I qualified from the Welsh National School of Medicine in Cardiff in 1984. I presently hold a NHS Consultant Post at Wrightington Hospital for Joint Disease and at Chorley and South Ribble District General Hospital being appointed in 1995. I immediately took up the position of Clinical Director in Chorley and set up and established the department of Orthopaedic and Trauma Surgery in Chorley. This involved a lot of hard work as well as teamwork and communication within and outside the Trust. I was Clinical Director for almost five years, after that I decided to take a back seat from management and concentrate on my clinical work, teaching and research.
I undertook my specialist training in Orthopaedic and Trauma at the North Staffordshire Hospital in Stoke on Trent and at the Robert Jones Orthopaedic Hospital in Oswestry one the leading specialist orthopaedic hospital in the UK. In addition to this I spent a considerable amount of time travelling and visiting centres both in Europe and the USA to discuss and exchange ideas on the latest techniques in Orthopaedic Surgery.
During my training I was awarded G K Rose Prize for Biomechanics and the Professors Medal for my research into bone cell culture techniques related to fracture healing. I regularly attend national and international meetings as a member of the faculty and as a delegate. I take an active part in teaching trainees at both my hospitals.
My current research interests include fixation of ligament grafts in cruciate ligament reconstruction, minimal invasive hip surgery and the application of computers to assist in specific minimally invasive surgical procedures in the hip and knee.
I specialises in arthritic problems around the hip, knee and ankle joints, particularly in young adults. Also sports related soft tissue injuries and problems. With my extensive experience in joint arthroplasty, I am able to provide a service for revision and
reconstructive surgery for failed joint replacement of both the hip and knee joint.
Overall my philosophy is to use implants which match patient’s needs, their pathology and functional requirements; therefore I use a variety of implants for both hip and knee replacements which will serve to provide optimal function and outcome for each individual patient.
I aim to provide a high quality service, using the latest proven surgical techniques and implants to give the best long term outcome.
Hip arthroscopy: Labral surgery, Impingement lesions, FAI etc
Primary and revision hip joint replacement
Minimally invasive approaches
Bone preserving hip resurfacing
Metal on metal and ceramic on ceramic bearings
Computer Aided Hip surgery (CAS)
Meniscal surgery and repair
Ligament reconstruction ACL and PCL
Articular cartilage repair: Microfracture,
chondrocyte implantation (ACI)
Primary and revision knee joint replacement
Partial and complete knee replacement
Computer Aided Knee Surgery (CAS)
I am one of leading surgeons in the UK who is able to offer key hole surgery of the hip joint (Arthroscopy) for which I receive referrals nationwide and from abroad. I developed instruments to enable safe and reliable access to the hip joint in 1995. Over the years I have developed a national and international reputation as a result of which over 70% of the referrals I receive are for second opinions.
I take an active roll in teaching and training other surgeons from the UK and abroad in this procedure during live surgery, saw bone (models) and cadaver laboratory sessions. I also teach on North West orthopaedic registrar training programme. I am regularly invited to speak at national and international meetings.
- Hip arthroscopy: Articular cartilage lesions, Labrum tears, Torn ligamentum teres, Loose bodies, Impingement syndromes (FAI) etc
- Hip Arthroplasty: I use bone preserving procedures where possible when joint replacement is indicated. These include hip resurfacing and Thrust Plate Prosthesis (TPP) both of which have a metal on metal bearing surface. I also use uncemented hip replacements
- Computer Aided Surgery (CAS): For resurfacing and acetabular component placement.
Knee Surgery – Arthritis
For arthritic conditions of the knee joint I use conservative measures including braces and Hyaluronic Acid injections which now can be given as a single injection and ultimately joint replacement.