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Journal of Bone and Joint Surgery – Southern Africa

The publication is the official Journal of Bone and Joint Surgery. It provides a South African orthopaedic surgeons with a platform to have their work published and for their colleges and others involved in orthopaedics such as neurosurgeons, infection control, wound care, trauma, sports injury, paediatrics, prosthetists, registrars, etc. To keep abreast of what is happening in our hospitals and consulting rooms.

Our editor in chief and editor ensures the content is relevant and applicable to Southern Africa, while at the same time providing insight into what is happening worldwide in orthopaedics.

The journal is academic and yet user friendly and therefore a source for continuous medical education for our readers.




Doctor Candice Truda is an orthopaedic specialist in private practise at the wits Donald Gordan Medical Centre.

Dr Truda has broad orthopaedic experience in sports, arthroscopic soft tissue and arthroplasty. Champagne media welcomes Dr Truda as our first Editor in Chief.




Our editor, Peter Wagenaar, has a Honours Degree in Linguistics, English Language and a Masters Degree in English LIT from Rhodes University.

Peter has been the editor of various medical publications, industry associations and general healthcare clients and pharmaceutical companies.




Char Upton is a well-known and highly respected South African Publisher.

She has been in the medical publishing industry for the past 28 years and is an astute business woman and is loyal to her staff and clients alike.




Glenda Wright is Champagne Media’s beloved Sales director.

She is well-known within the industry as she has been in the medical publishing arena for the past 25 years.




Tamarind has been the graphic designer for Champagne Media for the past 20 Years.

Not only has she become a integral part of our happy team but has given Nothing but professional service and great design.




Stephnie Upton has been the Champagne Media Operations Manager, dealing with Design, Logistics, Administration and Accounts for the past 8 years.

Stef has been very patient at keeping us all organised and sane. For any problem solving, please contact Stef.

Dear doctors and clients,

It was with great sadness that we heard of the SAOA’s decision to end our relationship. Champagne Media
(Pty) Ltd will no longer be publishing the SA Orthopaedic Journal. What an awful shock!
Thank you sincerely to you all for your loyal support through the years; we really appreciate it!
It’s true what they say, though; when one door closes, the next door opens. Champagne Media has been granted
the rights to publish a JBJS Southern Africa. Please know that this will not be in opposition to the highly
academic official mouthpiece in any way.

Our magazine will be a more user-friendly, newsy, trade magazine which will have a broader reach and will
give doctors and the industry a platform to publish anything that cannot be run in the official magazine.
We will continue to be here for doctors and clients alike – whether it be for CPD points, to publish articles or
to disseminate product news and job information. Please feel free to give us a call. Glenda and I would love
to hear from you!

Thank you and kind regards,
Charmaine Upton

JBJS SA Magazine Editions

JBJS SA June / July 2018


What an exciting adventure to be launching this highly respected Academic Journal.

It is thanks to the fantastic team work and support of the industry that has made it all possible.


  • A quarterly publication that is inserted into the relevant congress bags
  • Each edition can also be viewed on our website
  • Immediate publication of highly academic articles
  • Circulation of approximately 3 000 to our Specialists locally, rest of Africa and overseas
  • Free Advertorial for each advert placed
  • Free inclusion in the directory on the website with every advert
  • Favourable rates to suite your needs and budgets
  • CPD points, ethics article, legal article, news
  • Extra magazines on order for your workshops and training giveaways
  • Proudly BEE Compliant


Authors’ Guidelines

  1. Please submit your article to the editor-in-chief, via the publisher Charmaine Upton at the following e-mail address:
  1. Articles should include a title and the names of all authors in the correct sequence together with their designations and affiliations. The main author should include his/her name, address, phone, fax and e-mail address.
  1. All figures, tables and photographs must also be submitted by e-mail, and separately from the text. The illustrations should be provided as separate individual graphic files, and clearly identified. The figures should be saved as a high quality 300 dpi jpeg file. tables should be saved in a PowerPoint document or also as a 300 dpi jpeg.
  1. All photographs and diagrams must have captions, and should be referred to in the text.
  2. The editor reserves the right to shorten and stylise any material accepted for publication.
  3. Authors are solely responsible for the factual accuracy of their work.
  4. Please provide references if you are quoting someone or referring to their work. references should be numbered consecutively in the order that they are first mentioned in the text and listed at the end in numerical order of appearance. identify references in the text by Arabic numerals in superscript after punctuation, e.g. …trial.13
  1. The following format should be used for references:
  2. a) Articles

Kaplan fs, August cs, dalinka MK. Bone densitometry observation of osteoporosis in response to bone marrow transplantation. Clin

Orthop 1993;294:73-8.

  1. b) Chapter in a book

young W. neurophysiology of spinal cord injury.

in: errico tJ, Bauer rd, Waugh t (eds). spinal trauma. Philadelphia: JB lippincott; 1991: 377-94.

The Official Journal of Bone and Joint Surgery

– Southern Africa (JBJS SA)


Medical malpractice litigation:

Undermining South Africa’s health system

In what Health Minister, Dr Aaron Motsoaledi, has described as an ‘explosion’, medical malpractice litigation claims in South Africa have increased dramatically over the past few years, with warnings that the compassion-based practice of medicine is being replaced by defensive medicine and mistrust.

Within the public health sector, already stretched budgets cause provincial health departments to struggle with their obligation to provide healthcare services, while still having to pay out billions in claims. In the private sector, medical specialists are being faced with exorbitant medical protection insurance premiums, causing healthcare costs to rise and impacting on practices.

Last year it was reported that the Gauteng Health Department alone had paid out at least R1 billion in lawsuits since January 2015 while the Eastern Cape is facing payouts of R14 billion. In 2015, the Medical Protection Society SA (MPS) settled a claim of almost R24 million on behalf of a member and reported a 35% increase in the number of claims made against healthcare professionals between 2011 and 2016,

with larger claims, in particular, on the rise. MPS further reports that claims over R1 million have increased nearly 550% compared to 10 years ago and that claims of more than R5 million increased by 900% from 2008 to 2013.

More than one reason for rising malpractice claims

Justin Malherbe, Senior associate at international law firm Norton Rose Fulbright, says that several reasons have been cited for the rise in medical claims, including an increase in public awareness of patient rights coupled with incessant and deliberate marketing by personal injury lawyers eager to

capitalize on this awareness.

“Amendments to South african legislation, such as the Road accident Fund (RaF) legislation, are also to blame. Damages claims for personal injury during a motor vehicle accident are now less profitable for lawyers, causing some to turn to other forms of personal injury litigation like medical malpractice.”

Professor Sylvester chima, associate Professor and Head at the Programme of Bio and Research ethics and Medical law at the University of KwaZulu-Natal, believes that the high levels of lawsuits in South Africa are in part due to the legal framework that both governs and protects patients and healthcare



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