CURRICULUM VITAE
Mr. Akhtar M Khan MBChB, FRCS Ed, FRCS Orth
Consultant Orthopaedic surgeon and Medical-Legal expert
PERSONAL DETAILS
Surname
First Name
Employment Title
Khan
Akhtar Mohammed
Consultant Orthopaedic Surgeon
Consulting Rooms
Bolton
Manchester
Huddersfield
Sheffield
Leeds
Wakefield
Liverpool
Warrington
Birmingham
Contact address
Key House
7 Christie Way
Christie Fields
Manchester M21 7QY
0161 445 5888
Practice manager
Harsha Azizi-Torkapour
info@consultant-medical.com
NHS Employer
Hope Hospital
Stott Lane
Manchester
GMC Registration
3276217
MDU Number
288277x
PROFESSIONAL QUALIFICATIONS
1991
1995
2001
2006
MBChB
FRCS. Edinburgh
FRCS. Trauma & Orth
Diploma in Medical-legal report writing
PERSONAL INJURY EXPERIENCE

Preparing medical reports since 2001.

Over 750 reports annually

50% claimant work and 20% defendant work ratio and 30% joint instructions.

Court Experience
AREAS OF EXPERTISE

Low velocity accidents – guest speaker at medical legal conferences

RTA and Cervical acceleration/deceleration trauma

Pelvic trauma

Fracture management- short term, mid term and long term outcomes
SERVICE LEVEL OF AGREEMENT
Appointment
4-6 weeks of instruction
Report return
7 working days. (24 hours in case limitation)
Home visits
Yes
Office structure
5 full time members of staff. Office hours 9.00-16.00
CLINICAL NEGLIGENCE

35-40 Clinical negligence reports/annum

Negligence in Trauma management and patient care pathways

Lower limb arthroplasty issues

Metal on Metal issues
MEDICAL-LEGAL LECTURES & EDUCATION
o
Lecturer at Medical–legal conferences since 2004/5
o
Low velocity RTA and review of literature
o
Waddell’s signs- the misconception in their use to determine malingering
o
Biomechanics of acceleration/ deceleration injuries (Whiplash)
o
Fracture outcome. Short term, medium term and long term issues
o
In House training for paralegals. Half day training program
o
Monthly Newsletters on PI issues to >500 solicitors
MEDICAL-LEGAL EXPERTS FORUM

LinkedIn forum

>700 members in 4 months from conception in July 2012

Weekly review and update of medical literature and outcomes.

Promoting discussion between medical experts and solicitors
RESEARCH
16
Papers in peer reviewed Journals
15
Internet publications
32
Podium presentations at national or international meetings
19
Poster presentations national or international meetings
3
Prizes for best presentations
5
Research Grants
CURRENT APPOINTMENT & HIGHER SURGICAL TRAINING
August 2005-present.
Senior Consultant Orthopaedic Surgeon. Salford Royal Teaching Hospital. Manchester.
Senior Lower limb Arthroplasty and reconstruction Surgeon. Specialising in complex
primary and revision arthroplasty surgery. Trauma interest has evolved around pelvic
and complex lower limb injuries.
August 2003
Consultant Orthopaedic Surgeon. Pelvic trauma and Lower Limb
Arthroplasty
North Manchester General Hospital
Feb. 2003-July 2003
Consultant Orthopaedic Surgeon. Pelvic trauma and Lower Limb
Arthroplasty
North Manchester General Hospital
January 2003
Lower Limb Arthroplasty Fellowship and pelvic trauma
North Manchester General Hospital, Manchester
Mr A D Clayson Mr D H Sochart
Foot & Ankle Arthroplasty Fellowship
Wrightington Hospital
Mr P R L Wood
July 2002- Dec 2002
Lower Limb Arthroplasty Fellowship.
Royal Orthopaedic Hospital, Birmingham
Mr M McMinn Mr R B C Treacy Mr A M C Thomas Mr D Dunlop
Aug.2001-July 2002
Year 5 SpR Northwest Health Region.
Hope Hospital, Manchester
Lower Limb Arthroplasty, Foot & Ankle, Non-union reconstruction
Mr H A Maxwell Mr R A Wilkes
Aug. 2000- Aug.2001
Year 4 SpR Northwest Health Region.
Hope Hospital, Royal Manchester Children’s Hospital. Manchester
Lower limb arthroplasty, Trauma, Paediatric Orthopaedic surgery
Mr J G Andrews, Mr A Henry, Professor C S B Galasko
Aug.99- Aug.2000
North West Health Authority Research and Development Fellow
North Manchester General Hospital, University of Manchester
Aug. 98-Aug. 99
Harry-Platt Fellow.
Hope Hospital & North Manchester General Hospital, University of
Manchester
Aug. 97- Aug. 98
Clinical Tutor Orthopaedic Surgery
North Manchester General Hospital, Manchester
Lower Limb Arthroplasty, Paediatric Orthopaedic Surgery, Trauma
Mr P R Kay Mr T H Meadows Mr A D Clayson
Aug. 96- Aug.97
Clinical Tutor Orthopaedic Surgery.
Wythenshaw Hospital, Manchester
Upper & Lower Limb Arthroplasty, Paediatric Orthopaedic Surgery
Mr C Warren-Smith Mr T H Meadows
RESEARCH FUNDING
Harry Platt Fellowship
£34,450
Northwest Research and Development Fellowship
£37,450
British orthopaedic Association Wishbone Trust
£25,000
North Manchester R&D Unit
£15,000
AWARDS/PRIZES
Naughton Dunn Prize -Best Podium Presentation.
Differentiating hip pain from back pain based on pain distribution
Naughton Dunn Meeting. Birmingham 2002
McKee Prize. Best Podium Presentation.
Blood transfusion following joint replacement: immune modulation and infection
British Hip society. Keswick 2002.
Best Poster Presentation.
Preoperative concerns of patients awaiting hip and knee arthroplasty
British Hip society. Keswick 2002
Second best Poster.
Significance of post-operative pyrexia to the outcome of hip arthroplasty
British Hip Society. Keswick 2002
PUBLICATIONS
Secondary resurfacing of the patella for anterior knee pain following primary knee
arthoplasty
H E Muoneke A M Khan K Giannakas E Hagglund T Dunningham
Journal of Bone and Joint Surgery vol.85-B, No 5 July 2003
Abstract
Out of a total of 623 patients who, over a ten-year period, underwent primary total knee
replacement (TKR) without patellar resurfacing, 20 underwent secondary resurfacing for
chronic anterior knee pain.
They were evaluated pre- and postoperatively using the clinical and radiological American
Knee Society score. The mean follow-up was 36.1 months (12 to 104). The mean knee
score improved from 46.7 to 62.2 points and the mean functional score from 44.7 to 52.2
points. Only 44.4% of the patients, however, reported some improvement; the remainder
reported no change or deterioration. The radiographic alignment of the TKR did not
influence the outcome of secondary resurfacing of the patella. Complications were noted
in six of the 20 patients including fracture and instability of the patella and loss of
movement.
Anterior knee pain after TKR remains difficult to manage. Secondary resurfacing of the
patella is not advocated in all patients since it may increase patient dissatisfaction and
hasten revision.
Cross-sectional anatomy of the post-distraction osteogenesis tibia. Long term
study in adults
K Giannakas, A M Khan, R A Wilkes
Orthopaedic Proceedings. Supplement of the Journal of Bone and Joint Surgery
Abstract
While the early period of distraction osteogenesis has been extensively investigated,
there are very few data describing the long-term morphology of the regenerate. We
performed magnetic resonance scans in ten adults (men age 35+− 11 yr), seven of whom
had bone transport for an iatrogenic osseous defect while further three had tibial
lengthening for limb length discrepancy. Follow-up ranged between 14 and 43 months
(mean : 28 + − 10 months) following the removal of the external fixator. The perimeter,
cross- sectional area, volume and the mean signal intensity was calculated from the
obtained T1 weighted axial images. Values were compared with the contralateral tibia
that acted as control. All cases that had bone transport increased the volume of the tibia
from 15.3% up to 50.8%. The regenerated segment was noted to have expanded
significantly (p<0.0001) in all cases. Mean signal intensity in the regenerate decreased in
seven cases significantly (p<0.0001) suggesting increase content of unhydrated tissue
such as bone and collagen. The cross-sectional surface of the transported segment was
increased in all cases (p<0.008). Finally in cases that underwent bone transport, the
docking site was noted to be obstructed by unhydrated tissue. Contrary to previous
claims, the post-distraction osteogenesis tibia is far from normal, consisting of areas with
potentially different biomechanical properties. Recognition of these changes is essential
not only for appropriate pre-operative counseling but also for considering treatment
modalities in case of a fracture.
Evaluation of patient concerns prior to hip and knee replacement surgery.
Moran M, Khan A, Sochart DH, Andrew G.
Journal of Arthroplasty 18(4): 442-5. 2003
Abstract
The preoperative concerns of patients undergoing total knee or hip arthroplasty were
evaluated in a cross-sectional study of 370 patients. Patients completed a questionnaire
on 29 concerns, each rated on a scale of 1 (not concerned) to 4 (very concerned). Short
Form 12 and Oxford hip or knee scores were also calculated. The results showed that the
greatest concern for patients was cancellation of the surgery. This was followed by failure
of the surgery to reduce pain, loss of a limb, and joint infection. Concerns regarding scar
problems, nursing care, and preoperative tests were the lowest. Women showed
statistically significant greater concerns in 9 areas. Younger patients (age, <65) showed
increased concerns in 8 areas. Patients who had previously undergone joint arthroplasty
were less concerned than those who had not undergone previous lower limb joint
arthroplasty for 6 responses. They showed increased concern in 2 areas, nursing care
and hospital food. Those undergoing total hip arthroplasty were more concerned about
dislocation, dressing, and returning to work (all, P<.05). This study provides useful
information for the preoperative counseling of patients and the production of preoperative
literature.
Expect the best prepare for the worst. Surgeon and patient expectation of the
outcome of primary total hip and knee replacement
M Moran A M Khan J G Andrews D H Sochart
Annals Royal Coll Surg England 85(3); 204-6. 2003
Abstract
A cross-sectional study of 100 surgeons and 370 patients awaiting primary total hip or
knee replacement was carried out. Oxford hip or knee score questionnaires were sent to
the surgeons and patients. They were asked to predict the level of symptoms expected 6
months following surgery. The Oxford scores derive a value of 12-60, with a greater score
indicating worsening symptoms. The mean pre-operative score was 45.12 for the hip
patients and 42.96 for the knee patients, and the patients expected this to drop to 23.70
and 25.66, respectively, 6 months' postoperatively. This was a significant difference for
both groups. The surgeons expected the patients to have a mean postoperative score of
20.91 for the hip group and 22.19 for the knee group. The surgeons' scores were
significantly lower than those from the patients. There was a significant difference
between the patients' and surgeons' expectations of the results of total knee and hip
replacement surgery. The surgeons expected better results than the patients. We believe
that this is the first study that directly compares surgeon and patient expectations of lower
limb arthroplasty.
Post-operative pyrexia and primary total hip replacement.
A M Khan J G Andrews P R Kay.
Orthopaedic Proceedings. Supplement of the Journal of Bone and Joint Surgery
Abstract
Pyrexia in the post-operative setting has often been associated with a possible systemic
or wound infection. We assessed whether there is any justification for our concern
regarding post-operative pyrexia following hip arthroplasty and subsequent deep
prosthetic infection.
An assessment of the clinical outcome of 97 sequential patients who underwent 103
primary hip arthroplasty for primary osteoarthritis replacements. Daily temperature and
systemic complications in the post-operative period were recorded. Clinical outcome was
measured using an Oxford hip questionnaire. Patients had a mean follow-up of 5.2 years
(range 3.5–7.2years)
We reviewed the postoperative temperature records of 80 patients who had undergone
primary total hip replacement. Thirty-one patients had required revision surgery at a mean
time interval of 37.2 months (range 5–74 months) for confirmed deep prosthetic infection.
The remaining Forty-nine patients were asymptomatic at a mean follow-up of 31.5
months.
Study 1: Post-operative pyrexia of 38 degrees Celsius was present in 51% of patients
undergoing primary hip replacement in the first post-operative week but in 21.1% no
etiological cause could be identified. Clinical outcome measured by an Oxford hip
questionnaire was not influenced by the post-operative temperature pattern.
Study 2 : The mean peak temperature on the first post-operative day was significantly
lower in patients with deep prosthetic infection then patients with a clinically normal
outcome (p=0.01).
Post-operative pyrexia is clearly not uncommon following primary arthroplasty and its
presence should not be regarded as detrimental. Pyrexia in the postoperative setting is a
component of the acute phase response to trauma and study 2 demonstrates patients
who develop a low-grade infection following arthroplasty may have a diminished febrile
response to surgical trauma which may be an indirect representation of a diminished
immune response to surgical trauma or infection
Post-operative infection following hip arthroplasty. use of serological parameters
for diagnostic assistance
Orthopaedic Proceedings. Supplement of the Journal of Bone and Joint Surgery
Abstract
The metabolic response of trauma may mimic infection and the reliability of serological
parameters for diagnosing infection may be questionable. We prospectively assessed the
changes in the acute inflammatory markers, febrile response and the immune profiles
cytokine activation and collagen markers of 101 patients following primary hip
arthroplasty and their association with infection.
Method: The clinical outcome of 101 patients was monitored. Serological analysis was
performed pre-operatively and on the second and 8th post-operative day as well as in an
out patient clinic 6 weeks following surgery. The serological markers included total white
blood cell count along with T and B lymphocyte function. Levels of CD4, CD8 and CD56
were analysed for T helper, T Cytotoxic cell and Natural Killer cell activity. Inflammatory
makers included plasma viscosity and CRP. Cytokine assays included IL-1, IL-6, IL-10
and TNF. Collagen markers included P1CP and P1NP as markers of Type I and Type III
collagen synthesis. Serological titers of Staph. Aureus and Staph. Epidermis were
performed pre-operatively and on day 8 and week 6 following surgery.
Results: Post-operative complications included 19 UTI, 11 chest infections and three
URTI and six a confirmed deep vein thrombosis. Wound complications included 10
patients with wound erythema and 4 patients had pus discharge. 20 patients had elevated
ASO titers and 19 patients had raised Staph. Epidermis titers.
Statistical comparison of WBC, Plasma viscosity, temperature profiles and T helper,
T cytotoxic cell and NK cell assays is not different between patients with and without
systemic infection or raised titres of Staph. Aureus or Staph. Epidermis. Collagen markers
were significantly higher in wound complications.
Conclusion: The acute phase responses following surgery and metabolic response to
trauma obscures the changes seen in infective complications up to six weeks postoperatively. The use of serological parameters that are components of the acute phase
response of surgery does not allow differentiation of infection from normal physiological
changes.
Blood transfusion following primary hip arthroplasty: immune modulation and
infection
Orthopaedic Proceedings. Supplement of the Journal of Bone and Joint Surgery
Abstract
Blood transfusion is associated with an increased incidence of post-operative nosocomial
infections following surgery. In a prospective study we evaluated the association of blood
transfusion and the changes in the immune status with the incidence of infection in the
post-operative period following primary hip arthroplasty and subsequently for two years
following surgery
Method: Prospective analysis of 100 patients undergoing primary total hip replacement.
25 patients received predonated autologus blood transfusions, 26 received SAGM whole
blood, 23 received leukocyte depleted blood and 26 did not require a transfusion.
T-helper cell, cytotoxic T cell and NK cell activity was recorded using a Beckton Dickson
flow cytometer and assays of Plasma viscosity, CRP, Staph. Epidermis and ASO titres
were analysed. All infections were recorded for 2 years following surgery.
Results: he incidence of confirmed or suspected nosocomial infections following hip
replacement was the same in non transfused patients as those receiving predonated
autologus blood (19%). The incidence of nosocomial infection in patients receiving
leukocyte depleted blood was 32% and 42% in those receiving a SAGM blood
transfusion. ASO titres were raised in 16.9% of the patients on day 8 following surgery
and Staph. Epidermis assays were raised in 20.2% of the patients however the frequency
was unrelated to the type of blood transfusion.
The incidence of nosocomial infections was reflected by a greater reduction in NK activity
and CD4: CD8 ratio following surgery in patients receiving SAGM blood transfusion.
Conclusion: Homologus blood transfusion may produce an immune compromise in
patients, which is still detectable at 6 weeks following surgery. This is clinically reflected
by a higher incidence of systemic infections in the postoperative period.
Homologus blood should be used judiciously in joint arthroplasty with a preference to
either leukocyte depleted blood or predonated autologus blood.
Treatment of recurrent dislocation of total hip arthroplasty using a ligament
prosthesis
K Barbosa A M Khan J G Andrews
Journal of Arthroplasty April 2004, Pages 318–321
Abstract
Recurrent dislocation of total hip arthroplasty (THA) has a poor prognosis when the cause
of dislocation cannot be ascertained. We present the successful use of a synthetic
ligament prosthesis to treat 4 patients with recurrent posterior dislocation of THA. After an
average follow-up period of 28 months, none of the patients had any further episode of
dislocation. We believe that this is a simple and low-risk method of treating selected
patients and avoids the poor outcome associated with surgery to revise components.
Hip Osteoarthritis. Where is the pain?
A M Khan E Mcloughlin K Giannakas C E Hutchinson J G Andrews.
Annals of the Royal College of Surgeons 2004 March; 86(2): 119–121.
Abstract
Pain radiating below the knee is typically thought to originate from the lumbosacral spine
rather than degenerative hip pathology. We investigated the lower limb distribution of pain
using body image maps in 60 patients awaiting primary hip arthroplasty and in 60 patients
awaiting spinal decompression for confirmed spinal stenosis. The perception of 33
orthopedic registrars regarding distribution of hip pain was also assessed. RESULTS:
Groin and buttock pain are significantly more common in hip osteoarthritis. The presence
of groin pain is 84.3% of those sensitive for hip dysfunction with a specificity of 70.3%.
Patients with hip osteoarthritis had pain below the knee in 47% of cases whereas 88.5%
of orthopaedic trainees believed hip pain did not radiate below the knee. Radiographic
features of osteoarthritis within the hip joint, visual analogue pain score or Oxford Hip
Score have no significant association with a patient's distribution of hip pain.
CONCLUSIONS: Hip pain referred below the knee is common with a degenerate hip joint
and follows the distribution of the saphenous nerve, which branches from the femoral
nerve. Radiographic deterioration of a hip joint does not correlate with pain distribution or
patient dysfunction as measured by the Oxford Hip Score.
Cross match protocols for femoral neck fractures. Finding one that works.
A M Khan. N Mushtaq D H Sochart J G Andrews.
Annals of the Royal College of Surgeons 2004 January; 86(1): 11–14.
Abstract
Cross-match practice for patients with femoral neck fractures continues to cause concern
due to a failure of compliance to the existing protocols. To address this issue, a number
of studies were conducted over a 3-year period. METHODS: First, the existing crossmatch practice for patients admitted with femoral neck fractures was reviewed to
demonstrate the deficiencies within the system. Second, the opinion of anaesthetic and
orthopaedic trainees was assessed regarding blood requirements for different femoral
neck fractures following surgery and the justification of their perceptions. RESULTS: A
summation of the studies is reported which demonstrates the reasons for the poor
compliance to previous protocols. CONCLUSIONS: A simple and effective protocol is
provided that has helped reduce pre-operative cross-matching of femoral neck fractures
from 71% to 16.7% when assessed 2 years after its introduction.
Bladder catheterisation in joint arthroplasty. Pre-opertive identification of patients
Orthopaedic Proceedings. Supplement of the Journal of Bone and Joint Surgery
Abstract
Bladder catheterisation following joint arthroplasty is not uncommon but delaying
catheterisation in the postoperative period until the patient is symptomatic can produce an
atonic bladder due to the distension. This can prolong catheterisation and increase the
risk of urinary tract infection. We prospectively determined if we could identify patients
needing pre-operative catheterisation.
Method: 150 consecutive patients undergoing knee and hip arthroplasty were recruited.
Pre-operative symptoms of frequency, nocturia, retention, incontinence and previous
bladder or prostate surgery along with prior history of catheterisation were recorded. The
type of anaesthesia and post-operative analgesia was noted. Details of catheterisation
included duration, antibiotic administration, and reason for catheterisation and incidence
of urinary tract infection.
Results: Patients mean age was 67.7 years. 47 patients required catheterisation of which
56.6% were female. The mean age of patients catheterised was 70.6 years in comparison
to 66.3 years (Mann-Whitney P<0.01). The frequency of catheterisation was unrelated to
the surgical procedure.
Nocturia was significantly more common in-patients requiring catheterisation (Kruskal
Wallis P=0.04) and its combination with pre-operative symptoms of frequency, retention
or incontinence increased the significance further to P=0.001.
Patient age of greater then 66 years had a 76.6% predictive value for the subsequent
need of catheterisation. This further increased to 91.5% when combined with a previous
history of either catheterisation or nocturia. The type of anaesthesia or the post-operative
analgesia did not significantly influence catheterisation frequency.
Conclusion: Patients aged greater then 66 years undergoing joint arthroplasty with
previous history of catheterisation or nocturia may benefit from pre-operative bladder
catheterisation. Peri-operative catheterisation of high-risk patients in theatre reduces
patient discomfort caused by the observation period and avoids bladder atonia
consequent of the distention, which may subsequently prolong catheterisation.
Ganglion of the flexor hallucis longus tendon as a cause of posterior ankle pain
extending to the Hallux.
R Hillier K Giannakas A M Khan.
Foot. Pages 119-121, June 2003
Abstract
We describe a case of a ganglion of the flexor hallucis longus tendon in a young man with
chronic foot pain, and suggest that such ganglia be considered as part of the differential
diagnosis for posterior ankle pain.
Sacroiliac joint fusion for chronic pain: a simple technique avoiding the use of
metalwork
A M Khan K Giannikas H A Maxwell
European Journal of Spine 2004 May;13(3):253-6. Epub 2003 Nov 28.
Abstract
A previously undescribed method for posterior fusion of the sacroiliac joint (SIJ) utilizing
the Cloward instrumentation is presented, suitable for cases with chronic pain and intact
ligamental structures of the SIJ. The advantages of the method in comparison with other
described options include minimal disturbance of the periarticular structures, avoidance of
introduction of metalwork and preservation of the iliac crest contour. This technique has
been used in five cases with follow-up longer than 2 years (mean 29 months, range 25-41
months). In all cases there was resolution of their painful symptomatology.
Use of intramedullary reaming as a therapeutic procedure in treatment of
diaphyseal osteomyelitis of intact long bones
Orthopaedic Update 2001 vol:10 no. 2 page 46-8
Lacerations of the extensor hallucis longus tendon
Orthopaedic update Vol.11. No.2 August 2001
Non-union of colles fractures.
Orthopaedic update Vol. 11.No 1 April 2001
Tension band fixation of greater tuberosity fractures following anterior dislocation
of the shoulder joint.
Orthopaedic Update. Vol 6. No. 1. Dec 96
Spontaneous perforation of the second part of the duodenum in a child.
Postgraduate Medical Journal. Sep 96 vol. 72: 575 No. 851
Cerebrotendinous Xanthomatosis: A rare cause of tendon xanthomas.
A M Khan A Paul M Amr.
Orthopaedic Update. Vol: 5. No. 1 Dec. 95
PRESENTATIONS
Secondary resurfacing of the patella for anterior knee pain following primary knee
arthroplasty
A M Khan, R Goyal, H E Moneke, K A Giannikas, E Hagglund, T Dunningham
1. European Federation of National Associations of Orthopaedics &Traumatology.
Finland 2003
2. North West Orthopaedic Trainees Association Annual meeting Nov. 2002
3. Naughton Dunn Meeting. Birmingham 2002
Cross-sectional anatomy of the post-distraction osteogenesis tibia. Long term
study in adults
A M Khan, R A Wilkes, M T Karski, K A Giannikas, A M Buckle, S Hutchinson
1. European Federation of National Associations of Orthopaedics &Traumatology.
Finland 2003
2. British Orthopaedic Association 2003
Bladder catheterisation in joint arthroplasty.
A M Khan, K Ho, D H Sochart J G Andrews
British Orthopaedic Association. 2003
Arthrodesis of the first metatarsophalangeal joint using tricortical grafts as salvage
for failed Kellers excisional arthroplasty.
A M Khan, M Karski, K Giannikas, H A Maxwell
British Orthopaedic Association. 2003
Serological parameters in the detection of postoperative infection following hip
arthroplasty
A M Khan, Professor I Hutchinson, P R Kay
1. European Federation of National Associations of Orthopaedics &Traumatology.
Finland 2003
2. Naughton Dunn Meeting. Birmingham 2002
The cost efficiency of autologous blood transfusion in primary knee arthroplasty
A M Khan, K Ho, D H Sochart
European Federation of National Associations of Orthopaedics &Traumatology.
Finland 2003
Cross-sectional anatomy of the post-distraction
osteogenesis tibia. Long term
study in adults
A M Khan, R A Wilkes, M T Karski, K A Giannikas, A M Buckle, S Hutchinson
1. European Federation of National Associations of Orthopaedics &Traumatology.
Finland 2003
2. British Orthopaedic Association. 2003
The paradox of post-operative pyrexia and deep infection following hip
arthroplasty
A M Khan, B M Wroblewski, P R kay
European Federation of National Associations of Orthopaedics &Traumatology.
Finland 2003
Blood transfusion following joint replacement: immune modulation and infection
A M Khan, Professor I Hutchinson, P R Kay
1.
International Charnley Era Arthroplasty symposium. Manchester 2002
2.
British Hip Society. Keswick 2002 Awarded best podium presentation
The short term outcome of the OPERA cup
A M Khan, K Ho, J P Hodgkinson, D H Sochart
North West Orthopaedic Trainees Association Annual meeting. Nov. 2002
Cross match protocols for femoral neck fractures-finding one that works
A M Khan, Z Siddique, K Giannikas, D H Sochart, J G Andrews
1.
British Orthopaedic Association. Cardiff 2002
2.
Naughton Dunn Meeting. Birmingham 2002
Preoperative concerns of patients awaiting hip and knee arthroplasty
A M Khan, M Moran, J G Andrews, D H Sochart
1.
British Orthopaedic Association. Cardiff 2002
2.
North West Orthopaedic Trainees Association Annual meeting. Bolton 2001
Morton’s Neuroma: MR Scanning and corticosteroid injections for diagnostic
assistance
A M Khan, V George, K A Giannikas, H A Maxwell
Naughton Dunn Meeting. Birmingham 2002
Differentiating hip pain from back pain based on pain distribution
A M Khan, E Mcloughlin, A Quereshi, K Giannikas, J G Andrews
Naughton Dunn Meeting. Birmingham 2002
Awarded best podium presentation
The Orthopaedic management of the Rheumatoid Hip and Knee
A M Khan
Birmingham National Rheumatoid society. Birmingham 2002
Significance of post-operative pyrexia to the outcome of hip arthroplasty
A M Khan, B M Wroblewski P R Kay
British Orthopaedic Association. Cardiff 2002
Autologus versus homologus blood transfusion in primary total hip replacement: A
change in immune status.
A M Khan Professor I Hutchinson P R Kay
International Charnley Era Arthroplasty symposium. Writingtington Hospital. 2000
Post-operative pyrexia in hip arthroplasty.
A M Khan, P R Kay, J G Andrews
North West Orthopaedic Trainees Association Annual meeting. Bolton 2000
Current guidelines for crossmatching and transfusion in orthopaedic surgery.
A M Khan
Current concepts course. Manchester October 2000
Do you really need that much blood?
A M Khan, P R Kay
British Trauma Society. Norwich Sep 2000.
How much do you cross-match for femoral neck fractures? A difference in opinion
between anaesthetists and orthopaedic trainees.
A M Khan, J G Andrews
Current concepts Manchester 1999
Diagnosis and management of colorectal submucosal lipomas
A M Khan
Gastrointestinal meeting. Manchester 1995
POSTER PRESENTATIONS
Blood transfusion following joint replacement: immune modulation and infection.
A M Khan, Professor I Hutchinson, P R Kay
1.
European Federation of National Associations of Orthopaedics &Traumatology.
Finland 2003
2.
American Academy of Orthopaedic Surgeons 69th Annual meeting. Dallas. Feb 2002
3.
British Orthopaedic Association. Cardiff 2002
Differentiating hip pain from back pain based on pain distribution
A M Khan, E Mcloughlin, A Quereshi, K Giannikas, J G Andrews
European Federation of National Associations of Orthopaedics &Traumatology.
Finland 2003
The cost efficiency of autologous blood transfusion in primary knee arthroplasty
A M Khan, K Ho, D H Sochart
British Association for Surgery of the Knee. London 2003
Bladder catheterisation in joint arthroplasty. When should it be done?
A M Khan, K Ho, D H Sochart
1.
European Federation of National Associations of Orthopaedics &Traumatology.
Finland 2003
2.
British Hip Society. Belfast 2003
MR scanning for diagnosing Morton's neuroma
A M Khan, K Giannikas, V George, S Hutchinson, H A Maxwell
European Federation of National Associations of Orthopaedics &Traumatology.
Finland 2003
Recurrent dislocation of total hip replacement. Stabilisation with ligament
prosthesis
A M Khan, K Barbosa, J G Andrews
European Federation of National Associations of Orthopaedics &Traumatology.
Finland 2003
Medium term results of the LCO hip
A M Khan, K Giannikas, H E Muneke, E Hagglund, T Dunningham
European Federation of National Associations of Orthopaedics &Traumatology.
Finland 2003
Sacroiliac joint fusion. A simple technique avoiding use of metalwork
A M Khan, K Giannikas, H A Maxwell
European Federation of National Associations of Orthopaedics &Traumatology.
Finland 2003
Arthrodesis of the first metatarsophalangeal joint using tricortical grafts as salvage
for failed Kellers excisional arthroplasty.
A M Khan, M Karski, K Giannikas, H A Maxwell
European Federation of National Associations of Orthopaedics &Traumatology.
Finland 2003
The short term outcome of the OPERA cup
A M Khan, K Ho, D H Sochart
European Federation of National Associations of Orthopaedics &Traumatology.
Finland 2003
Subtalar joint fusion- a new technique
A M Khan, D Powers, A M C Thomas
European Federation of National Associations of Orthopaedics &Traumatology.
Finland 2003
Significance of post-operative pyrexia to the outcome of hip arthroplasty
A M Khan, J G Andrews, D H Sochart
European Federation of National Associations of Orthopaedics &Traumatology.
Finland 2003
Preoperative concerns of patients awaiting hip and knee arthroplasty
A M Khan, M Moran, J G Andrews, D H Sochart
British Hip Society. Keswick 2002
Awarded best poster presentation
The paradox of post-operative pyrexia and deep infection following primary hip
arthroplasty
A M Khan, B M Wroblewski P R Kay
British hip society. Keswick Feb 2002
Awarded second best poster presentation
Use of intramedullary reaming as a therapeutic procedure in treatment of
diaphyseal
osteomyelitis of intact long bones.
A M Khan, S Rao, P R Kay
British Orthopaedic Association. Llandudno April 1996