[CURRICULUM VITAE] January 28, 2013

NAME: PROF. LAWRENCE NDEGWA GAKUU DATE OF BIRTH: 20TH JULY 1950. MARITAL STATUS: MARRIED WITH FOUR CHILDREN NATIONALITY: KENYAN

ADDRESS: . DEPARTMENT OF ORTHOPAEDIC SURGERY P.O. BOX 19676 - 00200. NAIROBI -

PRIVATE ADDRESS: P.O. Box 55164 CODE 00200 NAIROBI - KENYA

TELEPHONE: OFFICE: + 254-2-720940 + 254-2-726300 EXT.43590 RESIDENCE: + 254-0722522218 FAX:- + 254-2-3875323

E-Mail:- [email protected]. EDUCATION

UNIVERSITY POST UNIVERSITY INTERNSHIP 1999 - Fellow – College of Surgeons East, Central and South Africa (COCECSA) FCS (ECSA). 1985 – 1986. - University of Birmingham (U.K) – Diploma in orthopaedics and Accident Surgery. 1984. - University of Ulm. – West Germany, Certificate in Traumatology. 1977 – 1980 - University of Nairobi – Master of Medicine in Surgery. - (M.Med. Surg.)

1971 – 1976 - University of Nairobi – MBCHB. PRE – UNIVERSITY

1969 – 1970 - High School Certificate ( 3 principles) – Alliance High School – Kikuyu 1965 – 1968 - School Certificate( “O level) 1st Division – Thomson’s Falls High School. . 1958 – 1964 - Certificate of Primary Education (C.P.E) – Muruguru Primary School.

Page 1 INTERNSHIP TRAINING

At Kenyatta National Hospital from July 1976 to July 1977. Rotated in the following disciplines:

- Paediatrics 6 months - Orthopaedic Surgery 3 months - General Surgery 3 months

SENIOR HOUSE OFFICER TRAINING IN GENERAL SURGERY FOR M.MED DEGREE IN SURGERY:

At Kenyatta National Hospital from July 1977 to August 1980. Rotated in the following disciplines:

- Surgical Human Anatomy 12 months - General Surgery 6 months - Orthopaedic Surgery 9 months Special subjects: - Cardiothoracic Surgery 2 months - E.N.T. Surgery 2 months - Neurosurgery 3 months - Casualty 3 months

EMPLOYMENT Nov. 2012 To date - Professor, Dept. of orthopaedic Surgery. 1996- to date - Associate Professor in Orthopaedic & Traumatology. University of Nairobi, Dept. of Orthopaedic Surgery 1987 to 1996: - Senior Lecturer, Department of Orthopaedic Surgery. University of Nairobi, Kenya. - Honorary Consultant Orthopaedic Surgeon Kenyatta National Hospital - Nairobi, Kenya PAST: April 1981-1987: Employed by University of Nairobi as a Lecturer - Department of Orthopaedic, Surgery based at Kenyatta National Hospital.

Aug. 1980 - April 1981: - Provincial Government Surgeon in North Eastern Province based at Garissa, as in-charge of all surgical services covering three districts i.e. Garissa, Mandera and Wajir.

Sept. 1977-Aug. 1980: - Senior Registrar Department of Surgery at Kenyatta National Hospital. Enrolled as Post-graduate student at University of Nairobi for Master of Medicine Degree in Surgery (M.Med Surg.) The first year was spent at the Chiromo Campus, University of Nairobi, as a demonstrator in Department of Human Anatomy teaching first year medical students.

July 1976 - August 1977: Medical Officer - intern, at Kenyatta National Hospital. Rotations in General Surgery, Paediatrics and Orthopaedic Surgery. 2 SPECIALITY TRAINING

Jan.23-25.2011 - 3rd ATLS course – College of Health Sciences, University of Nairobi

Jan. 26-27 2010: - Cadaver based spinal anatomical approaches course- Chiromo Campus- College of Health Sciences., University of Nairobi January 2010: - 2nd ATLS course – College of Health Sciences – University of Nairobi.

Nov.14th 2009 - Spine workshop -Anterior cervical interbody fusion (ACIF)- College of Health Sciences, Kenyatta National Hospital. Aug. 22nd 2009 -Current trends in femur and distal radius fracture management workshop College of Health Sciences at Kenyatta National Hospital. January 2009 - 1st ATLS course – College of Health Sciences – University of Nairobi. September. 2008 - Arthroplasty course at Writington – United Kingdom. December 2007: - A.O. – Course at Serena Hotel, Mombasa, - Faculty member as pre- conference convenor – (COSECSA).

August. 2007 - Arthroplasty none cemented hips course – Annecy – France.

February 2007 - Osteosynthesis course at Vienna – Austria. November 2006. - Arthroscopy course – Advanced at the Nairobi Hospital. December 2005 - Hands on Cadaver Labs at University of Cape Town – S.A. Department of Orthopaedic Surgery.

November 2005 - Hands on workshop – Flap Rotations – University of Beirut – Lebanon

August 2004 - Workshop on spinal infections at Queen Elizabeth Hospital, Hong Kong

April 2004: - Arthroplasty Residency at Shalby Hospital – India

August 2003: - Arthroscopic course as Faculty – Makerere University – Kampala, . - Introduced arthroscopy to Uganda.

March 2003: - Interlocking of forearm bones, femur, tibia – Hands on workshop at Pan Africa hotel, Nairobi and theatre on patients at Kikuyu Orthopaedic & Rehabilitation Hospital, Kikuyu.

February 2003: - Arthroscopy – shoulder – Cape Town - Prof. Debeers Unit.

November 2002: - Hands on workshop on Advanced arthroscopy – knee and shoulder at Serena hotel – Nairobi – Faculty from University of Nairobi, followed by Surgery on ten patients at Nairobi hospital. 3 September 2002: -Hands on workshop - spinal surgery at Dubai.

August 2001: -Hands on workshop on Limb Length Discrepancy at Mt. Sinai Hospital, Baltimore – U.S.A. Sept. 2000. -Hands on workshop on polytrauma patients at the Annual Edinburg course – University of Edinburg – Scotland – UK.

April 2000: - Hands on Workshop on Hand Surgery At University of Cape Town - South Africa.

Dec. 1999: -A.O. course – Basic – Faculty at Grand Regency Hotel at 50th AGM of ASEA.

Dec. 1998: -Management of Long Bone Fractures by Interlocking K-Nailing Arthopedic Surgery at Port Elizabeth General Hospital - South Africa.

March 1998: -The Hands on Course Workshop an External Fixations at Harare- .

August 1997: -The Advanced Trauma Life Support (ATLS) course as member of Faculty with others from St. Emmanuel Hospital Portland - Oregon, U.S.A. at Nairobi Hospital, Kenya.

1997: -ASEA meeting at Cutty Sark Hotel – Zimbabwe

Dec. 1996: -British Orthopaedic Association course on Arthroscopy of the knee and shoulder at , Harare, Zimbabwe.

Sept. 1996: -Knee Replacement course, of Howmedica International, Aga Khan Hospital, Nairobi, Kenya.

May 1996: Course on Standards and Advances in Lumbar Spinal Surgery. Hands-on Workshop in Spinal Fixations, Discectomy and Spinal Fusion at St. Joseph University Hospital, Bochum, West Germany.

Dec. 1995: -British Orthopaedic Association Course on Spinal Trauma and Flap Rotations at Makerere University - Mulago, Teaching Hospital,Kampala, Uganda.

March 1995: Course on spinal update and hand surgery. Hands-on workshop on spinal fixation at University of Cape Town, South Africa.

1995: -ASEA meeting at Grand Imperial Hotel – Kampala – Uganda. Course on I.T. – The Canadian library.

Dec. 1994: British Orthopaedic Association Course. Hands-on workshop on External Fixators at University Teaching Hospital (U.T.H.) Lusaka - .

1994: -ASEA meeting at Lusaka Hotel – Zambia Course on flap rotations. 4 1993: -ASEA meeting – Lake Victorial Hotel – Entebbe-Uganda. Course on Dry-labs incisions.

1992: -ASEA – AGM – Nyali Beach Hotel, Mombasa, Kenya. Course on skin flaps.

October 1992: -Management of foot deformities. Operation Smile Education Conference Inter-Continental Hotel, Nairobi, Kenya.

Dec. 1986: -ASEA conference held at Lusaka – Zimbabwe. Course on external fixations.

June 1986: -ASEA conference held at Mutare – Zimbabwe. Hands on course of basic dissections.

June 1985: - The British Hip Course at the Institute of Orthopaedics, Oswestry U.K.

March 1985: -Advanced A.0. Course - University of Birmingham - Institute of Orthopaedics - Shropshire, U.K.

Dec. 1984: -British Arthroscopy Course at Oswestry,Shropshire, U.K.

April 1984: -Ulm - Course on Dynamic Hip Screw (DHS) & A.0. Fixations - University of Ulm - West Germany.

March 1984: - International Symposium on surgery and trauma, Essen, West Germany.

1984 - 1985: -Proceeded as a British Council Scholar to University of Birmingham, U.K where I was based at the Robert Jones and Agnes Hunt Orthopaedic Hospital at Oswestry. I covered the following courses as a trainee Registrar in Orthopaedics and Accident Surgery:

- The Oswestry symposiums on various topics on trauma, spine and paediatric surgery.

- Arthroscopic courses in Oswestry and Wrexham District Hospitals.

- AO Course at Oswestry by Faculty from Barnes Switzerland - covering both basic and advanced AO courses.

- The Oswestry knee athroscopy course.

- Rotation in Paediatric Orthopaedic, units at Oswestry and Wrexham Hospitals covered spinal deformities, congenital abnormalities, paediatric trauma and paediatric surgery.

5 - Rotations in Spinal Unit at the Midlands Spinal Injury Centre in Shropshire.

- Special courses on Pathology, Anatomy, Biomechanics, Radiology and prosthetics at the Oswestry Research Centre.

- Orthopaedic Radiology at Oswestry x-ray Department. Covered all aspects of Orthopaedic radiology in formal lectures, demonstrations and special x-ray sessions.

- Trauma Orthopaedics at Robert Jones and Agnes Hunt Orthopaedic centre and Wrexham District Hospitals, North Wales

1984: - Proceeded as a DAAD Scholar to University of Ulm, West Germany, where I undertook a course in "current management of trauma."

1981-1984: - Lecturer in Department of Orthopaedic Surgery, University of Nairobi. Started subspecialty training in Orthopaedic Surgery. Gained formal experience in trauma surgery and other aspects of orthopaedics.

CONTINUING MEDICAL EDUCATION:

1. Faculty member – COSECSA Training on Arthroplasty – September 2011

2. Trauma course – Nairobi Hospital – 24th September 2011 – Bomb blast injuries.

3. 1. Challeges in management of osteoporosis fractures. 2. Management of hand injuries 3. Venous thromboembolism – Kenyan guidelines. 4. Venour thromboembolism – Singapore – consensus - Papers read at the Kenya Orthopaedeic Association 4th AGM and 5th Scientific conference – Kisumu, Kenya – March 2010.

4. Faculty member & Convenor – ATLS – Disaster management – 20 Jan, 2009 at University of Nairobi, CHS at Kenyatta National Hospital.

5. Lectures at KOA – AGM – Eldoret - March 2009:

- Arthroscopically assisted fixation of intercondylar fractures of the tibia.. - Giant cell tumour (GCT-Bone) of the knee – management by megaprosthesis. - Open reduction and internal fixation of mid clavicular fractures of the clavicle.

6. Lecture to KOA – UHMC – Mechanical Osteoarthritis. – Nov. 2008 .

7. Lecture CME Karen Hospital – Osteoporosis - - November 2008.

8. Lecture KOA – Osteoporosis in Kenya – Serena Hotel. - September 2006 . 6 9. Lecture to KOA – Sickle cell disease of bones in children. - Aug. 2005 .

10. Lecture of Total Hip Replacement – When, who and how - July 2004 .

11. 2002 – 2008 – Lectures of ATLS on different topics for the annual ATLS courses at the Nairobi Hospital.

12. The South African Society of Surgery of the Hand (SASH) , Course on Hands.

13. workshop on the Surgery of Rheumatoid Arthrosis , Hand Trauma and Hand Sepsis. March 2000.

14. “The Role of Clexane in Management and Prevention of Deep Vein Thrombosis “.-Grand Regency Hotel-March 2000

15. Gave a lecture on "The Management of Deep vein Thrombosis (D.V.T) " C.M.E lecture for Rhone Polenc at Pan-Africa Hotel - Nairobi. March 2000

16. Gave a lecture on " The Management of Bone Tumours " Rhone Polec - Lilian Towers -Nairobi. April 2000.

17. Gave a lecture on " The Management of Soft Tissue Injuries " Eli Lilly Sussie lecture - Serena Hotel -Nairobi April.2000.

18. Gave a lecture on "The Management of Poly-traumatised Patient " Matter Hospital - Casualty Doctors. May 2000.

19. Gave a lecture on the “Management of Compound Fractures “at the Armed Forces Hospital-Nairobi- May 2000

20. Gave a lecture on “Total hip Replacement “at the Nairobi Hospital C.M.E Tuesday lectures -June 2000

21. Gave a lecture on the “Assessment , Investigation and Management of poytrauma patient” at Serena Hotel – June 2000.

22. Gave a lecture on the “management Of Bone Tumours” at the symposium of Cancer Management – at Lillian Towers –Nairobi- August 2000.

23. The Annual Edinburgh Trauma Course at the University of Edinburgh Scotland (U.K) Hands on workshop on Trauma of the Multiply injured patient.-September 2000.

24. Regular attendance and contribution in Continuing Medical Education (CME) seminars organised by the Kenya Medical Association (KMA) Nairobi division - 1999 – to date.

25. The South African Knee and Arthroscopy a “Sports Trauma Course - Surgery and Post Operative Rehabilitation” at Sports Institute – University of Capetown – Newlands – Capetown –South Africa . February 1998.

26. Faculty Member and lecturer on Advanced Trauma and life support (A.T.L.S) Course - Nairobi Hospital Nairobi. August 1998. 7 27. Gave a lecture on “ Hip injuries” at M.P Shah hospital August 1998

28. Gave a lecture on "The Management Of Multiple Injured Patient " at Armed Forces Hospital, Mbagathi , Nairobi. January. 1997.

29. Gave a lecture on " The Use of Heparin In Orthopedic Practice " at the launch of Clexane , Serena Hotel - Nairobi. June . 1997.

30. Gave a lecture on the "Initial Management of Trauma patient" at Nairobi Hospital for Kenya Society of Anaesthesiologists (KSA) Refresher Course and Scientific Conference, Nairobi, Kenya. August 1997.

31. Gave a lecture on "Management of Spinal Injuries" at a C.M.E. programme at M.P. Shah Hospital 1997.

32. Gave a Lecture on " Management of Spinal Injuries " at MP Shah Hospital, Nairobi, Kenya. 1996.

33. Gave a lecture on " Management of Chronic Osteomylitis " at MP Shah Hospital Nairobi, Kenya. June . 1996.

34. Gave a lecture on "Pain and its Management" as a C.M.E. programme at M.P. Shah Hospital, 1995 .

DISSERTATIONS SUPERVISED:

2011 Student Dr. Kamau Ngotho Topic: Conservative versus operative costs in fractures femur. To be examined 2012

2010 Student Dr. A. Agunda Topic: Early functional outcome in distal femoral fractures treated operatively at Kenyatta national Hospital and Kikuyu Hospital. To be examined 2011. 2003 Student: Dr. Ruturi Topic: Fractures of the Humerus. Graduated 2003

2000- Student: Dr. Morris Wambani Topic: Cervical Spine Injuries at KNR. Graduated 2000.

1999- Student: Dr.C.Mangala Topic: Complications of Diabetes-the Diabetic Foot. Graduated 1999

1997- Student: Dr. Gakuya Topic: Congenital Pseudoarthrosis of the tibia as seen at Kenyatta National Hospital. – Graduated 1997.

1994- Student: Joseph N. Wambugu Topic: Pattern of Compound fractures at the Kenyatta National Hospital. Graduated 1994. 8 1993- Student: Nicholas Y. Ngwanyam Topic: Fractures of the tibia - complications and management. Graduated 1993

1990- Student: Samuel Bwombengi Topic: Aspects of Bone Tuberculosis at Kenyatta National Hospital. Graduated 1990

1992- Student: Vianney M. Rusagara Topic: Internal Fixation of the Shaft of the Humerus fracture in adults at Kenyatta National Hospital. Graduated 1992. 1989- Student: Charles Awasom Topic: Spinal injuries and their complications as seen at Kenyatta National Hospital. – Graduated 1989.

1987- Student: Patrick A. Okoth Topic: Carcinoma of the Prostate and Bone Metastasis at Kenyatta National Hospital 1975 -1985. Graduated 1987.

PUBLICATIONS:

1. L.N.GAKUU, A.A. ADMANI, Proximal femoral periprosthetic fracture fixation with a hooked locking plate: A Kenyan experience. – East Afri. Ortho.J. 2011:5(2) 63-67.

2. J. KINGORI, L.N. GAKUU, Volkmann’s ischaemic contracture following acute compartment syndrome – A case report - East Afr. Ortho. J. 2010: 4(2): 56-58

3.. J. KINGORI, L.N.GAKUU Total hip replacements at Kikuyu Hospital, Kenya - East Afr. Ortho. J. 2010;4(2): 44-47.

4. GAKUU L.N Historical note - Loiuse Pasteur 1822-1895- East Afr. Ortho. J.2010; 4(2): : 35-36.

5. GAKUU L.N The challenge of fracture management in osteoporotic bones.- East Afri. Ortho. J. 2010: 4(1):5-11.

6. L.N. GAKUU Historical note: - Sir Reginald Watson - Jones 1902 – 1972. - East Afri. Ortho. J. 2010:4(1): 34

L.N. GAKUU 7. Osteoporosis: The challenge in assessment of risk factors and treatment of osteoporotic fractures. East Afri. Ortho. J.2010: 4(1): 1-2.

8. GAKUU L.N. How to write a good scientific paper – Orthopaedics in Kenya today. Newsletter of KOA; 2009:1(1) :5-6.

9 9. MULIMBA J.A.O, GAKUU L.N., ODHIAMBO J. Day care surgery in Kenya – East Afr. Ortho. J. 2009; 3(1):19-22.

10. GAKUU L.N. The history of blood transfusion: East Afr. Ortho. J. -2009: 3(1):5

11. K.W. ONGETI, J.A. OGENG’O, P.K. BUNDI, L.N. GAKUU: - Treatment and outcome of herniated lumbar intervertbral disk in a referral hospital in Kenya. East Afr. Orth. J. - 2009. 3(1): 52-56.

12. L.N. GAKUU Historical note: - Gerhard Kuntscher 1900 – 1972- East Afr. Orth. J. – 2009; 3(2): 40- 41.

13. L.N. GAKUU Compehensive global evolution of intramedullary nailing of diaphyseal fractures. East Afr. Orth. J.2009; 3(2): 36-39.

14. KINGORI J, NGUKU L.N, GAKUU L.N. Melorheostosis – case report: East Afr. Ortho. J.– 2009; 3 (2) – 50-51.

15. GAKUU L.N. Open reduction and internal fixation of displaced midshaft clavicle fracture : East Afr. Orth. J. 2009: 3(1):15-18

16. KHAINGA S.O, MUTISO V.M, MULIMBA J.AO, GAKUU L.N. Groin flaps in closure of multiple defects: East Afr. Ortho. J. :2008;2(1) -17-23

17. GAKUU L.N. The surgeons dilemma – between a rock and a hard place, Blood transfusion: East Afr. Ortho. J.– 2008: 1(1) :3

17. GAKUU L.N. Fix and flap: the optimal orthopaedic and plastic management of large open fractures: East Afr. Ortho. J;2008;2(1) 2-4.

19. GAKUU L.N., MULIMBA J.O., Y. M. MODI Intramedullary interlocking nailing fixation for forearm fractures: Kenya experience: initial report East Afr. Ortho. J.;2008; 2(1): 5-8.

20. GAKUU L.N. The congenital talipes equinovarus (club foot) East Afr. Ortho. J. ;2007; 1(2) -52 – 54.

21. GAKUU L.N. The doctor – patient relationship in the 21st century: East Afr. Ortho. J. ; 2007;1(2) -49-51.

22. GAKUU L.N. Anterior cruciate reconstruction using bone patellar ligament-bone autograft; East Afr. Ortho. J.: :2007: 1(1) 4-8. 10 23. GAKUU L.N. The torn anterior cruciate ligament – the surgeons dilemma; East Afr. Ortho. J.: 2007; 1(1) 2-4.

24. GAKUU L.N. Contributed two chapters on traumatology and compensations in the concise text book and manual of forensic medicine: Medical Law & Ethics in East Africa, published by IMLU – British FCO-project code PGI-GHR 000092 – 2006

25. GAKUU L.N Avulsion of subscapularis muscle tendon leading to recurrent anterior dislocation of the shoulder. East and Central Afr. J. of Surgery 1999 (4) 35-38.

26. GAKUU L.N, KANYI P. Benett's Fracture - A direct volar surgical approach East and Central Afr.J. of Surgery. 1999, 4:21-24

27. KABETU C.E., GAKUU L.N. Anaesthesia in the elderly with special reference to management of orthopaedic. patients East Afr. Med. J. 1997; 74: 620-622.

28. GAKUU L.N, KABETU C.E. An overview management of the traumatised elderly patients. East Afr. Med. J.. 1997;74;618-619

29. GAKUU L.N. Postoperative pyrexia in an orthopaedic unit.: East Afr. Med. J.. 1997;74:530-532.

30. GAKUU L.N. The management of Radio-Ulna synostosis. East and Central Afr. J. of Surgery, 1997; 3:95-96.

31. GAKUU L.N. Osteogenesis Imperfecta. East and Central Afr. J. of Surgery, 1997;3:75-76.

32. GAKUU L.N. An unstable fracture dislocation of the hip. Case Report. MEDICUS, 1997; 15: 9 -10.

33. GAKUU L.N. Review of methicillin resistant staphylococcus aureus with special reference to handling of surgical patients. East Afr. Med. J.. 1997; 74: 198 - 202.

34. GAKUU L.N. Solitary unicameral bone cyst. East Afr. Med. J.. 1997; 74: 31-32.

11 35. GAKUU L.N. Recurrent anterior dislocation of the shoulder. East Africa. Med.. J.. 1997; 74: 12-13.

36. GAKUU L N. Deep intermuscular spindle - Cell Lipoma. East and Central Afr. J. of Surgery, 1996; 2:65 - 66.

37. GAKUU L N. Treatment of Tuberculosis of the hip. East and Central Afr. J. of Surgery, 1996; 2: 31-32.

38. GAKUU L. N. Unstable Fracture dislocations of the Acetabulum due to free intra articular fragments. East Afr, Med. J.- 1 1996; 73: 625-626.

39. GAKUU L. N. An Unusual Presentation of Gout. Proceedings of the Association of Surgeons of East Afr., 1992; 15:30-31.

40. GAKUU L.N. Rupture of the Achillis tendon. Proceedings of the Association of Surgeons of East Afr., 1991; 14:38-39.

41. GAKUU L.N., BOVIL E Osteogenic Sarcoma in Kenya. Proceedings of the Association of Surgeons of East Afr., 1988; 8:166-169.

42. GAKUU L.N., JESHRANI M K Non union of the humerus: the consequences of unstable intramedullary nailing. Proceedings of Association of Surgeons of East Afr., 1987; 5:171-175.

43. GAKUU L.N. Para-articular Heterotrophic Ossification after hemi-arthroplasty. Proceedings of Surgeons of East Afr., 1986; 10: 18-20.

44. GAKUU L.N., JESHIRANI M.K, et al. The management of post-traumatic limb length discrepancies. Proceedings of Surgeons of East Afr. 1983; 5:181 - 186.

45. GAKUU L.N. Rigid Internal Fixation of the Radius and Ulna. Proceedings of Association of Surgeons of East Afr., 1983; 7:98-100.

12 46. GAKUU L. N. Osteosarcoma at Kenyatta National Hospital 1975 -1980: A five year study. Dissertation presented to the University of Nairobi in part fulfillment for the award of the Degree of Master of Medicine in Surgery, (M.Med Surg), 1980.

CONFERENCES ATTENDED

1. SEPTEMBER 2011. Faculty member COSECSA lecture series at Makerere University on knee/hip arthroplasty (gave 4 lectures)

2. JULY 2011 Attended Hip Arthroplasty course on Non cemented 25 years celebration in Geneva, Switzerland.

3. JUNE 2011 Attended Knya Orthopaedic Associaton annual conference at Naivasha (Read 3 papers)

4. MARCH 2011 Attended Kampala Arthroscopy Workshop, Kampala (Presented a paper on Meniscal Tears) and was a facilitator.

5. DECEMBER 2010 Attended COSECSA/ASEA conference in Kampala , Uganda.

6. OCTOBER 2010 Attended East, Central and Southern Africa Orthopaedic Association (ECSAOA) conference in Mombasa, Whitesands Hotel and read papers.

7. AUGUST 2010 Attended NAPA Pain Management Conference in California, USA

8. AUGUST 2010 Attended Annual South East Trauma Symposium in Florida, U.S.A

9. AUGUST 2010 Attended SICOT conference in Gothenburg, Sweden.

10. JUNE 2010 Attended 3rd World Cancer Conference on at Singapore –(Presented a paper on bone tumours)

11. JUNE 2010 EFFORT conference in Madrid, Spain

12. MARCH 2010 Kenya Orthopaedic Association 4th Annual General Meeting and 5th Scientific conference – Kisumu

13 JANUARY 2010. ATLS course – College of Health Sciences, Kenyatta National Hospital. - Faculty Member. - Convener 13 14. 2009 V.T.E Consensus Meeting – Singapore – Malaysia.

15. 2009 SICOT meeting – Thailand.

16. MARCH 2009 KOA 3rd Annual General Meeting and Scientific Conference - Eldoret Kenya.

17. SEPTEMBER 2008 SICOT meeting and AGM – Hong Kong.

18. SEPTEMBER 2008. SICOT – AGM – Hong Kong.

19. AUGUST 2008 COSECSA meeting – Butale –

20. MARCH 2007 KOA – 1st AGM – Leisure Lodge – Mombasa.

21 NOVEMBER 2006 KOA meeting at Serena Hotel.

22. DECEMBER 2007. AO – Advanced Course as faculty at Serena Hotel- Mombasa – Faculty member A-O – international.

23. SEPTEMBER 2007. SICOT AGM – Marakesh – Morocco.

24. AUGUST 2007. Arthroplasty course at the Nairobi Hospital, Faculty member and convenor.

25. JUNE 2007. KOA 2nd AGM – Green Hills Hotel, Nyeri.

26. MARCH 2007. Writtington Hip Course – UK.

27. JANUARY 2009. ATLS course – College of Health Sciences, Kenyatta National Hospital. - Faculty Member. - Convener.

28. FEBRUARY 2007. Fixation fractures – University of Vienna, Austria.

29. DECEMBER 2006. COSECSA regional meeting – .

30. NOVEMBER 2006. Arthroscopic course – Advanced - At The Nairobi hospital. 14 31. APRIL 2006. Arthroscopic course – Serena.

32. MARCH 2006. COSECSA meeting.

33. SEPTEMBER 2005 The injured lower limb symposium – Serena Hotel, Nairobi

34. DECEMBER 2004 Attended Annual General Meeting of ASEA, Harare, Zimbabwe

35. 2003 Arthroscopic course at Mulago hospital – Makerere University as Faculty member.

36 DECEMBER 2002 Attended Annual General Meeting of ASEA, Addis Ababa

37. SEPTEMBER 2002 Limb lengthening course – Mt. Sinai Hospital & John Hopkins University – Baltimore, U.S.A.

38. APRIL 2002. ASEA – meeting – Tanga – .

39. MARCH 2002 SSK – meeting – Nakuru – Kenya.

40. MARCH 2002 Spinal course at Nairobi Hospital, Kenya

41. DECEMBER 2001 – ASEA meeting AGM – Lusaka, Zambia

42. SEPTEMBER 2001 Attended Regional Meeting of ASEA at Mombasa Beach Hotel, Kenya and read a paper on Management of pyomyositis.

43 AUGUST 2001 Attended SICOT Meeting at Paris, France

44 JUNE 2001 Attended Regional Meeting of ASEA at Leopard Hill, Zimbabwe and gave a lecture on Management of DVT.

45. APRIL 2001 Attended the 8th International Course on the Surgery of the Shoulder – University of Capetown-Capetown-South Africa

46. MARCH 2001 – Surgical Society of Kenya (SSK) meeting at Aga Khan hospital, Nairobi – Kenya.

15 47. FEBRUARY 2001 Attended a Course in Ilizarov Technology –Mumbai-India

48. FEBRUARY 2001 Attended the 1st International Symposium in Spinal Injury in Mumbai-India

49 DECEMBER 2000 ASEA – AGM – – Mozambique.

50. OCTOBER 2000 The Regional scientific Conference of Association of Surgeons of East Africa-Addis- Ababa-Ethiopia.

51. SEPTEMBER 2000 Attended the Edinburgh Annual Symposium in Trauma –Edinburgh University Scotland. (U.K)

52. AUGUST, 2000 The Edinburgh International Trauma Symposium. University of Edinburgh - Scotland. (U.K)

53. JUNE, 2000 Regional Scientific Conference of the Association of Surgeon of East Africa- Zanzibar-Tanzania

54. APRIL, 2000 South African Association of Hand Surgeon Scientific Conference-University of Cape Town-South Africa

55. MARCH , 2000 The Regional Scientific Conference of the Association of Surgeons of East Africa- OD surgery of The Hand (SASH)-International Sports Centre-University of Cape Town- South Africa.

56. MARCH, 2000 Regional Council and Scientific Conference of the Association of Surgeons of East Africa-Lilongwe

57. DECEMBER, 1999 Annual Scientific Conference of the Association of Surgeons of East Africa –Grand Regency Hotel-Nairobi-Kenya

58. SEPTEMBER,1999 Regional Council and Scientific Conference of the Association of Surgeons of East Africa-Bilene- Mozambique

59. SEPTEMBER, 1999 The Regional Scientific Conference of the Association of Surgeons of East Africa- Maputo-Mozambique

16 60. JUNE, 1999 The Regional Scientific Conference of the Association of Surgeons of East Africa- Lilongwe-Malawi.

61. JUNE, 1999 Regional Council and Scientific Conference of the Association of Surgeons of East Africa -Soroti, Uganda

62. MARCH 1999 The Regional Scientific Conference of the Association of Surgeons of East Africa- Jinja-Uganda

63. MARCH, 1999 Regional Council and Scientific Conference of Association of Surgeons of East Africa- Bagamoyo- Tanzania.

64. DECEMBER, 1998 Visiting Surgeon at Port Elizabeth General Hospital –2 weeks. Specializing in Interlocking , K- Nailing and Arthroscopy

65. DECEMBER, 1998 49TH Annual Scientific Conference of the Association of East Africa - Blantyre Malawi.

66. OCTOBER, 1998 SICOT International - Meeting - United Nations Complex -Nairobi

67. SEPTEMBER, 1998 Attended the 8h European Arthritis Course (Eular) Geneva, Switzerland

68. JUNE, 1998 Regional Council of Scientific Conference of the Association of Surgeons of East Africa – Uganda

69. MARCH, 1998 Regional Council and Scientific Conference of the Association of Surgeons of East Africa,-Zimbabwe

70. DECEMBER, 1997 48TH Annual Scientific Conference of the Association of Surgeons of East Africa, Dare-salaam –Tanzania

71. SEPTEMBER ,1997 Regional Scientific Conference of the Association of Surgeons of East Africa at University of Maputo, Mozambique.

72. MARCH, 1996 Regional Scientific Conference of the Association of Surgeons of East Africa, Nyeri - Kenya.

73. APRIL, 1996 The 24th Annual General Meeting and Scientific Conference of Kenya Medical Association; Symposium of Diagnostic and Therapeutic Radiology. Kisumu - Kenya. 17 74. MAY, 1996 The 3rd European Spinal Society Instructional Course - Standards and Advances in Lumbar Spine Surgery. - Hands-on Workshops on Spinal Fixation ,Micro Discectomy and Lumbar Spinal Fusion Techniques at St Joseph University Hospital, Bochum, West Germany.

75. JUNE, 1996 Regional Scientific Conference of the Association of Surgeons of East Africa, Arusha - Tanzania.

76. AUGUST, 1996 Regional Scientific Conference of the Association of Surgeons of East Africa, Salima- Malawi.

77. SEPTEMBER, 1996 42nd Annual Congress of Association of Orthopaedic Surgeons of South Africa (AOSA) University of Witswatersrad - Johannesburg - South Africa.

78. DECEMBER, 1996 47th Annual Scientific Conference of the Association of Surgeons of East Africa. - British Orthopaedic Association Course and Hands- on Workshop on athroscopy of the knee and Shoulder University of Zimbabwe, Harare - Zimbabwe

79. MARCH, 1997 Regional Council and Scientific Conference of the Association of Surgeons of East Africa at Jinja - Uganda.

80. JUNE, 1997 Regional Scientific Conference of the Association of Surgeons of East Africa at Livingstone- Zambia.

81. AUGUST 1997 Kenya Society of Anaesthesiologists (KSA) - Refresher Course and Scientific Conference, Nairobi - Kenya.

82. AUGUST 1997 Attended and participated as a member of Faculty with a team from St. Emmanuel Hospital, Portland - Oregon U.S.A. The Advanced Trauma Life Support (ATLS) Course at Nairobi Hospital, Kenya.

83. DECEMBER, 1995 46th Annual Scientific Conference of the Association of Surgeons of East Africa, Courses of Flap Rotations. - Symposium on Spinal Trauma in conjunction with British Orthopaedic Association, Makerere University, Kampala - Uganda.

84. SEPTEMBER, 1995 Regional Scientific Conference of Association of Surgeons of East Africa, XAI XAI, Complexio Harley - Mozambique.

18 85. JUNE,1995 Regional Scientific Conference of Association of Surgeons of East Africa, Moshi - Tanzania.

86. MARCH, 1995 The 22nd Annual Congress of South African Association of Paediatric Orthopaedic Surgeons (S.A.P.O.A.) Course of the Spine Update on Hand Surgery plus hands on workshop on spinal fixation, University of Cape Town - South Africa.

87. APRIL, 1995 The 23rd Annual Scientific Conference of the Kenya Medical Association, (KMA) Mombasa - Kenya.

88. DECEMBER, 1994 The 44th Annual Scientific Conference of the Association of Surgeons of East Africa. Hands-on Workshop on Fixation of External Fixator University Teaching Hospital (U.T.H) - Lusaka - Zambia.

89. SEPTEMBER, 1994 Regional Scientific Conference of the Association of Surgeons of East Africa, Mbale - Uganda.

90. JUNE, 1994 Scientific Conference of the Association of Surgeons of East Africa. Kariba - Zimbabwe.

91. JUNE, 1994 Annual Congress Old Oswestrian Society at the Institute of Orthopaedics. Shropshire - United Kingdom. 92. MARCH, 1994 Tramodol launch symposium in Kenya at Hotel Intercontinental, Nairobi - Kenya.

93. MARCH, 1994 Regional Scientific Conference of the Association of Surgeons of East Africa, Kisumu- Kenya.

94. JANUARY,1994 Management of Arthritis; Kenya-Swiss Symposium on Voltaren, Serena Hotel, Nairobi - Kenya.

95. DECEMBER 1993 The 44th Annual Scientific Conference of the Association of Surgeons of East Africa, University of Maputo - Mozambique.

96. OCTOBER I993 Regional Scientific Conference of the Association of Surgeons of East Africa. Course on Disaster Preparedness and Trauma, Entebbe - Uganda.

97. SEPTEMBER 1993 The 3rd Scientific Conference of Aga Khan Hospital - Nairobi.

19 98. MARCH, 1993 Regional Scientific Conference of the Association of Surgeons of East Africa, Zanzibar - Tanzania.

99. DECEMBER, 1992 Scientific Conference and 43rd Annual General Meeting of the Association of Surgeons of East Africa, Mombasa - Kenya.

100. OCTOBER 1992 The 2nd Scientific Conference - Aga Khan Hospital - Nairobi - Kenya.

101. OCTOBER, 1992 Management of foot deformities. Operation Smile Education Conference. Intercontinental Hotel - Nairobi - Kenya. 102. SEPTEMBER, 1992 Regional Conference of the Association of Surgeons of East Africa Eldoret - Kenya.

103. APRIL, 1992 Annual Scientific Conference of the Kenya Surgical Society. Kisumu - Kenya.

104. DECEMBER, 1991 ASEA – AGM – Lilongwe – Malawi.

11. OCTOBER, 1991 8th African Federation Congress (International Federation of Surgical Colleges) Nairobi - Kenya.

105. MARCH, 1991 Regional Scientific Conference of the Association of Surgeons of East Africa. Kiambu - Kenya.

106. SEPTEMBER, 1990 Regional Scientific Conference of the Association of Surgeons of East Africa. Migori - Kenya.

107. DECEMBER, 1989 Combined Conference of the Association of Surgeons of East Africa and Royal College of Surgeons of Edinburgh. Nairobi - Kenya.

108. MARCH, 1988 Regional Scientific Conference of the Association of Surgeons of East Africa. Eldoret - Kenya.

109. MARCH, 1987 Regional Scientific Conference of the Association of Surgeons of East Africa. Kitale - Kenya.

110. JUNE, 1985 British Hip course. Institute of Orthopaedics- Shropshire Oswestry - United Kingdom.

20 111. MARCH, 1985 Advanced AO course. University of Birmingham - Institute of Orthopaedics - Shropshire United Kingdom.

112 DECEMBER, 1984 British Arthroscopy course at the Institute of Orthopaedics - Oswestry. Shropshire - United Kingdom.

113. SEPTEMBER, 1984 Annual Congress of the British Orthopaedic Association (BOA) Wrexham - United Kingdom.

114. MARCH, 1984 International Symposium on Surgery and Trauma. Essen - West Germany.

PAPERS READ AT NATIONAL AND INTERNATIONAL SCIENTIFIC CONFERENCES:

1. GAKUU L.N. Athroscopy meniscectomy – Lecture series at Makerere University - March 2011.

2. GAKUU L.N. 1. Challeges in management of osteoporosis fractures. 2. Management of hand injuries 3. Venous thromboembolism – Kenyan guidelines. 4. Venour thromboembolism – Singapore – consensus - Papers read at the Kenya Orthopaedeic Association 4th AGM and 5th Scientific conference – Kisumu, Kenya – March 2010.

3. GAKUU L.N. The problems of managing subluxed upper femoral epiphysis (SUFE): paper presented at COSECSA 10th Anniversary and AGM and Scientific meeting Kigali – Rwanda.: December 2009.

4. GAKUU L.N. Osteoarthrosis : paper at Muhimbili Orthopaedic Institute – Dar-es-salaam: June 2009.

5. GAKUU L.N. Arthroscopic management of intercondylar fractures of the tibia: paper presented at the 3rd AGM of KOA at Eldoret, Kenya: March 2009.

6. GAKUU L.N. Giant cell tumour of bone (GCT Bone): paper presented at the 3rd AGM of KOA at Eldoret, Kenya: March 2009.

7. GAKUU L.N. Open reduction and internal fixation of mid-clavicular fractures – paper presented at the 3rd AGM of KOA at Eldoret, Kenya: March 2009 21 8. GAKUU L.N. Disaster management – ATLS course at the College of Health Sciences – Kenyatta National Hospital: Jan. 2009.

9. GAKUU L.N. How to write a god scientific paper – paper read at the KOA meeting, U.H.M.C.: Nov. 2008.

10. GAKUU L.N. Osteoarthritis – Diagnosis and management, paper read at KOA CPD meeting – July 2008 at Pan Africa Hotel – Sept. 2008.

11. GAKUU L.N. The interlocking nailing of radius and ulna – the first initial experience of the first 12 cases in East Africa and central Africa: paper read at 2nd KOA AGM – Nyeri.

12. GAKUU L.N. Cementless total hip replacement, the first 50 hips in East & Central Africa – June 2008. Paper read at KOA – AGM – Green Hills Hotel – Nyeri.

13. GAKUU L.N. Osteoporosis – paper read at CPD meeting at the Karen hospital- Nairobi: July 2007.

14. GAKUU L.N. Total Hip replacement – when – why and how – paper read at C.P.D meeting at the Nairobi hospital: April 2007.

15. GAKUU L.N. ACL reconstruction – Arthroscopically assisted – KOA – AGM Leisure Lodge- Mombasa, Kenya, December 2007.

16. GAKUU L.N The management of sickle cell diseases paper at KOA meeting: KOA – 2nd AGM; March 2007 at Pan Africa Hotel, Nairobi.

17. GAKUU L.N. Periprosthetic fractures of the femur in total hip replacement – KOA-AGM – Mombasa, Kenya March 2007.

18. GAKUU L.N. ATLS course – The initial management of poly trauma patients: Lecture at The Nairobi Hospital Aug. 2006.

19. GAKUU L.N. ATLS course – The injured extremity, CPD lecture at The Nairobi hospital: May 2006

20. GAKUU L.N. Total knee replacement – CPD lecture at the M.P. Shah hospital.: March 2006.

21. GAKUU L.N. Total hip replacement – CPD lecture at M.P Shah hospital: Feb. 2006.

22 22. GAKUU L.N The Dynamic Hip Screws (DHS). The indications and technique of DHS application a paper presented at the M.P.Shah Hospital- Nairobi. November 2000.

23. GAKUU L.N The management of Gunshot Wounds. Paper presented at the armed forces memorial Hospital-Nairobi. June 2000.

24. GAKUU L.N An overview of Total Hip Replacement-a historical and current management. Paper presented as C.M.E lecture at Nairobi Hospital-May 2000.

25. GAKUU L.N The management of Osteochondritis diseases at Kenyatta Hospital. Paper presented at the Regional Scientific Conference of the Association of Surgeons of East Africa at Zanzibar-Tanzania. June 2000.

26. GAKUU L.N The management of septic non unions in compound fractures of the Tibia at Kenyatta National Hospital Paper presented at the Annual Scientific Conference of the Associations of Surgeons of East Africa at Grand Regency Hotel - Nairobi- Kenya. December 1999

27. GAKUU L.N. Trauma Pattern in Kenya - a neglected surgical disease. Paper to be presented at Muhimbili Hospital, University of Dar-es-Salaam, Tanzania - December 1997 at the Association of Surgeon of East Africa Annual Scientific Conference.

28. GAKUU LN. Subscapularis tendon tears - leading to recurrent anterior dislocation of the shoulder. Paper presented at the Regional Scientific Conference of Association of Surgeons of East Africa at University of Maputo - Mozambique - September 1997.

29. GAKUU L.N The initial Management of multiple trauma patient. Paper presented at the Kenya Society of Anaesthesiologists (KSA) - Refresher Course and Scientific Conference at Nairobi Hospital, Nairobi - Kenya August 1997.

30. GAKUU L.N. Bennet's Fracture: A new surgical volar approach. Paper presented at the Regional Scientific Conference of the Association of Surgeons of East Africa, at Livingstone - Zambia, June, 1997.

31. GAKUU L.N. Brucellosis Osteomyelitis of Vertebra. Paper presented at the Regional Scientific Conference of the Association of Surgeons of East Africa, Jinja, Uganda, March, 1997.

32. GAKUU L. N. Post - operative Pyrexia in an Orthopaedic Unit. Paper presented at the 47th Annual Scientific Conference of the Association of Surgeons of East Africa, Harare, Zimbambwe, December, 1996. 23 33. GAKUU L. N. Congenital Radio - Una Synostosis. Paper presented at the Regional Scientific Conference of the Association of Surgeons of East Africa at Salima, Malawi, September, 1996.

34. GAKUU L. N. Osteogenesis Imperfecta. Paper presented at the Regional Scientific Conference of the Association of Surgeons of East Africa, Arusha, Tanzania, June, 1996.

35. GAKUUL. N. The Value of Computerised Tomography Scanning (CT. SCAN) in intra-articular fractures of Joints. Paper presented at the 24th Annual Scientific Conference of Kenya Medical Association - (KMA). Kisumu - Kenya, April, 1996

36. GAKUU L. N. An Unstable Fracture Dislocation of the hip due to an Occult intra-articular bone fragment. Paper presented at the Regional Scientific Conference of the Association of Surgeons of East Africa, Nyeri, Kenya, March, 1996.

37. GAKUU L.N. Intermuscular lipoma in an extremity. Paper presented at the 46th 'Annual Scientific Conference of the Association of Surgeons of East Africa at Makerere University, Kampala, Uganda, December, 1995.

38. GAKUU L. N. Tuberculosis of the hip in children. Paper presented at the Regional Scientific Conference of Association of Surgeons of East Africa at XAI-XAI, Complexio Harley - Mozambique September, 1995.

39. GAKUU L. N. Septic arthritis of the Knee. Paper presented at the Regional Scientific Conference of the Association of Surgeons of East Africa at the Christian Medical Center, Moshi, Tanzania, June, 1995.

40. GAKUU L. N. The impact of ARV on orthopaedics. Paper presented at the 23rd Annual Scientific Conference of the Kenya Medical Association (KMA) at Mombasa - Kenya, April, 1995.

41. GAKUU L.N. Anterior Dislocation of the Shoulder. Paper presented at the Regional Scientific Conference of the Association of Surgeons of East Africa at Nakuru - Kenya, March, 1995.

42. GAKUU L.N. H.I.V and Surgical Implants. Paper presented at the Regional Scientific Conference of the Association of Surgeons of East Africa, Mbale, Uganda, September, 1994. 24 43. GAKUU L. N. Unicameral Bone Cyst as seen at Kenyatta National Hospital. Paper presented at the Regional Scientific Conference of Association of Surgeons of East Africa, Kariba, Zimbabwe, June 1994.

44. GAKUU L.N. Fractures of the acetabulum. Paper presented at the Regional Scientific Conference of the Association of Surgeons of East Africa, Kisumu Kenya, March 1994.

45. GAKUU L.N. Congenital Pseudoarthrosis of the tibia. Paper presented at the Regional Scientific Conference of Association of Surgeons of East Africa, Zanzibar, Tanzania, 1993.

46. GAKUU L. N. Fusion of the Hip by COBRA Plating. Paper presented at the 42nd Annual Scientific Conference of the Association of Surgeons of East Africa, Mombasa, Kenya, 1992:

47. GAKUU L.N. Gouty arthrosis of the foot - an unusual presentation. Paper presented at the Regional Scientific Conference of the Association of Surgeons of East Africa at Eldoret, Kenya, 1992.

48. GAKUU L. N. Heterotrophic Ossification. Paper presented at the Regional Scientific Conference of the Association of Surgeons of East Africa at Migori - Kenya, 1991.

49. GAKUU L.N. Tears of Tendon-Achilis - our experience at - Kenyatta National Hospital. Paper presented at the Regional Scientific Conference of the Association of Surgeons of East Africa at Kiambu, Kenya, 1991.

50. GAKUU L.N. Austin-Moore Hemiarthroplasty, complicated by Herotrophic Ossification. Paper presented at the Regional Scientific Conference of the Association of Surgeons of East Africa at Kitale, Kenya, 1987.

51. GAKUU L.N. Internal fixation of radius and ulna. Paper presented at the Regional Scientific Conference of the Association of Surgeons of East Africa at Eldoret, Kenya, 1983.

TEACHING EXPERIENCE ( 1981 TO-DATE):

1. Teaching of postgraduate students on the Master of Medicine in Surgery (M.Med Surg) programme. Participated in scheduled lectures, ward rounds, outpatient clinics and surgical operation sessions.

25 2. Teaching of final year under graduate (MB,ChB) students. Participated in formal lectures and clinical demonstrations in the wards, clinics and theatre.

3. Teaching of fourth year undergraduate (MB,ChB) medical students. Participated in formal lectures, clinical demonstrations in clinics, wards and tutorials.

4. Teaching of Clinical officers in Orthopaedics Surgery. Participated in lectures and demonstrations in the outpatient clinics and wards at Kenyatta. National Hospital.

5. Teaching of Physiotherapy students at Kenyatta National Hospital in the wards and clinics.

6. Teaching of Community Registered Nurses on training at the Kenya Medical Training College (K.M.T.C.) in wards, theatres and during scheduled lectures.

7. Teaching Plaster technicians Diploma students by lectures and demonstrations at the Kenya Medical Training College (KMTC).

8. Teaching of post-graduate students of Masters of Medicine in Orthopaedics (M.Med orth)

TEACHING RESPONSIBILITIES (1981 TO-DATE):

1. Teaching of undergraduate (MB.ChB) fourth year medical students by scheduled and integrated lectures, bedside teaching in the wards, outpatient clinics and theatre.

2. Teaching of undergraduate ( MB.ChB.) sixth year medical students by bed-side teaching, clinics and theatre demonstrations.

3 Teaching of undergraduate( MB.ChB). fifth year medical students of rotating in Nairobi University, Department of Orthopaedic Surgery.

4. Teaching of undergraduate Bachelor of Dental Surgery (BDS) students ( third and fourth years) by lectures and demonstrations.

5. Teaching Paramedical students at the Kenya Medical Training College (KMTC) - Diploma students in clinical orthopaedics and orthopaedic technicians. - - Community Registered Nurses. - Occupational therapy students. - Physiotherapy students.

6. Giving lectures in orthopaedics at the Nairobi Hospital's McDonnel School of Nursing to registered community nurses.

7. Teaching of postgraduate students in the Master of Medicine in Surgery (M.Med Surgery) programme by scheduled lectures, bed-side teaching, demonstrations, discussions and tutorials in the wards, outpatient clinics and operating theatre.

8. Teaching of Moi University medical students on attachment at Kenyatta National Hospital and their lecturers on attachment to orthopaedics department.

26 9. Teaching of postgraduate students in the Master of Medicine in Orthopaedics (M.Med (Ortho). Programme by scheduled lectures, bed side teaching, demonstrations, discussions, tutorials, OPD clinics and theatres.

EXAMINATIONS SUPERVISED (1981 TO-DATE):

1. Involved in organisation and execution of progressive assessment examinations for final year medical students and postgraduate students as overall chief examination co-ordinator for Department of Orthopaedic Surgery, Department of Surgery and Department of Medicine.

2. Involved in Postgraduate examination in Master of Medicine in Surgery (M.Med Surg) examinations. Involved in the organisation, setting and marking of examinations.

3. Involved in teaching of Orthopaedic Clinical Officers at Kenyatta National Hospital. Involved in setting and approval of examination and assessment of the students.

4. Involved in examination of Physiotherapy and Occupational therapy students at the Kenyatta National Hospital as an external examiner.

5 Involved in examination of Faculty of Dental Surgery students for under- graduate (BDS) in both continuous assessment and final examinations at Kenyatta National Hospital.

6. Involved in the examination of Moi University medical students on attachment at Kenyatta National Hospital.

PROFESSIONAL REGISTRATIONS

1986 - Registration by the Medical Practitioners and Dentists Board as Specialist Orthopaedic Surgeon and Traumatologist.

1985 - Registration as Surgical Specialist by General Medical Council (GMC) London, United Kingdom.

1980 - Registration by the Medical Practitioners and Dentists Board as Surgical Specialist in General Surgery

1978 - Registration by the Medical Practitioners and Dentists Board as a Medical Doctor.

27 CONTRIBUTION TO MONOGRAPHS/GUIDELINES:

1. GAKUU L.N. Chapter on post-trauma compensations in Concise Textbook and Manual of Forensic Medicine Medical Legal Law and Ethics in East Africa for training doctors, published by IMLU – British FCO Project. Code PGI – GHR – 000092 – 2006.

2. GAKUU L.N. Chapter on Trauma- in Concise Textbook and Manual of Forensic Medicine Medical Legal Law and Ethics in East Africa for training doctors, published by IMLU – British FCO Project. Code PGI – GHR – 000092 – 2006.

3. GAKUU L.N. Guidelines on orthopaedic and theatre protocol for control of Methicillin Resistant Staph Aureus (MRSA) at Kenyatta National Hospital and the Nairobi Hospital, 1997.

4. GAKUU L. N. Guideline for Management of HIV infected surgical patients in East and Central Africa. Member of select Committee for deliberations held at , Mozambique, December, 1993.

5. GAKUU L. N. Guideline Manual for theatre users for HIV patients in Kenyatta National Hospital. Chairman - Select committee for surgical division of Kenyatta National Hospital, 1989.

SERVED AS EXTERNAL EXAMINER:

1. 5th – 8th March 2011 – External Examiner- Makerere University, Kampala.

2. 4th – 6th November 2010 - External Examiner – Makerere University, Kampala.

3. 25th – 28th May, 2010 – External Examiner – Makerere University, Kampala.

4. In orthopaedics – Muhimbili University 2004 and 2005, 2006, 2007.

5. In Orthopaedics – Makerere University 2004 and 2005, 2006, 2007.

6. In occupational therapy at the Kenya Medical Training College (KMTC), Kenyatta National Hospital, in 1995.

7. In orthopaedics at the Kenya Medical Training College (KMTC), Kenyatta National Hospital in 1992 and 1993.

8. In physiotherapy at the Kenya Medical Training College (KMTC), Kenyatta National Hospital, in 1990, 1991 and 1993.

28 MEMBERSHIEP OF PROFESSIONAL BODIES

1. Fellow societe internationale dechirugie Orthopedique et de Traumatologie. (SICOT) 2. International Society of orthopaedic Surgery & Traumatology- SICOT 3. Fellow of the Association of Surgeons of East Africa (ASEA) 4. President – Association of Surgeons of East Africa. – 1999 5. Foundation Fellow College of Surgeons of East, Central and Southern Africa-1999 (This was inaugurated under my chairmanship) 6. Hon. Treasurer to Association of Surgeons of East Africa, 1996 to 1998. 7. Kenyan representative to Association of Surgeons of East Africa, 1994 –1995. 8. Fellow of the College of Surgeons of East, Central & Southern Africa (COSECSA) NB - Association of Surgeons of East Africa is an international body of seven (7) countries comprising of Kenya - Uganda - Tanzania - Malawi - Zambia Zimbabwe - Mozambique) a member of International Federation of Surgical Colleges with (affiliate members from Burundi, Rwanda and South Africa). 9. Founder Member, Surgical Society of Kenya (S.S.K). 10. Member, Kenya Medical Association (KMA). 11. Member, D.A.D Scholars Association. 12. Member, Kenyatta National Hospital League of Friends. 13. Member, Old Oswestrians Society - Institute of Orthopaedics - Shropshire - U.K. 14. Member, Kenya Hospital Association. 15. Affiliate member of the Association of Orthopaedic; Surgeons of South Africa (AOSA) 1996. 16. Member, Medical Protection Society, London, United Kingdom. 17. Fellow – East, Central and Southern African orthopaedic association (ECSOA) 18. Fellow and country representative – WORLD ORTHOPAEDIC CONCERN (W.O.C) 19. Consultant in orthopaedics & Traumatology at Kenyatta National Hospital. 20. Fellow and founding member and first chairman – Kenya Orthopaedic Association (KOA) 21. Member of surgical division – The Nairobi Hospital. 22. Member of surgical division- Kenyatta National Hospital. 23. Member of surgical division- Aga Khan Hospital. 24. Member of surgical division- Mater Hospital.

MEMBERSHIP OF BOARDS.

1. 2005 to 2010 -Member Medical Practitioners and Dentists Board (MPDB) 2. Member of School Board – School of Medicine, University of Nairobi.

29 3. Member of Senate, University of Nairobi. (2001 – 2007) 4. Member of College Academic Board, College of Health Sciences, University of Nairobi. NON PROFESSIONAL BODIES

1. Member, Social Services League.

2. Board Member, Muruguru Secondary School.

MANAGEMENT, ADMINISTRATIVE RESPONSIBILITIES EXPERIENCE

1. 2005 – 2007.Chairman, Kenya orthopaedic Association 2. 2001 - 2007 – Chairman Department of Orthopaedic Surgery, University of Nairobi, Kenya

3. 1999 - Served as the President of the Association of Surgeons of East Africa. This is the highest office of the Association and carries the responsibility of chairing the council meetings . During my term we inaugurated the COSECA (College of Surgeons of East Africa).This is a fellowship to be awarded jointly by A.S.E.A and the Royal College of Edinburgh (U.K).

4. 1999 – 2007 – Chairman Kenya Orthopaedic Association. 5. Editor in Chief – East African Orthopaedic Journal. 6. 1999 – 2005 -Chairman, Nairobi Orthopaedic Club.

7. 1993 - 1995 Kenyan Representative to the Association of Surgeons of East Africa; with sole responsibility of organising Regional Scientific Conferences in Kenya as Chairman of Organising Committee as follows:

a) March 1994 - Regional Scientific Conference of the Association of Surgeons of East Africa at Provincial General Hospital, Kisumu.

b) March 1995 - Regional Scientific Conference of the Association of Surgeons of East Africa at Provincial General Hospital, Nakuru.

c) March 1996 - Regional Scientific Conference of the Association of Surgeons of East African at Provincial General Hospital, Nyeri. 8. 1997-1998- Served as Treasurer of the Association of Surgeons of East Africa. This involves being the accounting and financial officer of all the accounts of the association in 7 countries and the compiling and reconciling the accounts and presenting Annual returns at the AGM

9. 1995 to date – Head of Orthopaedic Unit Firm II at Kenyatta National Hospital.

30 10. 1992 - 1995 - Chief examinations co-ordinator for undergraduates and post graduates. Gained a lot of experience co-ordinating Departments of Surgery, Department of Orthopaedic Surgery and Department of Medicine.

11. 1980 -1981 Provincial Surgeon, North Eastern Province. I gained a lot of experience in administration and management of large group of professionals, tendering, organisation of Flying Doctor Services.

10. Served as acting Chairman on various periods 1987 to date in the absence of the Chairman, Department of Orthopaedic Surgery.

OTHER RELEVANT ACTIVITIES:

1. Examination Coordinator for Department of Surgery and Department of Orthopaedic Surgery, 1992 -1995.

2. Committee Member, Operation Smile, 1990 - 199 1.

3. Departmental Representative of Library Committee University of Nairobi 1990 to date.

4. Convener – yearly ATLS course 2009, 2010 and 2011.

PERSONAL INTERESTS AND ACTIVITIES:

1. Reading and Swimming.

2. Supports various charitable organisations and free surgical services at mission Hospitals and Association of Physically Disabled (APDK) and Gertrudes; Children's Hospital.

CURRENT ON GOING RESEARCH:

1. The causes of avascular necrosis in bones. 2. Uses of steroid therapy in orthopaedics. 3. Role of tourniquet in bloodless field. 4. The various methods of arthrodesis. 5. Tumoral calcinosis in the limbs. 6. The emerging role of conservative treatment of fractures. 7. The management of low back pains. 8. Intramedullary nailing of long bones. 9. Management of compound fractures of the tibia. 10. The incidence of bone tumours in Kenya. 11. Comparison of conservative treatment of fractures versus open reduction and fixation. 31 12. Low back pains – the current management. 13. Pillon fractures of the hand. 14. Heterotrophic ossification. 15. High heels – the orthopaedic complications. 16. Disaster injuries.

PAPERS SUBMITTED FOR PUBLICATION:

I . Pseudoarthrosis of the tibia - Congenital - E.A. Med. J. 2. Cobra - plating for arthrodesis of the hip - E.A.Orth. J. 3. Burkitt's Lymphoma in the long bones an unusual presentation – E.A Ortho. J.

4. Amputation – predictive factors, - E.A. and central. 5. Cementless total hip replacement, the first 50 cases in East Africa, - E.A. Ortho.. J. 6. The conservative management of fractures of long bones versus open reduction and internal fixation survey at K.N.H, East Afri. Ortho. J. 7. The management of pillon fractures of the tibia, - E.A. Med. J. 8. Arthroscopically assisted internal fixation of intercondylar fractures of the tibia, - EAOJ. 9. Giant cell tumour of bone (GCT-Bone) of the knee – management by Megaprosthesis, - EAOJ.

10. The rational of management of low back pains, Review of K.N.H – 10 years , E.A. Med. J. 11. The orthopaedic management of hemophiliac hemathrosis, - E.A. Med. J.

12. Tuberculosis of the elbow – East Afri.. Ortho. J.

13. Concomitant gout and septic arthritis - East Afr.. Ortho. J.

14. Arthroscopy of the knee – Current status: - East Afr. Ortho. J.

HONOURS  2011 - Honoured by Kenya Orthopaedic Association for being the founder and first chairman.  2010 - Registered as Dupuy Arthroplasty International Trainer.

 2009 - Registered in the roll of ‘Who is Who’ in the world.

32 REFEREES

1) Prof. Julius Kyambi Department of Surgery, College of Health Sciences, P.O Box 19676 -00100, NAIROBI.

2) Prof. Benjamin Mbindyo Dept. of Orthopaedic Surgery College of Health Sciences, P.O Box 19676 -00100 NAIROBI.

3) Prof. Joseph S. Oliech, Dept. of Surgery, College of Health Sciences, P.O Box 19676-00100, NAIROBI

PROF. LAWRENCE N. GAKUU DEPT. OF ORTHOPAEDIC SURGERY. UNIVERSITY OF NAIROBI

19th September, 2011

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