Bespoke knee service based in Chester, UK. Progressing from Orthopaedics to OrthoBiologics. Helping people do what they want and like to do.

Joined July 2012
154 Photos and videos
Merry Christmas and Happy and Healthy New Year.
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Chester Knee Clinic retweeted
31 Jan 2025
GLP1 medications and osteoarthritis. They are making a difference
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I don’t think people realize the impact of TXA on high blood loss high risk operations… The road has existed for 50 years and is cheap but it’s usage is a relatively new phenomenon that has dramatically increased for the last 10 to 15 years It’s cheap. It’s effective and hasn’t been pillaged by the bad actors in healthcare. If I was to list the things in my life that I love My wife and my children are first My country is next TXA is third and depending on how annoyed I am with the US government, it sometimes moves to second.
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Congratulations Nole! Just #tennis. Never mind politics, booing, hatred, biased media. You worked hard and you won. That’s it. @DjokerNole @rolandgarros
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Finally we found a good home for the @OPTIKNEE SR on structural and molecular biomarker outcomes after ACL tears in @JOSPT! We've made this infographic to sum up the main messages.
13 Mar 2023
In the last 3yrs the #optiknee team completed 7 systematic reviews to inform recommendations to prevent #osteoarthritis after knee injury The 7th is now available @JOSPT jospt.org/doi/10.2519/jospt.… @PM_Holm @a_bricca @ewa_roos @kaymcrossley @jwhittak_physio @FOF_research @JOSPT
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4 Mar 2023
It's always the same story... Felt a pop, and had some pain, the pain got much worse a few days later. Now they're miserable. Mild/mod OA--->Degen root---> subchondral fx/intense edema. You know the diagnosis in one minute if you listen. howardluksmd.com/severe-knee…
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Honoured to be invited to give this well attended lecture at @uochester
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Beware of initial remote consultations: “the special relationship giving rise to a duty of care may exist even in the absence of any meeting between the physician and the patient where the physician performs specific services for the benefit of the patient."
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We wish our colleagues and patients a Merry Christmas and a happy and healthy New Year.
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30 Nov 2022
Good surgeons know when to operate Better surgeons know how to operate Excellent surgeons know when not to operate.
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Nice touch and connection with Roman past.
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Replying to @ClementsCharl96
In my experience (30 years of doing knee surgery) most degenerate menisci and post-meniscectomy knees are not associated with SIFK. SIFK is spontaneous focal subchondral metabolic (neurovascular) issue of uncertain origin, often recurrent and migratory. Needs more work!
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Great diagram! ❤ We believe the high intensity @STAKkneeStretch tool program is having an anti-inflammatory effect ✨ Swelling was significantly reduced after 8 weeks treatment in chronic swollen arthrofibrosis patients compared to standard physio group. #orthotwitter #TKR
How exercise promotes an anti-inflammatory phenotype in different tissues… sciencedirect.com/science/ar…
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Once upon a time …
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Any suggestions re optimal VTE prophylaxis following a TKR for patients with a history of DVT/PE (re balance: postop bleeding vs adequate short term prophylaxis). What works best and for how long?
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It's a matter of quality, not quantity! That's the gist of a new Israeli study that shows that unvaccinated people with a prior SARS-CoV-2 infection create antibodies that are more effective in the long run compared with others who were vaccinated but never infected.
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