Ajeya Adhikari: Sports Injury Specialists, London

A leading Trauma and Orthopaedic Surgeon based in South West London, dealing primarily with lower limb conditions with a special interest in knee surgery. 

Mr Adhikari is a high volume knee surgeon and is in the top decile nationally in terms of the number of patients treated. In a typical year, he carries out 200 knee replacement operations, 60 cruciate ligament surgeries and 200 knee arthroscopy operations. He has pioneered the use of computers and robotics in orthopaedic surgery in the UK and is actively involved in the culture of cartilage cells and transplant for cartilage injuries.

Mr Adhikari completed his MBBS training at Delhi University in 1984, obtaining a gold medal in the final examination. He then undertook postgraduate training in orthopaedics at the prestigious All India Institute of Medical Sciences in New Delhi. He obtained his masters degree in Orthopaedic Surgery in 1990 through thesis and examination.
 
In the UK he trained in the North East Thames Registrar Rotation in Orthopaedic Surgery from 1991. He completed a knee fellowship with Mr Jamie Flanagan at the Orthopaedic Centre, Black Notley Hospital. He obtained the masters degree in Orthopaedics through dissertation and examination from the University of Liverpool in 1996 and then passed the FRCS (Orth) examination in 1999. Since then he has trained in various aspects of orthopaedic surgery in Austria, Switzerland, the USA and Germany. 
 
Mr Adhikari currently works as a Consultant Orthopaedic Surgeon with the Epsom and St Helier NHS Trust. He is one of the founding surgeons at the South West London Elective Orthopaedic Centre, which is the largest joint replacement centre in the UK. Prior to that he worked in the same capacity for four years at King's College Hospital and University Hospital Lewisham in London.

He runs a fellowship and mentoring programme which trains orthopaedic surgeons from as far away as Australia. He is actively involved in the software and hardware development of computer navigated systems used for orthopaedic surgery 

Orthopaedic expertise and private treatment offered

Mr Adhikari treats all lower limb problems involving the hip, knee, ankle and foot, and performs more than 600 operations a year. In the last few years his referrals have increasingly been patients with knee problems as more and more general practitioners and patients have become aware of his special interest in the field. He provides both operative and non-operative treatment of lower limb conditions. He also provides second opinions for difficult knee problems.

Special clinical interests

• Knee surgery: Over the last three years Mr Adhikari has performed on average, both in the NHS and private sectors, 200 knee replacements, 60 cruciate ligament surgeries and 200 arthroscopy operations per year.

• Sports injuries: He also has a special interest in sports injuries to the lower limb. He provides orthopaedic services to Crystal Palace and other smaller football teams in South London. He also has an interest in skiing, rugby, athletics and other contact sports injuries.

Research interests

Computer and robotic orthopaedic surgery

Mr Adhikari carried out the first computer and robotic assisted joint replacement in the UK in October 2002, as reported by the BBC. He continues to present his research papers all around the world including the United States, Europe and the Far East.

Cartilage transplant

He has been involved in the transplant of cartilage cells into the knee since 2000. He is currently one of the investigators in a pan European trial (Summit trial): 'A comparison between the performance of chondrocytes versus microfracture technique on knee symptoms'.

Sports injuries

He is currently setting up a multicentre study to look at return to sports after ACL reconstruction.

Other professional activities

Recent presentations at international conferences

Mr Adhikari continues to lead in the application of computers and robotics in orthopaedic surgery

INTERNATIONAL CONFERENCE PRESENTATIONS/POSTERS

• Adhikari A/Ackroyd C E, Symposium: Computer Assisted Orthopaedic Surgery - Gold Standard or Fake Jewellery? Combined Orthopaedic Associations (BOA) 2010, Glasgow

• Adhikari A. Plenary and Instructional Course Lectures on Computer Navigation and Robotics, International Conference in Orthopaedics and Biomechanics, Brunel University 2010, London

• Kamat Y, Aurakzai K, Adhikari A. Computer navigated knee replacement: Use of passive knee movement graphs. (Poster) CAOS International 2009, Boston, USA.

• Computer guided soft tissue balancing in TKR. CAOS International 2008, Hong Kong.

• Computer Navigated TKR: dual advantage in obese patients. EFORT 2008, Nice, France.

• Patient satisfaction with computer navigation in total knee arthroplasty versus standard method.  AAOS 2007, San Diego, California.

• Computer navigation does not lead to better outcome at one year following total knee replacement.  EFORT, Florence, Italy, May 2007
  

Number of key procedures performed

• Knee replacement - 200 per year

• Cruciate ligament reconstruction - 60 per year

• Arthroscopy of the knee - 200 per year

• Hip replacement - 40 per year

• Foot and ankle surgery - 30 per year

Accreditation and admitting rights at private hospitals

Mr. Ajeya Adhikari is an accredited consultant for the UK's leading private healthcare providers and private hospitals, including HCA Hospitals.

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