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Mr Fabian Norman-Taylor

Consultant Paediatric Orthopaedic Surgeon

Overview

Mr Norman-Taylor graduated from the University of London in 1988 and completed his orthopaedic training in 2000. He completed an 18 month clinical fellowship in paediatric orthopaedics, and particularly neurodisability, at the Royal Children’s Hospital in Melbourne and the Hospital for Sick Children in Toronto. He is orthopaedic surgeon for neurodisability at Great Ormond Street Hospital (GOSH).

Prior to this he spent 3 years as a consultant at Bristol Royal Hospital for Children and over 10 years as a consultant at Evelina London Children’s Hospital. During this time, he has worked with the multidisciplinary teams to develop regional services for children with disabilities, particularly those with severe cerebral palsy, but also the services for spina bifida and other neuromuscular conditions, such as Charcot Marie Tooth. He is part of the team that treats cerebral palsy with selective dorsal rhizotomy (SDR). He has set up a Ponseti service for club feet (CTEV), and has also successfully treated a large number of children and teenagers with other foot conditions and hip conditions, such as congenital dislocation of the hip (DDH), Perthes’ disease and slipped upper femoral epiphysis (SUFE). Many of these children have already had some treatment elsewhere, and many are approaching adulthood.

Mr Norman-Taylor is committed to optimising the results from surgery for hip displacement in children with cerebral palsy, and has published and presented his work on this to national and international audiences, winning the British Society for Children’s Orthopaedic Surgery best paper award in 2017. His research has included a trial of botulinum toxin for the management of post-operative pain, funded by the National Institute for Health Research (NIHR).

He has taken a keen interest in orthopaedic education and founded the fellowship programme in orthopaedics at Evelina. He is an educational supervisor for the London School of Surgery, and teaches for MRCS and FRCS examinations.

Children with severe cerebral palsy often have multiple medical problems, and Mr Norman-Taylor maintains a multidisciplinary approach at GOSH to maximise patient safety and provide a smooth journey for the child and family. Large numbers of children with neurodisabilities are referred to GOSH every year; this is because of its excellent reputation in this field, and Mr Norman-Taylor is very pleased to be part of that team.

Credentials

  • Surgery for children with cerebral palsy, spina bifida and other neuromuscular conditions.
  • Surgery for children with hip problems.
  • Surgery for children with foot problems.
  • Sports injury and musculoskeletal pain.
  • The outcomes of surgery for children with cerebral palsy.
  • The management of hip displacement from cerebral palsy.
  • The orthopaedic management of children having selective dorsal rhizotomy (SDR).
  • MBBS – University of London, 1988
  • FRCS – 1993
  • FRCS (Tr and Orth) – 1998
  • Mr Norman-Taylor is on the Specialist Register of the GMC (General Medical Council) for trauma and orthopaedics.

Defining meaningful outcomes for the most severely affected children with cerebral palsy remains a difficult challenge. Many children have difficulty with communication and are reliant on others to express their needs and their feelings. Much work has been done on this, and Mr Norman-Taylor is working with colleagues to improve it further.

The safety of children undergoing surgery is paramount. A chest infection can be life-threatening for severely affected children with cerebral palsy and is the most common complication of surgery. Mr Norman-Taylor is researching the value of a simple blood test to detect this so that treatment can start as early as possible.

Many outstanding questions remain for the management of the displaced hip in children with cerebral palsy, and Mr Norman-Taylor is participating in multicentre research to help find the answers.

News & Publications

Proximal femoral resection for the painful dislocated hip in cerebral palsy: does indomethacin prevent heterotopic ossification? J Dartnell, JAM Paterson, N Magill, FH Norman-Taylor. Journal of Pediatric Orthopaedics 2014

Proximal femoral resection for the painful dislocated hip in cerebral palsy without post-operative traction.  J Dartnell, M Gough, JAM Paterson, FH Norman-Taylor.  Bone and Joint Journal 2014

The Hip in Cerebral Palsy. C Fairhurst, S Turner, C Lundy, F Norman-Taylor. Paediatrics and Child Health 2014.

The prevalence of bifid iliopsoas tendon on MRI in children. T Crompton, C Lloyd, M Kokkinakis, FH Norman-Taylor. J Child Orthop 2014.

Use of the British National Formulary to measure limb length discrepancies in the paediatric outpatient setting. P Buddhdev, F Norman-Taylor. Ann R Coll of Surg Eng 2016.

Use of Povidone Iodine Sponge to protect skin and prevent k-wire infection. HU Khan, FH Norman-Taylor – Ann R Coll Surg Engl 2013

Leri-Weil dyschondrosteosis: further evidence of increased meiotic transfer of SHOX and response to Growth Hormone Therapy [Letter]. M Irving, S Piggott, F Norman-Taylor, CM Ogilvie, AT Hulse. Published on-line by the Endocrine Society 2010. J Clin Endocrinol Metab Feb 2011.

A review of reported litigation against English health trusts for the treatment of children in orthopaedics: present trends and suggestions to reduce mistakes. A Atrey N Nicolaou, M Katchburian, F Norman-Taylor – J Child Orthop 2010.

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