s / International Journal of Surgery 12 (2014) S13eS117 S62 continuation of the research conducted by Bedford et al.1 on clubfoot in Malawi, by continuing the method of analysis into the neighbouring country of Zambia to identify similarities and differences in cultural understanding and behaviour towards clubfoot treatment, including surgical and non-surgical treatment options. Results: Key barriers to treatment were identified: financial/ transportation, adverse advice, cultural beliefs, and prioritisation. The major driving factors identified were: community support, physician advice, wishes to help child and accessibility of transportation. Conclusions: Work is already in place which addresses some of these drivers and barriers, and there is need for continuing improvement in these areas in order to ensure the implementation of gold-standard clubfoot treatment for Zambia's population.1. Bedford K, Chidothi P, Sakala H, Cashman J, Lavy C. Clubfoot in Malawi: treatment-seeking behaviour. Tropical Doctor 2001;21:211-214. 0827: OPERATIVE FIXATION OF DISTAL RADIUS FRACTURES: RADIOLOGICAL OUTCOMES AND THE ROLE OF UPPER LIMB TRAUMA LISTS Maire-Clare Killen , Andrew Berg, Christopher Lodge, Simon Chambers, Cho Ee Ng, Rajesh Nanda. University Hospital North Tees, Stockton-on-Tees