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The original idea behind the OTS was to create a society for orthopaedic surgeons with a specific interest in orthopaedic trauma. This was around 2012 when orthopaedic trauma was evolving within the UK: major trauma networks; best practice hip fracture tariffs; expanding range of UK & international orthopaedic trauma fellowships with a range of multi-centre pragmatic, NIHR funded clinical trials looking at key clinical areas of uncertainty and debate. The OTS membership rapidly expanded as we realised the importance of both the Major trauma centres in improving the mortality (20-40% improvement) and morbidity of our most seriously injured patients but also the importance of our trauma units which still deal with the majority of isolated peripheral limb injuries.