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I am a Senior Orthopaedic Consultant to the Portsmouth Group of hospitals. I have done 800 hip and knee replacements in the last 3 years and in the region of 120 knee arthroscopic procedures per year. My revision rate is only 1% over the last 5 years for total hip replacements (National average 2.51%), and 2.2% for total knee replacements (National average 2.6%).
Areas of interest
Hip resurfacing; Revision surgery (orthopaedic); Lithotripsy including extracoporeal shockwave lithotripsy (ESWT);Hip (pelvic/acetabular) fracture; Arthroscopy; Knee replacement surgery; Knee surgery; Biomet Signature/Vanguard custom MRI guided knee replacement; Hip replacement surgery.
Anaesthetists worked with (Bupa members, please ask your consultant whether your anaesthetist is fee-assured)
Current NHS consultant posts held
Senior Orthopaedic Consultant to Portsmouth Group of Hospitals
I have specialist interests also in revision hip, hip surgery and metal hip replacement bearing outcomes.
MRI knee guidance systems for knee replacement.
I use limited posterior approaches for the majority of hip replacements as I believe this has the best functional outcomes. I avoid the direct anterior approach as, despite many claims, I believe this surgery has now been shown to have significantly higher complications and no differences in outcome.
I practice an enhanced recovery package using local anaesthetic blocks, significantly reducing post operative pain and speeding rehabilitation.
Extensive peer reviewed papers in hip and knee surgery. Please see website for full details (link above)
Professional bodies (positions held - last 3 yrs)
- Fellow Royal College of Surgeons 1994
- Member British Orthopaedic Association 1994
- Member British Hip Society 1994
- Medical Expert Expert Witness Association 2013
Details of entry to specialist register
- Specialist Register of General Medical Council, 1994
Post treatment communication
Following treatment of a Bupa member, I will communicate with GPs in line with Department of Health, GMC and appropriate professional bodies guidelines.
In the event of an urgent query following treatment, Bupa members should use the following contact details
Nurses station of hospital where patient was an inpatient
Information for healthcare professionals (Bupa patients only, last 12 months)
One or two injections, +/- aspiration, into joint(s), cyst, bursa or soft tissue, with image guidance - (5-50)
Spire Portsmouth Hospital (5-50)
Primary total hip replacement +/- cement - (5-50)
Multiple arthroscopic operation on knee (including meniscectomy, chondroplasty, drilling or microfracture) - (1-5)
Total prosthetic replacement of knee joint, +/- cement, +/- patella - (1-5)
Joint fluid examination (e.g. polarising microscopy) performed by consultant (including aspiration of fluid) - (1-5)