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Publication Delayed scedosporium apiospermum osteomyelitis following an open ankle fracture in an immunocompetent patient(BMJ Pub, 2025-01-14) Papaleontiou, Andreas; Poupard, Andréa; Nolan, Ciaran Declan; Mortiboy, Deborah; Microbiology; Medical and Dental; Mortiboy, DeborahScedosporium apiospermum is a ubiquitous environmental fungus, and several osteomyelitis cases have been reported in recent years. We present the case of a woman in her 70s who sustained a comminuted open ankle fracture, with garden soil contamination of the wound, which was treated according to orthoplastic principles. The patient developed osteomyelitis 6 months postsurgery. Intraoperative samples from the debridement and removal of metalwork showed the growth of S. apiospermum, and the patient was treated with antifungal therapy and surgical debridements. The successful recovery of the patient highlights the possibility of treating fungal osteomyelitis when promptly diagnosed, raising the need for clinical suspicion. The interpretation of the significance of an environmental isolate was aided by a clear recording of not only the mechanism of injury but also the environment where it occurred. Hence, clear documentation and description of open fractures are paramount to patients' care.Publication Research priority setting in UK podiatric surgery(BMC, 2023-06-02) Posmyk, Lesley; Carter-Wale, Robyn L; Clark, Kerry; Donson, Lorna; Halstead, Jill; Lennox, Natalie; Milnes, Helen; Podiatric Surgery; Medical and Dental; Clark, KerryEvidence-based practice provides the foundation for high quality patient care, and in the NHS, research is seen as vital to enable service transformation and improve outcomes. Research is one of the four pillars of enhanced and advanced clinical practice and is therefore a fundamental part of podiatric surgery services. In order to meet the UK health research strategies, the most recent being 'Saving and Improving Lives: The Future of UK Clinical Research Delivery' (2021), the Faculty of Podiatric Surgery in the UK agreed to support the development of research priorities in order to inform a future research strategy.The Podiatric Surgery Research Strategy Group was set up and embarked on a project with the aim of engaging its members in formulating and agreeing national research priorities. The initial stage included a national research scoping survey to identify key themes, topic, and research questions. The final stage consisted of developing and enabling a live consensus vote conducted at the 2022 national Faculty of Podiatric Surgery Conference. At the end of the vote, the top five research topics that met the agreement criteria were: 1. Surgical treatment - forefoot, 2. Patient reported outcome measures, 3. Post-operative management, 4. Surgical treatment - midfoot and 5. Service delivery. The top five research questions that met the criteria were1. How does quality of life improve following elective foot surgery? 2. How does podiatric surgery benefit the health of the population? 3. How does podiatric surgery benefit the health of the population in the at-risk foot? 4. What is the most effective Lapidus fixation option? and 5. What is the benefit of utilising PASCOM-10 to improve large scale outcome data? These will inform the initial UK podiatric surgery research priorities in the next three to five years.