Research and publications
My research uses national registry data, laboratory testing and clinical studies to understand why joint replacements go wrong and how to choose implants that last.
Main themes
- Fractures around hip replacements: how often they happen, who is at risk and which implant designs reduce the risk.
- Counting all further surgery: why judging implants only by revision rates misses many patients.
- Hip replacement in young people: long-term results in teenagers and young adults.
- Infection and wound healing after joint replacement.
Notable papers
A calcar collar is protective against early periprosthetic femoral fracture around cementless femoral components in primary total hip arthroplasty: a registry study with biomechanical validation
In plain English: A collar on a cementless thigh-bone implant protected against fractures around it early after surgery.
The association between implant design, age, sex and the rate of major reoperation in patients undergoing primary total hip replacement: A retrospective study of UK National Joint Registry and Hospital Episodes Statistics data
In plain English: Counting only operations to replace a hip implant misses many patients who need other major surgery, most often to fix a break in the thigh bone. Including these changes which implants look best.
Total hip arthroplasty in adolescent patients delivers large improvements in hip function and quality of life : a single-centre cohort study with up to 34 years of follow-up
In plain English: Hip replacement in teenagers at Wrightington, followed for up to 34 years, gave large improvements in everyday function and quality of life.
Prevention of Periprosthetic Fractures: What Should We Be Doing to Address This Impending Epidemic?
In plain English: Fractures around hip replacements are becoming more common as more people live longer with them. This review sets out what surgeons can do now, especially in implant choice, to prevent them.
Recent
Top 10 priorities for problematic hip replacement research: a priority setting partnership led by the British Hip Society and the James Lind Alliance
In plain English: Patients, carers and clinicians worked together to agree the ten most important unanswered questions about hip replacements that cause problems, to steer future research.
The Risk of Postoperative Periprosthetic Femoral Fracture After Total Hip Arthroplasty Depends More on Stem Design Than Cement Use: An Analysis of National Health Data from England
In plain English: Across 800,000 hip replacements in England, the shape of the thigh-bone implant mattered more than whether it was cemented in deciding the risk of a later fracture around it.
All publications (41)
2026 Prevention of Periprosthetic Fractures: What Should We Be Doing to Address This Impending Epidemic?J Bone Joint Surg Am
2025 The Risk of Postoperative Periprosthetic Femoral Fracture After Total Hip Arthroplasty Depends More on Stem Design Than Cement Use: An Analysis of National Health Data from EnglandJ Bone Joint Surg Am
2025 Risk of fracture after primary total hip arthroplasty using a collared cementless stem or a polished taper-slip cemented stemBone Joint J
2025 Reasons for cancellation of total knee arthroplasty surgery in NHS hospitals in the UKBone Joint J
2024 The impact of ethnicity on care and outcome after hip fracture in England and WalesBone Joint J
2024 Risk factors for periprosthetic femoral fracture risk around a cemented polished taper-slip stem using an osteoporotic composite bone modelProc Inst Mech Eng H
2024 Reoperation risk of periprosthetic fracture after primary total hip arthroplasty using a collared cementless or a taper-slip cemented stemBone Joint J
2024 Cemented femoral stem design and postoperative periprosthetic fracture risk following total hip arthroplastyBone Joint J
2022 Mortality After Postoperative Periprosthetic Fracture of the Femur After Hip Arthroplasty in the Last Decade: Meta-Analysis of 35 Cohort Studies Including 4841 PatientsJ Arthroplasty
2022 Complications and mortality associated with olecranon fractures in the elderly: a retrospective cohort comparison from a large level one trauma centreShoulder Elbow
2022 Comparison of axial-rotational postoperative periprosthetic fracture of the femur in composite osteoporotic femur versus human cadaveric specimens: A validation studyProc Inst Mech Eng H
2021 Calcar-collar contact during simulated periprosthetic femoral fractures increases resistance to fracture and depends on the initial separation on implantation: A composite femur in vitro studyClin Biomech (Bristol)
2020 Postoperative periprosthetic femoral fracture around total hip replacements: current concepts and clinical outcomesEFORT Open Rev
2020 A novel mechanical inclinometer device to measure acetabular cup inclination in total hip arthroplastyJ Med Eng Technol
2019 Is Knee Joint Distraction a Viable Treatment Option for Knee OA?-A Literature Review and Meta-AnalysisJ Knee Surg