Iain Packham is a highly-experienced consultant orthopaedic surgeon specialising in shoulder, elbow and upper limb conditions, injuries and procedures. He has trained both in the UK and internationally, successfully completing a fellowship at the Cape Shoulder Institute, Cape Town and The Australian Institute of Musculoskeletal Surgery, Sydney, with a focus on the arthroscopic treatment of sports injuries. Alongside his NHS roles and private practice, he’s also responsible for tutoring junior doctors, medical students, physiotherapists and nursing staff due to his position in an established training hospital. Patients describe him as considerate, diligent and warm.

• Consultant in Trauma and Orthopaedic Surgery with a specialist interest in the Upper Limb, North Bristol NHS Trust.
• Consultant Orthopaedic Surgeon at Avon Orthopaedic Centre
• Director of Iain Packham Ltd.
• Director of Sport and Orthopaedic Clinic Bristol Ltd.
• Director of Bristol Shoulder Specialists Ltd.

• C.C.T. Trauma and Orthopaedics (2007).
• Postgraduate Diploma in Orthopaedic Engineering (2006).
• F.R.C.S. (Tr & Orth) (2006)
• M.R.C.S. (Glasg.) (2000)
• B.M., B.S. (1996)
• B.Med.Sci. (1994).
• Fellowships at the Cape Shoulder Institute, Cape Town and The Australian Institute of Musculoskeletal Surgery, Sydney

• General Medical Council (GMC) 4335676
• British Orthopaedic Association, Fellow.
• Royal College of Physicians and Surgeons Glasgow, Fellow.
• British Elbow and Shoulder Society.
• British Association Surgery of the Knee.
• European Society of Sports Traumatology Knee Surgery and Arthroscopy.
• International Society of Arthroscopy, Knee surgery and Orthopaedic Sports medicine.
• British Association of Snowsport Instructors.

• Subacromial balloon spacer for irreparable rotator cuff tears of the shoulder (START:REACTS): a group-sequential, double-blind, multicentre randomised controlled trial. Metcalfe et al on behalf of the STARTS:REACT Team. Volume 399, Issue 10339, 21–27 May 2022, Pages 1954-1963.
• Reducing unnecessary fixation of midshaft clavicle fractures. Murray NJ, Johnson T, Packham IN, Crowther MAA, Chesser TJS. Eur J Orthop Surg Traumatol. 2021 Sep 3.
• Predictors of mortality following shoulder arthroplasty. Dacombe P, Harries L, McCann P, Crowther M, Packham I, Sarangi P, Whitehouse MR. J Orthop. 2020 May 4;22:179-183.
• Predictors of length of stay following shoulder arthroplasty in a high-volume UK centre. Dacombe P, Harries L, McCann P, Crowther M, Packham I, Sarangi P, Whitehouse MR. Ann R Coll Surg Engl. 2020 Apr 17:1-6.
• Blood transfusion rates following shoulder arthroplasty in a high volume UK centre and analysis of risk factors associated with transfusion. Dacombe PJ, Kendall JV, McCann P, Packham IN, Sarangi PP, Whitehouse MR, Crowther MA. Shoulder Elbow. 2019 Jul;11(2 Suppl):67-72. Epub 2018 May 14.
• The management of bilateral posterior fracture dislocations of the shoulder: a case series illustrating management options. Uppal H, Robinson P Packham I, Crowther M. Shoulder and Elbow 2016 8(2) 111-117.
• Financial ramifications of inaccurate clinical coding in two common orthopaedic procedures. January 2016. Tucker D, Parry M, Packham I. Bulletin of The Royal College of Surgeons of England 98(1):34-37.
• Pectoralis major tendon repair: a biomechanical study of suture button versus transosseous suture techniques. Thomas W, Gheduzzi S, Oackham I. Knee Surg Sports Traumatol Arthrosc. 2015 Sep;23(9):2617-23.
• Proximity of the axillary nerve during bicortical drilling for biceps tenodesis. Lancaster S, Smith G, Ogunleye O, Packham I. Knee Surg Sports Traumatol Arthrosc. 2014 Aug 10.
• Proximity of axillary nerve during cortical button repair of pectoralis major tendon rupture. Lancaster S, Smith G, Ogunleye O, Clark D, Packham I. Shoulder and Elbow. ePub Sept 2013.
• Open reduction and plate fixation versus nonoperative treatment for displaced midshaft clavicular fractures: a multicenter, randomised, controlled trial. Robinson CM, Goudie EB, Murray IR, Jenkins PJ, Ahktar MA, Read EO, Foster CJ, Clark K, Brooksbank AJ, Arthur A, Crowther MA, Packham I, Chesser TJ. J Bone Joint Surg Am. 2013 Sep 4;95(17):1576-84.
• First time traumatic anterior shoulder dislocation: a review of current management. Smith GC, Chesser TJ, Packham IN, Crowther MA. Injury. 2013 Apr;44(4):406-8.
• Conservative management versus open reduction and internal fixation for mid-shaft clavicle fractures in adults-the Clavicle Trial: study protocol for a multicentre randomized controlled trial. Longo UG, Banerjee S, Barber J, Chambler A, Cobiella C, Corbett S, Crowther M, Drew S, Francis A, Lee M, Garlick N, Packham I, Pearse Y, Richards A, Roberts C, Tennent D, Tims E, Ahrens PM. Trials. 2011 Feb 28;12:57.
• Avulsion of the proximal hamstring origin. Surgical technique. Carmichael J, Packham I, Trikha SP, Wood DG. J Bone Joint Surg Am. 2009 Oct 1;91 Suppl 2:249-56.
• Avulsion of the Proximal Hamstring Origin. Wood D, Packham I, Trikha P, Linklater J. Am J Bone Joint Surg Am 2008 Nov 01;90(11):2365-2374.
• Patellar tendon length after knee arthroplasty with and without preservation of the infrapatellar fat pad. Lemon M, Packham I, Narang K, Craig DM. J Arthroplasty. 2007 Jun;22(4):574-80. Epub 2007 Mar 9.
• A prospective randomised double-blind trial of the use of intrathecal fentanyl in patients undergoing lumbar spinal surgery. Chan JH, Heilpern GN, Packham I, Trehan RK, Marsh GD, Knibb AA. Spine 2006 Oct 15;31(22):2529-33.
• Does pulse lavage reduce hip hemiarthroplsty infection rates? Hargrove R, Ridgeway S, Russell R, Norris M, Packham I, Levy B. Journal of Hospital Infection 2006 Apr;62(4):446-9. Pelvic and acetabular fractures in the United Kingdom: A continued public health emergency. M Solan, S Molloy, I Packham, D Ward, M Bircher. Injury. 2004 Jan;35(1):16-22.
• Pre-Vascular Hernia: A rare cause of chronic obscure groin pain after inguinal hernia repair. Aldridge A. Packham I. Nash A. Hernia Mar;5(1):53-5, 2001 Mar.
• The contribution of bone densitometry to the diagnosis and treatment of osteoporosis. Coupland CA, Packham I, Lyons AR, Chilvers CE, Hosking DJ. Public Health. 1997 Apr 15;210(8):1169-72.
• Additional publications:
• Acute Management of Traumatic Anterior Shoulder Dislocations During COVID-19: Are We Meeting Published National Standards for Treatment During the Pandemic? Donovan R, Abdelmalek A, Crowther M, Packham I May 2021. British Journal of Surgery Open i4, vol. 5, P14 (Supplement 1).
• A proforma to improve the acute management of traumatic anterior shoulder dislocations to meet published national standards for treatment. Donovan R, Abdelmalek A, Crowther M, Packham I. October 2022. British Journal of Surgery Open i2, vol. 5, P6 (Supplement 1).
• Natural History of Poly L-Lactide Bioabsorbable screw following tibial fixation of hamstring graft in ACL surgery [Abstract] A P Sprowson, S A Aldridge, K S Rankin, I N Packham and D G Wood. J Bone Joint Surg Br 2012 vol. 94- B no. Supp XXIX 94.
• Neuropathic pain following hip resurfacing… [Letter] Packham I. Journal Bone & Joint Surgery, Br. August 2011 (ePub).
• An unexpected painful end [letter]. Barakat M, Torres-Gau J, Packham I. Medical Protection Society Casebook Volume 19 Issue 1 January 2011.
• Avulsion of the Proximal Hamstring Tendons. [Abstract] Wood D, Packham I, Trikha P, Linklater J. (Proceedings American Academy Orthopaedic Surgeons, March 2008). Snowsports injuries among orthopaedic surgeons. January 2007. Injury Extra 38(1):31-32. Packham I, Trehan R, Magnussen P.
• Surgical repair of the proximal hamstring origin. [Letter] Packham I, Trikha P, Wood D. Am J Bone Joint Surg. Epub 2007 June.
• A rare, secondary, grade II myxoid chondrosarcoma of the distal phalanx of the hand arising from a pre-existing enchondroma. [Abstract] Trehan, I Packham, P Mehrotra, and G Marsh. Journal of Bone and Joint Surgery – British Volume, May 2006, 88-B, 300. (Proceedings British Orthopaedic Oncology Society).
• A prospective randomised double-blind trial on the use of intrathecal Fentanyl in patients undergoing lumbar spinal surgery [Abstract]. J Chan, G Heilpern, I Packham, G Marsh, A Knibb. Journal of Bone and Joint Surgery – British Volume. 88-B, 221. (Proceedings of the British Association of Spinal Surgeons, February 2005).
• Personality characteristics and personal motivators in orthopaedic trainees [Abstract] Packham I. et al.. Proceedings of the 11th Combined Orthopaedic Associations, October 2004.
• The early management of pelvic and acetabular fractures. [Abstract] Solan , M, Packham, I, Molloy, S, Ward, DA, Bircher, MD. Journal of Bone and Joint Surgery – British Volume. 85-B (Supplement II):98, 2003. (Proceedings British orthopaedic Association).
• The Rate of Instrument breakage during orthopaedic procedures [Abstract]. M Price, S Molloy, M Solan, I Packham, D Ricketts. Proceedings SICOT/SIROT, Annual International Conference, August 2001.
• Assessment of the diagnostic use of risk factors for osteoporosis in a bone metabolism clinic - a clinical audit. [Abstract]. Packham, I. et al. Current Research in Osteoporosis and Bone Mineral Measurement III: 1994.