F C. Cavicare dressings following syndactyly (J Plast Reconstr Aesthet Surg. 2009 Nov;62(11):e518-9. Epub 2008 Sep 26)).

13. Figus A, Canu V,Iwuagwu F C, Ramakrishnan V. DIEP flap with implant: a further option in optimising breast reconstruction. J Plast Reconstr Aesthet Surg. 2009 Sep;62(9):1118-26. Epub 2008 Jul 9.

14. Lyons ID, Iwuagwu FC. Re: Tripathi AK, Mee SN, Martin DL, Katsarma E. The ‘transverse intraosseous loop technique’ (TILT) to re-insert flexor tendons in zone 1. J Hand Surg Eur. 2009, 34: 85-9.; J Hand

Surg Eur Vol. 2009 Oct;34(5):702.

15. Dewing Mashadi S A, Iwuagwu F. Deliberate self-harm: the St Andrew’s experience. European Journal of Plastic Surgery Volume 33, Number 5, 2010, 237-239.

16. Pignatti M,Iwuagwu FC, Browne TF. Late partial failure of a free ALT flap.J Plast Reconstr Aesthet Surg. 2011 Dec 24.

17. Pignatti M, Iwuagwu FC, Harrison AP, Cerio R. Desmoplastic trichoepithelioma confused with cutaneous squamous cell carcinoma in childhood.J Plast Reconstr Aesthet Surg. 2011 Apr;64(4):e92-4. Epub 2010 Dec 3.

18. Venkatachalam S, Gillepsie P, Orkar S,Iwuagwu F. Pattern of tendon and nerve injuries: how accurate is pre op diagnoses? J Bone Joint Surg Br 2010 vol. 92-B no. SUPP I 42.

19. Iwuagwu F, Siddiqui A. Pedicled (antegrade) SUPBRA flap – For wound cover on volar aspect of thumb. Plast Reconstr Aesthet Surg. 2011 Sep 22. [Epub ahead of print]

20. Orkar S O, Watts C, Misra A,Iwuagwu F C. A comparative analysis of the outcome of flexor tendon repair in a single radial digit (index finger) and a single ulnar digit (little finger): Does the little finger fare worse? (J Hand Surgery Eur vol 2012, 37E(1):20-26.

21. Mopuri N, Masud D, Iwuagwu F C. Simple method to measure volume difference in asymmetric and hypoplastic breasts. J Plast Reconstr Aesthet Surg. 66 (1), January 2013, Pages 142–143.

22. Iwuagwu F C, Orkar S, Siddiqui A. The use of free superficial palmar branch of the radial artery (SUPBRA) flaps in digital reconstruction. Plast Reconstr Surg – 2013, Feb, 131(2): 308e- 309e.

23. Mussa MA, O’Connor E, Waterston S, Taylor M,Iwuagwu F.Isolated tuberculosis of the wrist: A rare case of extrapulmonary tuberculosis. International journal of case reports and images, 2013.

24. Jabir S, Lyall H, Iwuagwu FC. The extensor pollicis brevis: a review of its anatomy and variations. Eplasty. 2013 Jul 1;13:e35.

25. Jabir S, Iwuagwu FC. Postoperative mobilization regimens following digital nerve repair: a systematic review. Eplasty. 2014 Jan 17;14:e5.

26. Jing SS, Teare L, Iwuagwu F. Mycobacterium Kanasii Flexor Tenosynovitis of the Finger. Hand Surgery vol.19, No. 02, pp.249-251, Jan 2014.

27. Sharma P, Gathura E, Iwuagwu F.‘Marionette sutures’ retraction for hand fracture fixation. J Plast Reconstr Aesthet Surg. 2014 Aug;67(8):1160-1.

28.Iwuagwu FC, Orkar SK, Siddiqui A. Reconstruction of volar skin and soft tissues of the digits including the pulp: Experience with the free SUPBRA flap J Plast Reconstr Aesthet Surg. 2014 Sep 16. pii: S1748-6815(14)00500-2. doi: 10.1016/j.bjps.2014.08.064. [Epub ahead of print]

29. Iwuagwu F C. The three stages of breast reconstruction (Invited article). Plastic and Maxillofacial Aesthetic (PMFA) , October/ November, vol 2 ,issue 1, pp 19-23 2014.

Presentations (In Specialists’ Conferences)

1. Khan J I., Iwuagwu F C., Frame J D. The “MARSBAR” scoring system for assessment of Toxic shock syndrome in Paediatric Burns. (Presented at the 9th Congress of the International Society for Burns Injuries, Paris, 28th June 1994).

2. Iwuagwu, F.C. and Bailie F. The use of full thickness skin grafts in post burn contracture – a 10-year review.Presented at the 29th annual meeting of the British Burn Association (Swansea) – 11th April 1996.

3. Iwuagwu, F.C., and Bailie F. Burns (5-1)%) in the paediatric age group: Oral fluid therapy practices in the United Kingdom. Presented at the 29th annual meeting of the British Burn Association (Swansea) – 12th April 1996.

4. Iwuagwu F.C. & McGrouther D. A. The early cellular response in injured loaded and unloaded extensor digitorum longus tendons of the rat. Presented at the autumn meeting of the British Society for Surgery of the Hand – Nov’ 1996 (Birmingham)

5. Iwuagwu F. C., Brown R., McGrouther D. A. A comparative qualitative and quantitative ultrastructural study of the effect of loading on the healing tendon.(Presented at the summer meeting of the British Association of Plastic Surgeons – July 1997)

6. Iwuagwu F C, Edwards J, Dunn K W. Early experience with TELFA dressings in major burns: A three-year review. (Presented at the winter meeting of the British Association of Plastic Surgeons – December 1999).

7. Iwuagwu F C, Shaaban H, Lees V C. Re-attachment of flexor digitorum profundus tendons to the distal phalanx: a comparative biomechanical study. (Presentation – British Society for Surgery of the Hand October 2001)

8. Mashadi S A, Dewing D, Iwuagwu F. Deliberate self-harm: the St Andrew’s experience. (presented at the British Association of Plastic Surgeons meeting –Dec 2004)

9. Orkar S, Watts C, Mishra A, Iwuagwu F C. . A comparative analysis of the outcome of flexor tendon repair in a single radial digit (index finger) and a single ulnar digit (little finger): Does the little finger fare worse? (presented at the British Association of Plastic Surgeons summer meeting July 2006)

10. Orkar S, Iwuagwu F C Free superficial palmar branch of the radial artery flap for the reconstruction of defects on the volar surface of the digits. (Presented at the winter meeting of the British Association of Plastic, reconstructive and Aesthetic Surgeons meeting –Dec 2007)

11. Iwuagwu F C (Invited speaker). Free superficial palmar branch of the radial artery flap for digital reconstruction (British Society for Surgery of the Hand Nottingham 2009)

12. Iwuagwu F C (Invited speaker) Soft tissue cover of the digits proximal to the pulp (BSSH Instructional courses – Manchester February 2011).

13. Iwuagwu F C (Invited speaker). Free superficial palmar branch of the radial artery flap for digital reconstruction – (Combined American Microsurgical Society and Italian Microsurgical Society meeting, Pallermo, Italy – October 20-22, 2011)

14. Jabir S, Pahal G, Iwuagwu FC. Minimal access incision correction of prominent ears. (poster presentation at the British Association of Aesthetic Plastic Surgeons -Sept 2012)

15. Jabir S, Iwuagwu FC. Systematic review of rehabilitation protocols after didgital nerve repair (presented at the British Society for Surgery of the Hand – October 2012)

16. Breahna A, Siddiqui A, Jabir S, Tan A, Copsey A, Iwuagwu F. Outcome of digital replantations – St Andrew’s experience.  (Presented at the BSSH / BAHT combined autumn scientific meeting 17 – 18 October 2013 held at the Royal College of Surgeons of England, London)

17. Mopuri N, Frew Q, Iwuagwu F. A prospective study of deliberate self-harm injuries in the upper limb. (Presented at the BSSH / BAHT combined autumn scientific meeting 17 – 18 October 2013 held at the royal college of surgeons of England, London)

18. Jabir S, Petkar M, Iwuagwu F. Glomus tumours of the upper limb – a clinicopathological review of cases presenting to a regional hand unit over a ten-year period  (Presented at the BSSH / BAHT combined autumn scientific meeting 17 – 18 October 2013 held at the Royal College of Surgeons of England, London)

19. Jing SS, Teare L, Iwuagwu F. Extreme Mycobacterium Kanasii Flexor Tenosynovitis of the Finger. Accepted for publication in  Hand surgery journal.(Poster presented at the BSSH / BAHT combined autumn scientific meeting 17 – 18 October 2013 held at the Royal College of Surgeons of England, London).

20. Iwuagwu FC (invited speaker) – Ulnar Nerve Entrapment at the Wrist and Elbow. (BSSH Instructional course in Hand surgery, 13,14 June 2014 held in Manchester, UK).

21. Breahna A, Siddiqui A, Jabir S, Tan A, Copsey A, Iwuagwu F. Predictive factors in digital replantations – St Andrew’s experience.  (Presented at the FESSH meeting, 18 to 21 June 2014, Paris)

22. Jabir S, Petkar M, Iwuagwu F. Glomus tumours of the upper limb – a clinicopathological review of cases presenting to a regional hand unit over a ten-year period  (Presented at the ESPRAS meeting,  Edinburgh – July 2014)

23. Breahna A, Siddiqui A, Jabir S, O’Connor E, Iwuagwu F. Predictive factors in digital replantations – St Andrew’s experience.  (Presented at the ESPRAS – e poster – Edinburgh, July 2014).

24. Jabir S, Frew D, Iwuagwu FC. Outcome of free flaps in children : 10 year review. (presented at the ESPRAS meeting in Edinburgh, July 2014).

25. Iwuagwu FC Perforator flaps in the hand (invited speaker) Asia Pacific Federation of Societies for Surgery of the Hand (APFSSH) Oct 2-4, 2014.

26. Iwuagwu FC How I do it — SUPBRA (invited speaker) Challenges and Controversies in Hand Surgery, Chelmsford 7-8th November 2014

Other Interests

I like football as well as playing lawn tennis. I like listening to jazz, especially jazz-fusion, rhythm & blues (modern), gospel and highlife music. I enjoy singing soul and gospel (more like grunting). I enjoy and also play the saxophone (though badly)!

Memberships

British Society for Surgery of the Hand
British Association of Plastic, Reconstructive and Aesthetic Surgeons
Expert Witness Institute
Society of Expert Witnesses
Association of Personal Injury Lawyers (APIL)

Areas of Interest (Medico-Legal)

Scars (following burns, assaults, work related injuries, surgery, falls etc.)
Hand injuries
Soft tissue injuries
Deliberate self-harm

Medico–Legal Courses

I attended Bond Solon courses in ‘Excellence in Report Writing’ and ‘Written Evidence’ in June 2011.

Medico–Legal Courses

I have been preparing medico-legal reports for medico-legal agencies and solicitors for over ten years.

The distribution of the work I do is approximately claimant (80%) to defendant (20%).

The process from instruction to completion of a report takes approximately four weeks, depending on if the client and medical records are available for examination and review.

CONSULTING ROOM ADDRESSES

Brentwood

Spire Hartswood Hospital
Eagle Way
Brentwood
Essex
CM13 3LE

Essex Nuffield Hospital
Shenfield Road
Brentwood
Essex
CM15 8EH

London

London Medical Centre
142-146 Harley Street
London
W1G 7LD (TBC)

Spire Roding Hospital
Roding Lane South
Ilford, Essex
IG4 5PZ

London Independent Hospital
1 Beaumont Square
Stepney Green
London
E1 4NL

Whipps Cross University Hospital
London
E10 1NR

Chelmsford

St Andrews Centre for Plastic Surgery
Broomfield Hospital,
Chelmsford
CM1 7ET

Chelmsford Medical Centre
Fenton House
85-89 New London Road
Chelmsford
Essex
CM2 0PP

Spingfield Medical Centre
Lawn Lane
Springfield
Chelmsford
Essex
CM1 7GU

St Andrews Centre for Plastic Surgery and Burns
Broomfield Hospital
Chelmsford
CM1 7ET