Lower Limb Fellowships

1) Mr Porter/ Mr Kay

The John Charnley Fellowship give an excellent exposure to advanced arthroplasty with a fantastic mix of complex hip and knee primary work as well as revision surgery.. Both units get referrals from not just the north-west but from all over the country. There is opportunity to indulge in both independent theatres as well as 2 theatre sessions weekly with each of the consultants.

Martyn Porter is a Consultant Orthopaedic Surgeon at the Centre for Hip Surgery at Wrightington Hospital in Lancashire.  He qualified from the University of Manchester in 1979 and is a Fellow of the Royal College of the Surgeons of Edinburgh and received his Specialty Training Certificate in Orthopaedics in 1989.  He has since developed his special interest in joint replacement surgery of the hip and knee and is particularly interested in treating young patients with arthritis and also treating patients who have problems after operations and dealing with revision surgery of the hip and knee. 

He uses a variety of fixation techniques, both cementless and cemented fixation depending on circumstances.  He is interested in using different bearing combinations such as metal on cross link polyethylene, ceramic on ceramic and metal on metal and some newer combinations.  He has also got extensive experience of hip resurfacing - over 400 cases and also more conservative methods of dealing with arthritis. He is Past President of the British Hip Society, present council member of the British Orthopaedic Association.
He has an extensive interest in outcomes research and runs the Clinical Outcomes Research Group at Wrightington Hospital where he works with Dr Brian Derbyshire looking at RSA analysis of joint replacements which is a detailed x-ray technique to look at small migrations of movement of implants which may be useful to predict long term success.

In addition he has published many papers on the outcomes of various different types of joint replacement and techniques.  He is a keen teacher and has lectured on many courses and conference, both in the United Kingdom and abroad.

2) Mr John Hodgkinson

John is on the Specialist Register as an Orthopaedic Consultant, and his clinical practice is surgery of the lower limbs. Initially appointed as a consultant at North Manchester General Hospital in 1987, he moved to Wrightington Hospital in 2001.  In addition John is an Honorary Clinical Lecturer at the University of Manchester.
Since moving to Wrightington, John has specialised in hip and knee arthroplasty surgery (operation for construction of a new movable joint). This interest commenced during his time as an orthopaedic trainee when John worked as the first Charnley arthroplasty fellow working with Professor Mike Wroblewski at Wrightington Hospital. 

John has been involved with treating elite sportsmen and women since 1993 and his patients have included international footballers and cricketers.  This interest continues and he is currently collaborating with colleagues and Trust management to develop a state of the art sports injury diagnostic and treatment centre on the Wrightington site
John was Divisional Chair for the Musculoskeletal Division within the Trust from 2006 - 2010.  His leadership in his Division contributed to the Trust achieving foundation status in December 2008.
John was elected Vice President of the British Hip Society 2009/2010 and this will lead to Presidency in 2011/12. 

3) Mr Gambhir/ Mr Board

Professor Board is a Consultant Hip and Knee Surgeon at the Centre for Hip Surgery at Wrightington Hospital and also a visiting Professor in Orthopaedics at the University of Manchester. Tim runs a patient focused practice and only sees hip and knee problems. He currently performs more than 200 major joint replacements per year and is one of only a handful of surgeons offering hip arthroscopy for the treatment of young adult hip problems. 

He gained his Medical degree from the University of Manchester in 1996 (awarded with Honours). He also gained a first class honours degree in Anatomy whilst an undergraduate. He obtained Membership of the Royal College of Surgeons of England in 1999. Speciality training in the North West led to completion of the Fellowship of the Royal College of Surgeons (Trauma and Orthopaedics) in 2005. He recently completed an MD at the University of Manchester in 2010. 

During his training Tim undertook periods of specialist training abroad, spending a year in Sydney, Australia and visiting fellowships in Hanover, Germany and Zurich, Switzerland. He also spent some voluntary time in Malawi, providing orthopaedic care and education, a visit funded by World Orthopaedic Concern. 

He has a strong interest in research and undertook an MD at the University of Manchester investigating bone grafting techniques in revision hip surgery. He has a strong interest in research and undertook an MD at the University of Manchester investigating bone grafting techniques in revision hip surgery. He has published more than 40 papers and presented over 100 papers at national and international research meetings. He has also given over 25 invited lectures. He has contributed to many text books including roles as editor. His main fields of research interest include bone grafting and tissue engineering, hip impingement and arthroscopy, heterotopic ossification, computer aided surgery, outcome of uncemented stems in revision hip arthroplasty and failure of hip resurfacing (ALVAL). 

Tim is also a research advisor for the NHS Blood and Transplant Tissue Services, the largest bone bank in Europe where he is helping to develop the next generation of bone graft techniques including tissue engineering of bone graft

4) Mr Browne/ Mr Purbach

Mr Purbach graduated from University of Wurzburg, Germany in 1991.  He studied in Georgetown University, Washington D.C. in the U.S.A. He undertook his basic surgical training in Switzerland from 1992 to 1993.  He completed his Orthopaedic Residency Programme with Wurzburg University in 1995 followed by specialist training at Oswestry rotation from 1995 to 1996 and then at Wrightington from 1997 to 2000.  Mr Purbach has been a Consultant at Wrightington Hospital since 2000
Mr Purbach practises contemporary hip arthroplasty using the principles established at Wrightington by Sir John Charnley and refined by Prof. B.M.Wroblewski. The technique represents the Gold Standard in hip arthroplasty. He has a special interest in the complex hip problem arising from deformity, injury or previous surgery. The technique uses bone graft and is equally helpful in revision surgery, where it allows a biological approach to restore and reconstruct bony defects. He holds an honorary senior lecturer’s post with the University of Central Lancashire UCLAN for his participation in training and examining young surgeons.

Mr Purbach’s academic and research interests include blood salvaging methods, joint lubrication models, bone graft substitute and foremost the continuous study of the long-term behaviour of the artificial joint.