MR. DERRICK E. LOUSAING

BSc., MBBS. FRCS. ED., FRSM.
Consultant Orthopaedic Surgeon

 

• General Orthopaedics
• Joint Replacement and Lower Limb Reconstruction

 

INTRODUCTION

Over thirty (30) years of experience in joint replacement surgery allows for better decision making for patients from diagnosis to complete recovery.

Experience is only one aspect of surgery that contributes to becoming an expert in the field…hard work dedication and continuous training provides the other ingredients that gets your surgeon to optimize outcomes for each individual patient.

In the last few years, I have narrowed my field of practice to delivering the best care in joint preservation surgery, partial replacement in hips and knees, total joint replacement in hips and knees simple or complex revision joint replacement in most situations, arthroscopic surgery in the knee including cartilage ,meniscal and ligament reconstruction single or multiple.

The outcome of surgery is multifactorial but generally greater numbers of surgical procedures leads to better outcomes. If you have a surgical hip or knee problem, seek a high-volume surgeon to advise the best option for your problem

 

SPECIAL INTEREST AREAS

• Joint Preservation Surgery around the hip and knee (osteotomies /realignment surgery)
• Hip and Knee Arthroplasty (all types of replacement surgery )
• Unicondylar (partial) Knee Arthroplasty (single compartment replacement)
• Complex Revision Arthroplasty (replacement)
• Arthroscopy of the Knee/ACL Reconstruction / Multiple knee ligament reconstruction/cartilage /meniscal and patella

 

PROFESSIONAL BIOGRAPHY

Together with Mr. Araujo, Mr. Derrick E. Lousaing founded the Fracture and Orthopaedic Clinic in St. Clair, Trinidad in 2003 with the vision of offering a complete range of specialist orthopaedic care and diagnostics at a single multi-purpose facility.

Mr. Lousaing has gained extensive surgical experience from his 35 plus years of practice. Upon completion of his undergraduate degree in Jamaica in 1984, he worked at the Port of Spain General Hospital, Trinidad, in various surgical disciplines for three years until he departed for the UK to pursue his post-graduate degree. During his four-year orthopaedic surgery residency in the UK, he attained the position of Senior Registrar in Orthopaedics.

Returning to T&T in 1991, Mr. Lousaing then pioneered hip and knee arthroplasty, which he continued to specialise in throughout his career, establishing himself as one of the most experienced arthroplasty surgeons in the Caribbean. Mr. Lousaing currently performs approximately 150 total joint replacements a year in Trinidad and at clinics across the Eastern Caribbean.

Recognising the importance of continued professional development, Mr. Lousaing regularly participates in local and international hands-on and laboratory-type training, as well as medical meetings, workshops and evaluations in all aspects of orthopaedic surgery. He has presented numerous papers and contributed to several highly respected professional publications. Mr. Lousaing has been a feature speaker at several local, Caribbean and international orthopaedic forums.

At the Fracture and Orthopaedic Clinic, a fertile training ground has been created for post graduate training for several local surgeons and has resulted in the performance of several first time procedures performed locally including single compartment knee replacement and tumour replacement megaprosthesis.

Mr. Lousaing remains at the forefront of hip and knee arthroplasty in the Caribbean and currently has specialist interest in complex orthopaedic trauma to the pelvis and lower limb and all aspects of arthroscopic surgery and knee ligament reconstruction. His practice at Fracture and Orthopaedic Clinic is extensively devoted to hip and knee orthopaedic care, however his experience allows for a comprehensive surgical repertoire to general orthopaedics.

Mr. Lousaing is currently the Chairman of Fracture and Orthopaedic Clinic and serves as a Director of Tri-Med and Caribbean Orthopaedics Limited.

 

PRESENT POSITIONS

Consultant Orthopaedic Surgeon

• Fracture and Orthopaedic Clinic (FAOC)
• Port of Spain General Hospital (POSGH)
• St. Clair Medical Centre (SCMC)
• Westshore Medical Centre (WSMC)

 

EDUCATION

• Fellow of Royal College of Surgeons, (FRCS) Edinburgh, Scotland, U.K
• University of the West Indies, Mona Jamaica

 

PROFESSIONAL AFFILIATIONS

• American Academy of Orthopaedic Surgeons
• British Orthopaedic Association
• Caribbean Association of Orthopaedic Surgeons
• Royal Society of Medicine
• Advanced Trauma Life Support (Lecturer)

 

PREVIOUS POSITIONS HELD

• UWI College of Medicine and Veterinary Medicine - Honorary Clinical Tutor - effective 1st January 2013
• University Of Edinburgh , Royal College Of Surgeons Honorary Masters Supervisor ChM Trauma and Orthopaedics 2012-2013

 

PRESENT/ PAST MEDICAL REGISTRATION LICENSES HELD

• Anguilla
• Antigua
• Barbados
• St. Kitts-Nevis
• St Lucia
• Trinidad And Tobago
• United Kingdom
• CSME certification

 

FURTHER TRAINING

• Hip replacement surgery
• Knee replacement surgery
• Sports Medicine Surgical Procedures
• Foundation for Orthopaedic Research and Education 2018: Point of Care Exam and Trauma A Self-Assessment Exam May 2018
• Hospital For Special Surgery 29th Annual Holiday Knee & Hip Course December 2017
• The Caribbean Association of Orthopaedic Surgeons 11th Annual Scientific Conference October 2016
• Transatlantic Orthopaedic Congress 17th Annual Sports Medicine & Total Knee & Hip Course in Collaboration with the European Knee Society, New York, NY October 2016
• TCOS Nassau, Bahamas 2016 - Presentation on bone loss in revision joint surgery Caribbean Association of Orthopaedic Surgeons, Port of
• Spain, Trinidad, October 2013 & 2014
• The Knee Society and The American Association of Hip and Knee Surgeons –Co-Branded Knee Society and AAHKS Specialty Day Scientific
• Program – McCormick Place Convention Center South, Chicago IL, USA, March 2013
• Vumedi - San Francisco Nov 2013
• American Academy of Orthopaedic Surgeons (AAOS) Annual Meeting Chicago IL, March 2013
• American Academy of Orthopaedic Surgeons (AAOS) Annual Meeting, San Francisco, CA, U.S.A. 2012
• Sports Medicine and Total Knee and Hip course, ICJR, New York NY U.S.A. 2012
• Caribbean Orthopaedic Conference, Jamaica, 2011
• American Academy Annual Meeting 1993, 1995, 1997,1999, 2000, 2002, 2006, 2007, 2011
• Annual Meeting of the Caribbean Association of Orthopaedic Surgeons 2006, 2007, 2008, 2009, 2010
• Advances in Orthopaedic Trauma and Arthroplasty, Miami, Florida December 2010
• 15th Jamaican Orthopaedic Association Annual Meeting, Ocho Rios, Jamaica 2010
• Contemporary Issues in Partial knee arthroplasty, Columbus, Ohio, June 4-6, 2010
• A Masters Experience in Arthroscopy of the Hip Joint, Orthopaedic Learning Center, Rosemont, Chicago October 2009
• Current and conventional concepts in Joint replacement, Las Vegas, Nevada, U.S.A. 1994, 1996, 2007
• Edinburgh International Trauma Symposium, Edinburgh U. K. 2006
• Regional Orthopaedic Lime Trinidad and Tobago, 2005, 2006
• Oxford Unicompartmental Knee Course 2004, 2006
• Joint Replacement Review, Puerto Rico, U.S.A. 2005
• Synvisc International Course, New Jersey, U.S.A 2005
• American Fracture Association Meeting, 2000
• British Orthopaedic Association, 1997, 1998
• Annual Meeting of Society of Orthopaedic Surgeons of Tobago & Tobago 1995, 1996
• Basic and Advanced International Courses of Internal Fixation, Nottingham, U.K. 1989
• Radiation Management Course, Port-of-Spain, Trinidad & Tobago 1989

 

PAPERS / PRESENTATIONS

 

• Management of a Giant Cell tumors with megaprosthesis in a resource-limited setting. Indian J Orthop Surg 2024;10(2):189-194 Lousaing D et al.
• Acetabular Reconstruction in THR, October 2023
• Patellofemoral joint surgical management, October 2022
• Factors influencing discussion for single stage bilateral total joint replacement, October 2021
• The Use of Ultracongruent Polyethelene Inserts in Complete Total Knee Replacement - Trinidad 2019
• Managing Severe Deformities During Knee Replacement Surgery - Trinidad 2018
• Options for dealing with Bone Loss in Revision Knee Revision Knee Replacement Surgery - Bahamas 2016
• Difficult Hip Surgeries - October 2014
• Medial Compartment Unicompartment Replacement- An introduction to Practice- Barbados 2012
• The Comparative findings of MRI and Arthroscopy of the knee joint
• A Mini-Arthrotomy two incision technique for ACL Reconstruction with Bone Patellar Bone Graft
• Surgical tips for complex primary total knee replacement
• Tibiotalocalcaneal Arthrodesis with intramedullary interlocking nail fixation
• A case of complex Giant cell tumour destruction of first metacarpal.
• Posterior acetabular fracture/dislocation of the hip
• Use of primary prosthesis (CR) for complex knee deformities
• Ankle Arthrodesis and Simultaneous Lengthening Using Ilizarov
• Blood Loss in TKR with TEA in first 24 hours

 

MEDICAL JURISPRUDENCE EXPERIENCE

Court appearances in the following jurisdictions:

• Trinidad and Tobago
• Antigua

Expert witness in the following jurisdictions

• Trinidad and Tobago
• UK

IN PROGRESS:

• A Review of Proximal Tibial Intraarticular Fractures
• A Clinical Look at the Hip Joint Parameters as related to CAM Impingement in a multi-ethnic population
• Gunshot Injuries in Trinidad and Tobago- A New Protocol for Bone Assessment
• Single Stage Bilateral Hip Replacements in Young Adults
• Hip Replacement Surgery in Adult CDH - A special group
• Osteotomy use for Joint Preservation patients Angular Deformity Osteoarthritis