Re-thinking pain management

About the authors:

Dr Iain McFadyen is an experienced consultant in Trauma and Orthopaedics with a full-time trauma practice. He has a special interest in complex upper and lower limb fractures, non-union, bone infection and deformity correction. McFadyen was previously Chief of Trauma in Brighton where he helped lead the establishment of major trauma systems. He is the National Director of Clinical Audit for the UK's Trauma Audit and Research Network (TARN) and co-chairman of the Fracture Guidelines Development Group for the National Institute for Health and Care Excellence (NICE).

Dr. Milton Little is a member of the Orthopaedic Trauma Service at Cedars Sinai Medical Center specializing in intra-articular fractures, orthopaedic treatment of polytrauma patients, pelvis, acetabulum, and nonunion fracture fixation. He is a member of the AO teaching faculty and the Cedars-Sinai Orthopaedic Trauma Fellowship Director.

He has published extensively in peer-reviewed journals including Journal of Orthopaedic Trauma, Journal of Bone and Joint Surgery, and the Bone & Joint Journal (formerly JBJS Br). He has published and presented on numerous topics including ankle fractures, proximal humerus fractures, tibial plateau fractures and pelvic/acetabular fractures.

Dr. Little completed his undergraduate degree at Stanford University. He graduated with honors from the University of Michigan Medical School in Ann Arbor, Michigan. After completing an orthopaedic residency at the Hospital for Special Surgery in New York City, he finalized his training with an Orthopaedic Trauma Fellowship at Harborview Medical Center/University of Washington.


Samir Mehta, MD is an Associate Professor in the Department of Orthopaedic Surgery and Chief of the Orthopaedic Trauma & Fracture Service at the Perelman School of Medicine at the University of Pennsylvania. Samir did his Orthopaedic Surgery residency at the University of Pennsylvania where he was a research fellow and was also awarded the DeForest Willard Award. Having developed an interest in Orthopaedic Traumatology, Samir furthered his education as an orthopaedic trauma fellow at Harborview Medical Center in Seattle, Washington. Upon completion of his orthopaedic trauma fellowship, Samir was awarded the AO John Border Memorial European Fellowship Award and continued his education at the University of Saarland in Homburg, Germany. Samir is also the clinical research advisor of the Biedermann Lab for Orthopaedic Research at the University of Pennsylvania and the medical director for clinical research for the Department of Orthopaedic Surgery. As a result of a busy clinical practice, he has developed a particular interest in pelvic and acetabular fractures, repair of non-unions and malunions, and reconstruction of peri-articular fractures.

Samir is also actively involved with the American Academy of Orthopaedic Surgery, the American Orthopaedic Association, the Orthopaedic Trauma Association, and he AO Foundation. He has been awarded the prestigious American Orthopaedic Association-North American Traveling Fellowship, the AO Howard Rosen Teaching Award, and also has served as an AAOS Health Policy Fellow on Capitol Hill. His research interests include non-unions, open fractures, traumatic articular cartilage injury, and fracture healing. He has participated in over one-hundred peer review publications, has multiple current funded studies, and has presented on numerous occasions nationally and internationally. He has been awarded several grants from agencies such as the DOD, PCORI, and NIH. He has been actively involved in multiple research projects examining graduate medical education and is currently was faculty member for ten years on the AAOS Course for Orthopaedic Educators. In addition, Samir enjoys running, cooking, and traveling.