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Graham Keene

Trauma

Impington, United Kingdom

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Description

Graham is a specialist hip and knee surgeon and was appointed as a consultant in Cambridge in 1997. As a consultant, he has since undertaken over 10,000 surgical procedures, including 5,000 hip replacement, resurfacing hip replacement and revision hip replacement procedures and over 700 knee replacements. Joint replacement surgery may be for joint pain & stiffness, OA, osteoarthritis, RA, rheumatoid arthritis, psoriatic arthritis, psoriasis, inflammatory arthritis, etc., affecting the hip or knee. His clinical interests are especially lower limb reconstructive surgery; this includes hip and knee arthroplasty (hip replacement, hip resurfacing, hip revision replacement and knee replacement) and arthroscopic (key hole) surgery for the hip and knee. At the Cambridge Nuffield Hospital and the Spire Cambridge Lea Hospital, Graham has been using the Stryker MAKO robotic arm to assist with joint replacement surgery. He typically undertakes cemented hip replacements, with an Exeter or CPT stem, or an hybrid replacement the Trident or Continuum uncemented cup and a ceramic head. Graham has experience with hip resurfacing and uses the Adept Hip Resurfacing and Birmingham Hip Resurfacing. Graham practices at Addenbrooke’s Hospital in Cambridge, The Cambridge Nuffield Hospital and The Spire Cambridge Lea Hospital. His private clinics are on a Tuesday afternoon and Thursday morning, but some additional times are available if necessary. His particular interests include: i. Investigation of unexplained hip pain, bursitis, clicking hips, snapping tendons, early osteoarthritis, adductor tendon pain, impingement, labral tears, impingement and FAI ii. Total hip replacement surgery; primary and revision iii. Hip resurfacing replacement with the Adept Hip or Birmingham Hip. iv. Arthroscopic knee surgery for the meniscus or meniscal tears. v. Total knee replacement surgery. vi. Medicolegal reporting for personal injury and litigation. vii. General trauma surgery My outcome data for joint replacement surgery is recorded on the National Joint Registry. My revision rate for hip replacement surgery is below the 99.8% centile, with 15 revisions recorded against an expected 39 to March 2019 in the 1873 recorded hip replacement procedures for the past 10 years. My revision rate for knee replacement surgery is just above the 95% centile, with 8 revisions recorded against an expected 8 to March 2019 in the 415 primary knee replacement procedures for the past 10 years. My 90-day surgery risk adjusted mortality rate for hip surgery is below the national average and for knee surgery equals the national average. Graham was a medical student and junior surgical trainee in London, becoming a Fellow of the Royal College of Surgeons (England) in 1991, before joining the East Anglian Orthopaedic Surgery Training Programme in 1992. He was awarded the FRCS (Orth) in 1995 and subsequent entry to the Specialist Register in Trauma and Orthopaedic Surgery in 1997. Graham undertook a one-year specialist Hip Reconstruction Surgery Fellowship in 1996/7 at the Royal Adelaide Hospital in South Australia. At this world-renowned academic institution he worked mostly with Prof Don Howie and Prof Steve Graves. This gave him extensive exposure to complex primary and revision hip/knee replacement surgery, as well as an insight into further research and outcome measures.

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