Another happy customer who had their knee arthritis treated with “Cellular Matrix” injections. My very own anaesthetist

Great session at the Sports Knee Conference today

Hip Advisor 🤣🤣

It’s an honour and privilege to do this job

More likely to have a good outcome with a robotic total knee replacement 🦿🦿🦿🦿

Robotic hip replacements allow pre operative 3D templating, reducing complications in high demand patients such as professional dancers and sportsmen. (Images used with patient permission)

Lopeti Timani a true Tongan gentleman and man mountain rehabbing his knee with the help of a few Cellular Matrix injections.

3D printed guides make it possible to reconstruct even the most complex cases using standard implants. This patient with bone metastasis was told her hip was “unreconstructable” and is now walking around at home. Thanks Prof Acharya for your help with this

It is a great privilege to do hip and knee replacements and make such a huge difference in people’s lives

Congratulations all the successful candidates passing FRCS (Orth) today. For free video lecture covering the whole syllabus, past questions and online viva practice . www.ifrcs.co.uk

Proud to sponsor FREE fitness classes for kids this summer

Hip replacement surgery can be such a pleasure to do. This lady is mobile and completely pain free at 6 weeks post op

Hip and knee arthritis? Find out about modern treatment option “Advances in the treatment of hip and knee arthritis” published in the Sunday Telegraph - Health, fitness and Wellbeing section today.

Delighted with the outcome of the first mako robot assisted partial knee replacement to be done in Wales. One very happy patient discharged home day 2 post op. Find out how robot assisted joint replacement surgery can improve outcomes and shorter recovery times….

Dual mobility Total Hip replacements significantly reduce dislocation risk following neck of femur fractures and may also improve mortality. Congratulations Rishi on winning the welsh orthopaedic society prize from one very proud senior author.

Such a pleasure to come to work here sometimes.

Very proud to be the first mako robotics certified surgeon in Wales! (Chris Wilson 2nd as he was behind me in the queue for certificates)

Patient who receive cortisone injections for arthritis are 1.57x more likely to need a joint replacement than those who do not (Wijn Bjj 2020) While Platelet rich plasma (PRP) injections offer longer pain relief and defer the need for a knee replacement.

Knee or hip pain? Another wonderful review of our “Cellular Matrix” Injection treatment which combines anti-inflammatories and growth factors from the patients own cells (PRP) with a natural lubricant (hyaluronan) to improve pain and function.

The use of tumour “mega prosthesis” to treat unreconstructable fractures has huge benefits for patients. This lady was able to get up and walk the day after her operation. Thanks to the guys from Stryker for sorting this kit out at last minute notice.

Delighted to be invited down to Keele University to talk about how Platelet Rich Plasma (PRP) Injections can treat Hip and Knee Osteoarthritis.

Treat the pain of arthritis using your bodies own anti-inflammatories and growth factors. What are Platelet Rich Plasma (PRP) injections and how can they help?

From today we can now offer patients in Wales cartilage transplants to treat knee injuries. The process involves harvesting the patients own cartilage cells (chondrocytes) before reimplanting the cells back into the injured area and sticking them down with fibrin glue. Thanks to the hard work of Aneurin Bevan orthopaedic staff we will be the first and only hospital to offer this treatment in Wales.

Robot assisted knee replacements are less painful, improve early function and allow discharge home quicker than conventional knee replacements. Thanks Richard Baker and the Chesterfield Hospital for letting me join you for two brilliant robotic cases yesterday. Hopefully we can sort out a robot for patients in South Wales very soon!

Fibonacci’s mathematical sequence can be used to predict finger lengths. This can be used by surgeons to help reconstruct the hands of patients with congenital deformities or severe fractures. Delighted to have this accepted in journal of nature and science after 6 years hard work.

Unfortunately, NHS waiting list are at an all time high with the majority of patients waiting over 18 months for hip and knee replacement. Here at St Joseph’s Independent hospital we are able to offer most patients an initial consultation and joint replacement within a month.

Makes you proud. To all those who do more than is asked of them every single day. Thank you and keep going.

Doing a hip replacement by going around the back of the hip (posterior approach) and temporarily detaching the external rotator muscles has the lowest chance of surgical complications. The anterior approach allows discharge home one day earlier but has a 3% higher complication rate. Personally, I do not accept this increased risk just to save 24 hours length of stay and cut costs. That’s why I do the posterior approach for all hip replacements.

Sometimes this is the best job in the world......... Celebrating Mum’s 80th birthday today almost 12 months to the day! (Accident 18th September ) Thank you for the part you played in her remarkable recovery! Always grateful... I captured some elements of the journey... Thought you should see it and be proud! Feel free to share. We have not been able to get back to say thank you due to COVID

This brilliant stemmed acetabular component from @implantcast_gmbh means it is possible to offer patients with bone tumours, metastasis and extensive pelvic fractures an acute hip replacement to get them up and back on their feet immediately. The stem fixes directly into the thick bone at the back of the pelvis (sciatic buttress) allowing the hip to be reconstructed with little or no bone around the cup (acetabulum). Had the privilege of being involved with 5 such cases in the last few months. One of which was bilateral! (Stock photo to protect patient confidentiality)

Very proud to be invited by Paul Banaszkiewicz to contribute a chapter towards the 4th Edition the orthopaedic Bible. Only 2 years ago I was frantically highlighting this book under the table of a hotel conference room waiting to go into my FRCS Viva.

Leaving work a few weeks ago, just after the pandemic began I watched nursing staff line up quietly, 2 metres apart the whole length of the hospital atrium. They patiently waited to write tributes and pin heartfelt messages on a board that held a picture of a staff member who had recently died. After a moment of silence the nurse at the front wiped her tears, turned around and walked straight back onto the ward.

You know things are getting serious when the orthopaedic surgeons get sent for ECG training. Southmead hospital are running voluntary training sessions for surgeons to learn to manage sick medical and COVID +ve patients. I turned up this morning to find half the department had volunteered. Even the most senior trauma surgeons were there practicing skills they hadn’t used since medical school. We may not be the first speciality that comes to mind when you think about managing a respiratory virus pandemic but we are all in this together and will do whatever is required. #protectthenhs

It has been a privilege to have been part of the major trauma team looking after civilians and alongside the military here in Birmingham. Patients and Service Personnel treated here receive the best care I have seen anywhere in the world. It has been an honour. Thank you #uhbtrust #majortraumacentre

Age is not a contra-indication to a partial knee replacement. Thanks Wing, Ang and Amir Hanna for pushing this paper over the line.

Hugely privileged to have been awarded the IOTA Travelling fellowship to the USA and for the opportunity to present at this years Orthopaedic Trauma Society Annual meeting #otrauma20 #tgh

Doctorate ✅ 3 year deadline and handed in with 30 minutes to spare but well worth it. Thanks to everyone in the Cardiff University Biomechanics and Bioengineering Centre for your help with this project; BOFAS and AO UK for your funding and Dr Emma Blain for your patience and support. A project that set out simply to compare arthritic change in two different joints snowballed providing biological justification for PRP and stem cell treatments in addition to identifying catabolic pathways that can be targeted with existing drugs! Watch out lancet here we come.... #prp #stemcelltherapy #osteoarthritis

Brilliant introduction to the Mako (Stryker) Robot last week in Exeter. The robotic arm allows surgeons to cut and position knee/hip replacements within a millimetre or degree of the pre-operative plan. Improved alignment, better post operative range of movement and reduced pain means most patients leave hospital a day early (kayani 2019).

Platelet Rich Plasma (PRP) is an effective and safe treatment for tendon pain and is now recommended for use in knee arthritis. The procedure involves taking a small sample of blood and spinning it down to remove all the beneficial growth factors before injecting it into the tendon or joint. PRP has been shown to provide better pain relief than hyaluronic acid injections (laudy 2015 BJSM) and doesn’t worse arthritis like cortisone injections (kompel 2019 radiology)

Robotic assisted joint surgery has the potential to reduce post operative pain, improve post operative range of movement and allows early discharge home. Hugely fortunate today to be trained up on the NAVIO robotic system at the Florida Orthopaedic Institutes 5 labs facility in Tampa.

Hugely privileged to be invited to one of the Top Level 1 trauma centres in the USA. Looking forward learn some advanced orthopaedic trauma skills as part of the IOTA exchange programme