Mr Howes has a wide experience of all aspects of general orthopaedics and trauma and has worked for various specialist hip, knee and upper limb surgeons. He is used to dealing with major trauma including both resuscitation and later surgical management. He has experience using Ilizarov techniques for both acute trauma and post-traumatic reconstruction.
Whilst at King’s College Hospital, London, Mr Howes attended theatre sessions with the neurosurgeons and was exposed to a wide variety of spinal surgery. At Queen’s Hospital, Essex, he became competent in all aspects of spinal surgery including paediatric and adult deformity, tumours, trauma, and low back surgery. During his 1-year ABC fellowship, Mr Howes was allocated a large amount of operating time and there are very few spinal procedures that he had not been exposed to by the end. In the last four months of his fellowship, as the Senior fellow, Mr Howes was responsible for the management of all acute admissions.