Mr Graham Keene

Trauma & orthopaedic surgery


  • Fee assured

Specialises in

  • Hip
  • Knee

About me

Graham is a specialist hip and knee surgeon and was appointed as a consultant in Cambridge in 1997. As a consultant, he has since undertaken over 9,000 surgical procedures, including over 4,300 hip replacement, resurfacing hip replacement and revision hip replacement procedures. Joint replacement surgery may be for joint pain & stiffness, OA, osteoarthritis, RA, rheumatoid arthritis, RA, psoriatic arthritis, inflammatory arthritis, etc., affecting the hip or knee. His clinical interests are especially lower limb reconstructive surgery; this includes hip and knee arthroplasty (hip replacement, hip resurfacing, hip revision replacement and knee replacement) and arthroscopic (key hole) surgery for the hip and knee.

At the Cambridge Nuffield Hospital Graham has been using the Stryker MAKO robotic arm to assist with joint replacement surgery. He typically undertakes cemented hip replacements, with and Exeter or COT stem, or an hybrid replacement using the Trilogy or Trident cup.

Graham practices at Addenbrooke’s Hospital in Cambridge, The Cambridge Nuffield Hospital and Cambridge Lea Hospital. His private clinics are on a Tuesday afternoon and Thursday morning, but some additional times are available if necessary.

His particular interests include:
i. Investigation of unexplained hip pain, bursitis, clicking hips, snapping tendons, early osteoarthritis, adductor tendon pain, impingement, labral tears
ii. Total hip replacement surgery; primary and revision
iii. Hip resurfacing replacement with the Birmingham Hip.
iv. Arthroscopic hip preservation surgery, for labral tears, hip femoroacetabular impingement or FAI
v. Arthroscopic knee surgery for the meniscus or meniscal tears.
vi. Total knee replacement surgery.
vii. Medicolegal reporting for personal injury and litigation.
viii. General trauma surgery

My outcome data for joint replacement surgery is recorded on the National Joint Registry. My revision rate for hip replacement surgery is below the 99.8% centile, with 27 revisions recorded against an expected 81 to March 2017 in the 2395 recorded hip replacement procedures. My revision rate for knee replacement surgery is just above the 95% centile, with 7 revisions recorded against an expected 12 to March 2017 in the 486 primary knee replacement procedures recorded to March 2017. My 90-day surgery risk adjusted mortality rate for hip surgery is below the national average and for knee surgery equals the national average.

Graham was a medical student and junior surgical trainee in London, becoming a Fellow of the Royal College of Surgeons (England) in 1991, before joining the East Anglian Orthopaedic Surgery Training Programme in 1992. He was awarded the FRCS (Orth) in 1995 and subsequent entry to the Specialist Register in Trauma and Orthopaedic Surgery in 1997.

Graham undertook a one-year specialist Hip Reconstruction Surgery Fellowship in 1996/7 at the Royal Adelaide Hospital in South Australia. At this world-renowned academic institution he worked mostly with Prof Don Howie and Prof Steve Graves. This gave him extensive exposure to complex primary and revision hip/knee replacement surgery, as well as an insight into further research and outcome measures.

Areas of interest

Hip disorders; Hip pain; Hip manipulation and injection; Hip replacement surgery; Hip resurfacing replacement surgery, The Birmingham Hip; Hip revision replacement surgery; Hip preservation surgery; Arthroscopy or arthroscopic hip surgery for femoroacetabular impingement FAI and labral tears; Hip clicking, tendon clicking, bursitis.
Knee disorders; Knee pain; Arthroscopic knee surgery; Meniscal tears; Meniscus tears; Anterior knee pain; Knee replacement surgery; Revision knee replacement; Trauma; Sports injuries; Medico-legal reporting; Leg pain; Cartilage repair; Revision surgery (orthopaedic); Joint injection; Joint replacements; Arthroscopy; Osteoarthritis, Rheumatoid arthritis, Psoriatic arthritis, Gaucher syndrome, Stickler syndrome, Clicking, Inflammarory arthritis

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