He is one of a few specialists who perform the most complex re-do hip replacement operations.

The work related to the use of a specific technique (cup-cage) in very complex revision (re-do hip) replacement surgery where the socket is badly damaged with major bone loss.  This is not a technique that has been widely reported, being in use for only the last 8-10 years.  Mr Sood and his team have achieved very good results in these very complex cases.

Following the news that Suarez had sustained a knee injury and meniscal tear, Mr Sood appeared on the Victoria Derbyshire show to give his views on the likelihood of Suarez being fit in time for England’s important World Cup match against Uruguay on June 19th.

Listen to the interview on BBC Radio 5 Live.  Click HERE

He was the first patient in the newly formed NHS to have a hip replacement in 1948.  In those days a hip replacement, far from being the routine operation that it is now, was new and untested technology.  Many patients had replacements that failed early in those days because the technology hadn’t evolved to where it is now.  Some were however lucky and Norman is the luckiest of all!

Hip replacement is now a tried and tested operation that is the most successful operation of all time.  Manoj Sood selects the implants that he uses very carefully, not based on what is new and shiny, but based on the track record of the design.  He chooses appropriate implants for different ages, patients needs and activity levels.  Think of this as a more bespoke service rather than a “one size fits all approach”.

We use a special protocol during every hip replacement that we perform to monitor leg-length closely to ensure that leg-length problems do not arise.  We looked at 100 consecutive patients managed in this way and found that the results that we achieved were amongst the best reported results in the published literature for leg-length and offset.

Soft-tissue balancing in Total Hip Arthroplasty: Results in 100 consecutive patients

M Sood, A Memarzadeh and D Arvinte. 11^th European Hip Society Congress Stockholm 2014

These results are amongst the best reported for this sort of surgery but are only achievable with meticulous assessment and the use of a variety of different implants to achieve hip stability.

It has been suggested that this follow-up could be performed by general practitioners and Mr Sood and his team investigated this and published a paper on this topic.  GP’s rely on reports of x-rays taken in local hospitals and do not see the x-rays themselves.  We found that such reports did not always spot problems with the replacements and so potential problems could be inadvertently missed.  We concluded that follow-up of joint replacements should only be performed by specialists, ideally hip surgeons but also possibly by other suitably trained staff.

Should primary care physicians perform routine long-term Follow-up of total hip arthroplasty patients?  MC Nogaro, M Wijeratna, M Sood.  Journal of Arthroscopy & Joint Surgery 1 (2014) 27-31

The study was particularly interesting because a series of MRI scans were also performed and these showed that no deterioration in the arthritis occurred in the knees injected.

COMMENT:

This is a very interesting and illuminating research paper.  We are using PRP injections as a joint preserving treatment in selected patients with knee arthritis and are monitoring our results carefully.

Kinespring system acts like a shock absorber and lies beneath the skin on the inner side of the knee.  The joint is not disturbed during the placement of the device and so no future treatment options are compromised.  No bone is cut and it is not a joint replacement device.

It has the advantage that patients receiving it can be active on the knee as soon as the wound has healed.  Kinespring is showing great promise in the field of knee joint preservation.

For further details about this exciting technique please click here to view an informative presentation.