The Adult and Paediatric limb reconstruction Unit at the RNOH is led by Consultants who are recognised both nationally and internationally for their expertise and experience.

The service at the RNOH encompasses multiple reconstructive orthopaedic techniques. Including, limb lengthening and deformity correction with internal fixation such as nailing and external fixation, for example, with Ilizarov, LRS and Taylor Spatial Frames. We were the first UK centre to use the Precice Nail.

Range of services

  • Congenital bone dysplasias
  • Congenital deformities of the foot
  • Shortening and deformity in association with generalised bone conditions
  • Fracture non-union
  • Post traumatic limb deformity
  • Bone infection (osteomyelitis and fracture related infection)

Clinical Nurse Specialists

  • Anna Timms
  • Penina Edel
  • Michelle Campbell
  • Heather Gledstone


  • Grace Crook

Frame Academy:  an animated video for young patients aged 5-11 being treated with external fixators. It was developed to improve understanding of having surgery & living with an external fixator. It has been possible via funding from the RNOH Charity

The Royal National Orthopaedic Hospital NHS Trust (RNOH) receives clinical referrals to our specialist, tertiary neuro-musculoskeletal services from primary, secondary and tertiary care institutions regarding both NHS and private patients.

From Monday 13th December 2021, the RNOH Limb Reconstruction service have committed to using ‘PATHPOINT’, an electronic referral and pathway management system, for all Consultant-led referrals from secondary and tertiary care organisations.

General Practitioners should continue to refer to RNOH using the UK Electronic Referral System (ERS)- please see below.

PATHPOINT offers significant benefits to referrers:

  • Secure, streamlined, electronic referral forms
  • Receive updates and notifications in real time
  • Increased visibility of all referrals and triage outcomes

To submit a referral to Limb Reconstruction Service, please access the 'PATHPOINT' link (within your Secure hospital network) and follow the steps below:

1. Register with your personal NHS email address for a PATHPOINT account to manage your referral/s

2. Login to your account with your credentials by clicking the 'PATHPOINT' link

3. Input your referring organisation, and patient PID details

4. Click the drop down list of referral pathway forms and select "Tertiary Limb Reconstruction referral" and click "Go to referral form" to launch the form

5. Fill in all fields of the Tertiary Limb Reconstruction​​​​​​​ referral form and click "Save Tertiary Limb Reconstruction​​​​​​​ referral"

NB: You will receive notification emails to your NHS email account from PATHPOINT from the (insert name of RNOH sub-speciality team) with updates about the status of your referral if further information is required. 

To give your feedback, or for any further questions, please email the relevant contact below: 

PATHPOINT Technical Support: 
Feedback to RNOH Project Team: 

For further information on the PATHPOINT system, please click here

Referrals are accepted from GPs via the NHS e-referral system.

Referrals from Consultants and can be emailed to 

Secretary to Mr Calder and Mr Wright, 020 3947 0541

Secretary to Ms Tennant and Christine Douglas, 020 8909 5758

Secretary to Mr Hashemi-Nejad and Mr Segaren, 020 8909 5802

Secretary to Ms Eastwood and Mr Khan , 020 3947 0541

Secretary to Mr Goodier, Mr Marks and Ms Tissingh, 020 8909 5802

Limb Reconstruction

  • Mr Peter R Calder - Paediatric orthopaedics, adult and paediatric congenital deformity correction and limb reconstruction.
  • Mr David Goodier - Mr Goodier has pioneered Limb Reconstruction treatment using the Ilizarov and other external fixators, as well as deformity correction, management of...
  • Mr Jonathan Wright - Paediatric orthopaedics (excluding spine). Congenital and acquired limb deformities in children and adults.
  • Miss Elizabeth Tissingh - Adult limb reconstruction and bone infection

Based at RNOH, this fellowship provides an excellent higher training opportunity in all aspects of Limb Reconstruction in a world renowned tertiary referral centre for orthopaedic surgery. This will include experience with management of internal and external fixation, circular frames, lengthening nails and management of bone infection.

The successful candidate will experience the full range of adult and paediatric limb reconstruction surgery. The placement provides excellent opportunities for clinical and professional development. Throughout the duration of the fellowship the candidate will be expected to engage in the planning and delivery of services as well in research and service improvement projects.

This post does not attract an NTN, but is suitable for a candidate who has passed the FRCS (Tr & Orth) or equivalent, and is looking for subspecialty experience in complex elective limb reconstruction, management of congenital and acquired deformity and bone infection. Applicants must have full GMC registration with a licence to practice prior to the start of employment.

The fellowship is for 12 months, starting in April of each year. The job is usually advertised on NHS jobs in March, a year in advance, but enquiries are welcomed throughout the year.

Informal discussions are encouraged

Fellowship Supervisors: Mr Jonathan Wright, Mr Peter Calder, Mr David Goodier, Miss Elizabeth Tissingh. Please contact for enquiries.

Information Guides for Adults

Limb reconstruction

See the full list of Patient Information Guides.