Hakim Hayat The management of fracture forms a vital element of orthopaedic surgery and contributes towards a major trauma workload for the Department of Orthopaedic Surgery at Raja Isteri Pengiran Anak Saleha (RIPAS) Hospital, according to Acting Director General of Medical and Health Services, Ministry of Health (MoH) Pengiran Dr Haji Mohd Khalifah bin Pengiran Haji Ismail. This is in addition to ligament reconstruction surgery, joint replacement surgery and management of diabetic foot problems that the department covers. Pengiran Dr Haji Mohd Khalifah said this as the guest of honour at the third National Fracture Management Workshop at Pengiran Anak Puteri Rashidah Sa’adatul Bolkiah (PAPRSB) Institute of Health Sciences, Universiti Brunei Darussalam (UBD) yesterday.