Vikas Khanduja is a Consultant Orthopaedic Surgeon & Research Lead (Elective) at Addenbrooke’s – Cambridge University Hospital, specialising in hip surgery and has a particular interest in arthroscopic surgery of the hip. He has been instrumental in setting up & developing the tertiary referral service for Young Adult Hip Surgery in Cambridge and also leads the Cambridge Young Adult Hip Research Group.
Complementing his clinical practice, his research interests centre around disease stratification of FAI using novel imaging techniques, better pre-operative planning tools using dynamic analysis and optimisation of arthroscopic management of FAI via precision surgery to improve outcomes. He has authored over 150 peer reviewed articles and three books.
Vikas is the recipient of the American and British Hip Society Travelling Fellowship in 2011, the Arnott Medal presented by the Royal College of Surgeons of England in 2013, the Insall Fellowship presented by the American Knee Society and Insall Foundation in 2014 and the Hunterian Professorship by the RCS England in 2021.
Vikas sits on the Executive Committee of the British Hip Society as the President, ESSKA as the Chair of European Hip Preservation Associates and the NIHR MSK NSG as the Orthopaedic Lead for the Eastern Region. He is the Past Chair of NAHR and the Education Academy in SICOT & a Founder Member of SICOT PIONEER.
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo.
Young Adult Hip Service
I have had the vision, set-up and developed the Tertiary Young Adult Hip Service in Addenbrooke’s – Cambridge University Hospital for East of England and do support referrals from Northern Ireland as well.
The service, which was non-existent, is now supported by a Specialist Hip Physiotherapist, Surgical Care Practitioner, Sports and Exercise Medicine Trainee and an academic who has an interest in Regenerative Therapies in young adults.
The service serves a population of over 6.3 million (EoE), sees over 350 new patients and performs over 250 operations per year, including injections, hip arthroscopy, open surgical dislocations, and arthroplasty for the young adults.
The service includes multi-disciplinary meetings and from 2016, we submit our data for national audit to the Non arthroplasty hip registry (NAHR).
Ongoing development includes working closely with other stakeholders, such as commissioning and patient groups.
Despite a busy NHS clinical role, I engage in research significantly and lead the Cambridge Young Adult Hip Research Group. The research group is an active, buoyant, and productive group with a strong national and international presence.
The focus of the research group is on the use of technology for the
assessment and improvement of outcomes in patients having hip preservation surgery. The group currently has 5 PhD students, 1 MD student, 1 MPhil student and a number of medical students doing their SSC engaged in research in this arena. The group has good collaborative links with Cambridge University, Oxford University, Imperial College, McMaster University, Anglia Ruskin University & University of Ghent.
The group has been successful at securing peer-reviewed funding for over £3 million and has delivered on national and pan-European clinical trials. I have published 165 peer reviewed articles on Pubmed, have a h-index of 36, an i10 index of 73 with 3973 citations on Google Scholar.
My cross-disciplinary collaboration with Prof. Sohini Kar-Narayan’s group in Material Science at Cambridge led to the invention of a new microfluidic force sensor that addresses a critical unmet need in joint replacement surgery.
We developed the conformable microfluidic force sensors that can be
integrated within current trial liner of the hip replacement and are capable of measuring the large forces passing through the joint during the surgical procedure. This will help optimise implant positioning, thereby minimising failure rates and improving patient outcomes.
The patent for the invention has been filed through Cambridge Enterprise, and the first publication describing the sensor appeared in Cell Reports Physical Sciences, where it was featured as an “Editor’s Choice” for 2021. A follow up paper describing the use of the sensors integrated within the hip implants has recently been published in the Materials and Design journal.
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo.
Top 5 Publications:
Mr Sunil Kumar maintains an active academic interest in research and teaching. He is a keen educationalist and a Member of Faculty of Surgical Trainers. His interest in outcomes in young adult hip pathology led him embarking on a journey to establish core outcome set in hip preservation surgery.
Top 5 Publications:
PROFILE:
More than 24 years of experience as a Physiotherapist. Led the Trauma and Orthopaedic inpatient Physiotherapy team based at Cambridge University Hospitals for 16 years. East of England regional Physiotherapy specialist for Young Adult Hip Disorders.
Extensive experience in Trauma and Orthopaedics and Musculoskeletal rehabilitation.
Highly skilled clinician and leader with an excellent clinical and academic track record.
Areas of interests are Hip and groin disorders in the young adult population, joint replacement surgeries and pelvic and lower Limb trauma.
Recipient of the NIHR funded Integrated Clinical Academic Doctoral Fellowship award, April 2022.
RESEARCH PROJECT:
Title: Prehabilitation for patients undergoing hip arthroscopic surgery for Femoroacetabular Impingement syndrome- a feasibility study
Femoroacetabular impingement syndrome (FAIS), resulting from abnormal acetabular or femoral head/neck morphology is a well-known pathological entity found in young active adults. Patients with FAIS often have pain, stiffness and functional limitations. Hip arthroscopy is often recommended when conservative management has failed to address the symptoms. However, the road to recovery is often lengthy due to a multitude of factors. This study will evaluate the feasibility, suitability and acceptability of a novel prehabilitation programme within an NHS setting and inform the design of a future large-scale trial testing the effectiveness of prehabilitation in patients undergoing hip arthroscopy.
Recent Publications:
Metcalfe A, Parsons H, Parsons N, et al.(2022): Subacromial balloon spacer for irreparable rotator cuff tears of the shoulder (START:REACTS): a group-sequential, double-blind, multicentre randomised controlled trial. Lancet 2022;399(10339):1954-1963. doi: 10.1016/S0140-6736(22)00652-3.
Y Kuroda, M Young, H Shoman, A Punnoose, A R Norrish, V Khanduja (2020): Advanced rehabilitation technology in orthopaedics-a narrative review. Int Orthop 2021;45(8):1933-1940. doi: 10.1007/s00264-020-04814-4.DOI: 10.1007/s00264-020-04814-4
Punnoose, Anuj; Weiss, Ori; Khanduja, Vikas; Rushton, Alison (2019): The effectiveness of Prehabilitation in Patients undergoing Orthopaedic Surgery- A systematic review and meta-analysis. BMJ Open 2019;9:e031119. Doi: 10.1136/bmjopen-2019-031119
Anuj Punnoose; Alan Norrish; Katie Pak (2016): Extracorporeal Shock Wave Therapy for Achilles and Patellar Tendinopathy: Meta-Analysis and a Systematic Review of the Literature. Journal of Physiotherapy and Physical Rehabilitation, Feb 2016 DOI: https://doi.org/10.4172/2573-0312.1000124
A Punnoose; C Gallagher; J Matthews; V Khanduja (2015): Rehabilitation of a National Taekwondo Player Following Arthroscopic Hip Surgery: Successfully Achieving a Return to Gold Medal Winning Performance Levels’. Journal of Novel Physiotherapies, Apr 2015. DOI: https://doi.org/10.4172/2165-7025.1000262
Arman is a consultant in trauma and orthopaedics at Cambridge University Hospitals. Having completed his higher surgical training on the Cambridge rotation, he completed further fellowship training at the Fortius clinic in London, Leeds, and Oxford University Hospitals. He was also awarded a BOA travelling fellowship to visit Chicago and Philadelphia (Rothman Institute).
His clinical specialist interest is in knee surgery, sports and arthroplasty. Arman has been awarded a number of prizes, including the Trinity Cup, Cambridge Trainee of the Year and a research grant from Addenbrooke’s Charitable Trust.
He has published over 20 articles in peer reviewed journals, with work presented at international conferences.
Top Publications:
Sonia E. Ubong is currently undertaking her Master’s in Medical Sciences (Surgery) in the Division of Trauma and Orthopaedic surgery, at the University of Cambridge.
Her research is focused on investigating the relationship between Cam-type Femoroacetuabular Impingement and patients with Axial Spondylarthritis and Psoriatic Arthropathy.
Sonia was drawn to a career in Trauma and Orthopaedic surgery due to the variety in the demographic of patients and the practical nature of the speciality. Inspired by experiences as a medical student at King’s College London, Sonia recognised that although technical excellence and clinical judgment are imperative for all surgeons, a commitment to the study of fundamental pathology is essential for advancing the field of Orthopaedic Surgery. It is through this understanding that Sonia is now working on several projects at the Young Adult Hip Research group under Mr Vikas Khanduja’s guidance.
Sport has been a strong feature of Sonia’s career. She earned her Cambridge Blue in the 2022 Rugby Varsity match at Twickenham. Her keen interest in sport has ultimately led to her growing interest in orthopaedic pathologies that affect young adults.
Students being able to explore their interests in Orthopaedic surgery is extremely important to Sonia. As such, she currently sits on the British Orthopaedic Medical Society Association (BOMSA) collaborating with medical schools to enhance the student experience and exposure to Orthopaedic surgery.
Richard’s publications are available here
