Specialist in knee arthroscopy and joint replacement surgery with meniscal repair, knee revision, partial and total knee replacement, patello-femoral resurfacing, osteotomy, anterior and posterior cruciate ligament repair, augologous chondrocyte implantation, microfracture and the treatment of degenerative knee disorders, osteoarthritis, cartilage disorders and sports injury.
Mr Glyn Evans is a Knee Surgeon based in Central London who treats young adults with sports related knee injuries and older patients with early wear and tear, or established arthritis of the knee.
Glyn qualified in Cardiff in 1975 and then trained in Liverpool and Edinburgh. He was appointed to the Academic Orthopaedic Unit, Southampton as a Lecturer in 1984 with a major interest in external fixation of tibial fractures.
He became an NHS Consultant in 1990 and worked at St Mary’s Hospital, Isle of Wight, Treloar Hospital, Alton and more recently Royal Hospital Haslar, Gosport.
Glyn has been doing knee arthroscopies and knee replacements since 1985. During his first decade as a consultant he did several thousand joint replacements including hips and knees and developed an early interest in partial knee replacements using the Oxford knee.
In 2004 Glyn decided to concentrate solely on the investigation and treatment of knee disorders and was appointed to the London Knee Clinic at London Bridge Hospital. Since then he has performed between 250 and 300 knee operations per year including ACL (anterior cruciate ligament) reconstructions, partial / total knee replacements and correction of bony deformities (osteotomies).
Glyn does arthroscopic (keyhole) surgery, meniscal trimming, repair and transplantation, autologous cartilage cell implants, removal of plicae, chondroplasty (smoothing down), removal of loose bodies, correction of maltracking and ilio-tibial band problems. He operates with minimal blood loss using no tourniquet and almost no requirement (<1%) for blood transfusion. He has a particular interest in anterior knee pain.
Clinical interests and treatments
Glyn enjoys investigating chronic and difficult cases that have no easy solution and likes a challenge. He prefers to undertake MRI (Magnetic Resonance Imaging) and X-rays if indicated at the time of the first appointment and uses a detailed questionnaire to record the clinical history. He uses the MRI Scan as an integral part of the examination and correlates findings on physical examination directly with the MRI images during consultation. He also compares the MRI images directly with surgical findings in the operating theatre.
Glyn takes video clips of all his arthroscopic (keyhole) surgery cases and his practice at re-examination after surgery is to review these videos with the patient so that an in-depth understanding of the problem can be communicated.
Glyn has a longstanding interest in hyaluronan injections to supplement the synovial fluid within the knee. His further interests are as follows:
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Anterior knee pain including patella alta, maltracking and dislocation of the patella and plica syndrome
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Meniscal trimming, repair and transplantation
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Anterior cruciate ligament (ACL) reconstruction following acute injuries and in longstanding cases. In appropriate cases ACL combined with an Oxford knee replacement
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Oxford unicompartmental knee replacement for both medial and lateral compartments
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Total knee replacements
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Revision knee replacements
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Computer navigation of knee replacements
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Femoral and tibial osteotomies using external or internal fixation as appropriate for correction of knee deformities
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Arthroscopic decompression of Baker’s cysts
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Articular cartilage surgery including chondroplasty (shaving), micro-fracture, and autologous cartilage cell implantation
Research interests
Before taking a full-time interest in knee problems Mr Evans published several leading articles in the British Medical Journal on various topics including repetitive strain injury and microdiscectomy in the lumbar spine. He has published a number of peer reviewed articles on subjects including Keinbock’s disease of the wrist, fixation of hip fractures and the treatment of osteoporotic fractures.
He has published an academic paper on External Fixation of Tibial Fractures, has authored a section on Fracture Healing in a textbook of Biology and has published a joint paper on Stress Fractures of the Tibia in children.
He has undertaken research on the Economics of Autologous Blood Transfusion in Knee Replacement Surgery jointly with members of the Economics Faculty of the University of Portsmouth the findings of which were published in the Economics press.
Mr Evans has been involved in research on the effectiveness of Hyaluronan injections in osteoarthritis of the knee and has presented papers on this topic at international clinical meetings and has published on this topic in the medical literature.
He is currently involved in a multi-centre study on Autologous Cartilage Cell Implants in which cartilage cells are removed from the knee, grown in the laboratory into a sheet of cells and then re-implanted.
He has current interests in minimal blood loss tourniquet free surgery for joint replacement at the knee and in the use of computer navigation in knee surgery.
Publications
Are Hyaluronan Injections Effective in Osteoarthritic Knees?
G Evans
National Association of Primary Care Review 2005;2:168-169
Textbook of Biology section on fracture healing
G Evans
Biology Principles and Practice 1992, revised 2001
Stress fractures in a hyperactive 3-year-old girl
ES Mucklow, G Evans
Lancet 1997;22:349(9055)854
Preliminary economic evaluation of post-operative autologous blood transfusion and homologous blood transfusion in knee replacement surgery
L Coglan, M Snell, G Evans, R Hoford
Economics Discussion Papers 1997;96:16-21
The AO dynamic hip screw and the Pugh sliding nail in femoral head fractures
RH Richards, G Evans, J Egan, JR Shearer
Journal of Bone and Joint Surgery 1990;72-B:794-796
Post-traumatic osteoporosis in Colles' fracture
G Evans, JR Shearer
Clinical Physics and Physical Measurement 1988;9(2):182
External fixation of tibial fractures, clinical experience of a new device
G Evans, M McLaren, JR Shearer
Injury 1988;19:73-6
Ascorbic acid levels in fractures of the neck of the femur
G Evans, DA Boston, JR Shearer, PP Monro
Journal of Bone and Joint Surgery 1987;69-B(1):158
A comparison of conservative treatment and silicone replacement arthrosplasty in Kienböck's disease
G Evans, FD Burke, NJ Barton
Journal of Hand Surgery 1986;11B(1):98-102
Mechanical forces matter in tissues other than bone
G Evans, J Egan
British Medical Journal 1988;6654(297):936
Appointments, consultation and treatment
Bookings are generally made by telephone, in order to arrange an appointment time which is best suited to you.
London Knee Clinic staff members are trained to help you through every part of the process - from filling in paperwork to seeing you back home after your surgery.
You should be prepared to spend an hour or more at the Clinic during which time your surgeon will ask you some focused questions and examine your knee thoroughly as well as discussing all relevant scans and X-rays and other forms of investigation, and clarify your questions regarding diagnosis and potential recommended treatments.
Contact details
The London Knee Clinic
London Bridge Hospital
St Olaf House
27 Tooley Street
London
SE1 2PR
Tel: 0207 407 3069
Email: info@londonkneeclinic.com
Website: www.londonkneeclinic.com
GMC Number: 2250508 Check this doctor's GMC registration
