Talks and lectures
A few highlights and my most recent talks, then everything else in a searchable list.
Notable talks
Are all cemented stems safe in poor bone quality and hip fracture cases?
invited lecturePeriprosthetic fractures: an update
invited lectureImplant design, age, sex and the rate of major reoperation after total hip replacement
free paperRecent
Reoperations after primary hip replacement: a national study of 1.38 million cases
free paperCemented stem: why the shape matters most
masterclassClosing the gap: evidence and practice for NPWT in joint replacement
otherSupported by Smith & NephewPeriprosthetic fractures in hip replacement
PodcastSmith+Nephew podcastAll talks (24)
2026-09 Reoperations after primary hip replacement: a national study of 1.38 million casesBritish Orthopaedic Association Annual Congress
Hip replacement results are usually judged by counting operations to replace the implant. This study looks at all the other operations some patients need after a hip replacement, using national records.
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2026-09 Cemented stem: why the shape matters mostBirmingham Fragility Fracture Masterclass
A break in the thigh bone around a hip replacement is one of the most common reasons for further major surgery, and it can be as serious as a hip fracture. This talk explains that the shape of the cemented metal stem placed in the thigh bone affects how likely this is. In our registry studies, fractures around the implant were less common with some cemented stem designs than with others.
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2026-07 Closing the gap: evidence and practice for NPWT in joint replacementSmith & Nephew educational meeting
Some people have problems with their wound healing after a joint replacement. This talk looks at special suction dressings that may help wounds heal, using real examples to discuss which patients are most likely to benefit.
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2026-05 Bone cement type and revision risk after primary total hip replacementInternational Society of Arthroplasty Registries (ISAR) Congress
Many hip replacements are held in place with bone cement, and there are several brands. This study compares how often hips needed further surgery with different cements, using national records.
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2026-05 Inequalities after NHS-funded elective primary total hip replacement: NHS vs private hospitalsInternational Society of Arthroplasty Registries (ISAR) Congress
Many NHS-funded hip replacements are now done in private hospitals. This study compares results for NHS patients treated in NHS and private hospitals.
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2026-05 Serious adverse events after total hip replacementInternational Society of Arthroplasty Registries (ISAR) Congress
Some people have serious medical problems, such as a chest infection or kidney trouble, in the months after a hip replacement. This study looks at how common these are and who is most at risk.
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2026-03 Reducing fracture risk and enhancing survival: the evolving story of the stem collarBritish Hip Society Annual Meeting (industry symposium)
Some hip replacement stems have a small ledge (a collar) that rests on the top of the thigh bone. In the studies presented, hips with this collar had fewer fractures around the implant.
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2025-11 Periprosthetic fractures: an updateBristol Hip meeting
A break in the thigh bone around a hip replacement is a serious problem. This talk covers the latest evidence on how to prevent and treat these fractures.
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2025-11 PJI or not PJI: where does superficial wound infection fit in?Bristol Hip meeting
After a joint replacement, it can be hard to tell a simple wound infection from a deeper infection of the joint. This talk looks at how surgeons, nurses and therapists manage these wounds.
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2025-10 Are all cemented stems safe in poor bone quality and hip fracture cases?European Hip Society Congress
Hip replacements are usually judged by how often they need replacing, but this misses many breaks in the thigh bone around the implant that are fixed with plates instead. For older people with weaker bones, the design of the cemented stem matters more than the cement itself.
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2025-09 Periprosthetic fractures: an updateBritish Orthopaedic Association Annual Congress
A break in the thigh bone around a hip replacement is a serious problem. This talk covers the latest evidence on how to prevent and treat these fractures.
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2025-07 Audit methods for R0 identifiable femoral fixation eventsNational Joint Registry Data Quality Committee
When a thigh bone breaks around a hip replacement and is fixed with plates or screws, this is often missing from national records. This talk describes ways of finding these operations in routine hospital data.
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2025-06 Managing acetabular defects during revision total hip arthroplastyGreat North Debate
When a hip replacement needs redoing, there is often bone missing from the hip socket. This talk explains how surgeons plan for this and rebuild the socket using bone graft, metal supports or custom-made implants so the new hip is stable.
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2025-06 Periprosthetic fractures around the hip: current updatesGreat North Debate
Breaks in the thigh bone around a hip replacement are becoming more common and can have serious effects. This talk covers the latest evidence on preventing them, through stem choice and bone health treatment, and on organising care for patients who have one.
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2025-03 Implant design, age, sex and the rate of major reoperation after total hip replacementBritish Hip Society Annual Meeting
National guidance recommends cemented hip replacements for people over 70, based only on how often implants are replaced. When operations to fix broken thigh bones were also counted, the best choice of implant depended on sex and age, so the guidance may need updating.
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2025-03 Emerging Hip Surgeons Forum: introductionBritish Hip Society Annual Meeting
A short introduction to a session at the British Hip Society meeting for surgeons early in their careers, introducing the speakers.
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2025-03 Why use a collared prosthesis?British Hip Society Annual Meeting (industry symposium)
A break in the thigh bone around a hip replacement is the most common reason for further major surgery. In the studies presented, hips with a stem that has a small collar resting on the bone had fewer of these breaks.
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2025-01 Periprosthetic fractures: don't throw good money after badBritish Hip Society and AAHKS periprosthetic fracture webinar
This talk follows one patient whose thigh bone broke around a new hip replacement soon after surgery. It shows that when the implant is loose, replacing it is usually better than just fixing the break, and that making the right decision first time matters.
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2024-11 Stem design, periprosthetic fracture risk and performanceBristol Hip meeting
The metal stem in a hip replacement comes in different shapes and materials. This talk shows that some designs were linked with fewer breaks in the thigh bone around the implant than others.
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2024-11 Training the next generation: newly appointed consultant perspectiveWIAM 2024
A talk for surgeons in training about building a career, based on my own path from sports science to consultant surgeon.
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2024-11 Why would you not use a collared prosthesis?WIAM 2024
A break in the thigh bone around a hip replacement is the most common reason for further major surgery. This talk sets out the evidence that a small collar on the stem helps prevent this at almost no extra cost.
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2024-09 Periprosthetic fractures: how should we prepare?British Orthopaedic Association Annual Congress
Breaks in the thigh bone around a hip replacement affect about 1 in 100 patients by 10 years. This talk covers how to reduce the risk, through preventing falls, treating weak bones and choosing the right implant, and how hospitals should organise care when it happens.
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2024-05 Postoperative periprosthetic femoral fracture is the leading cause of major reoperation following total hip replacementInternational Society of Arthroplasty Registries (ISAR) Congress
When national hip records include operations to fix broken thigh bones, not just replacements, a break in the thigh bone around a hip replacement turns out to be the most common reason for major further surgery. These breaks mostly affect older, frailer patients and carry a high risk of death and long hospital stays.
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2023-03 Periprosthetic fractures of the femur: revisions and fixations from NJR and NHS dataBritish Hip Society Annual Meeting
By linking national hip replacement records with hospital records, this research found thousands of extra operations for broken thigh bones around hip replacements that had not been counted before. It showed these fractures are the most common reason a hip replacement fails, and that the design of the stem matters a lot.
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