I am a consultant orthopaedic trauma surgeon working at Addenbrooke’s hospital, Cambridge University Hospitals NHS Foundation Trust. My main interest is orthopaedic trauma of upper and lower extremities with a special emphasis on complex injuries and posttraumatic sequelae of the lower leg and trauma of the elbow and shoulder. These are also the areas of my medico-legal expertise.
For fixation of complex lower leg injuries, infected non-unions, non-unions, delayed unions and limb lengthening (post trauma or cosmetic) I often use circular frames (Taylor Spatial Frame, Ilizarov Frame). The way patients benefit from circular frames is that they can start to mobilise and weight bear as soon as it is comfortable for them, with a minimized risk of infection or developing osteomyelitis.
In my elective work I focus on knee arthroplasties (total knee replacement, uni-condylar knee replacement), revision knee arthroplasties as well as knee arthroscopies with ACL reconstructions and meniscus repairs. My special interest in the arthroplasty field is intra-operative analgesia where I inject local anaesthetic at the end of the operation to help make the first few post-operative days as comfortable as possible for patients and enable them to exercise as soon as possible post knee replacement to regain the range of movement in the joint as soon as possible. This is possibly related to a better outcome of surgery.
Fractures of the elbow, especially distal humerus, require a specialist interest with a very flat learning curve. However, operating on more than 150 patients with distal humerus fractures has given me a high level of expertise and security. The same area was the topic of my PhD, part of which was published in the JBJS 2006 and Injury 2008.
I developed a special interest in infections in bone, with or without metalwork present, and established a special technique of treatment of infected wounds with metalwork present at the time of fracture healing. My new method was audited by University Hospitals Coventry and Warwickshire and showed 100% success rate. It was published in Annals of Royal College of Surgeons of England in 2013.
I consult at Addenbrooke’s hospital and hold my private practice privileges at Nuffield Cambridge Hospital and Spire Cambridge Lea Hospital, where I also treat NHS patients under the Choose and Book scheme and interview clients for medico-legal and medical negligence reports.