Professor Ali Ghoz

Professor Ali Ghoz
Orthopaedic surgery
Central London


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Professor Ali Ghoz

Orthopaedic surgeon in
London &
Reading

MB BCh MRCS(Eng) MRCS(Ed) MSc(Oxon) FRCS(Tr & Orth)


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Professor Ali Ghoz areas of expertise:

Professional statement

Professor Ali Ghoz is an accomplished consultant trauma and orthopaedic surgeon specialising in hip and knee surgery based in London and Reading. He is an expert and leader in minimally-invasive hip and knee procedures and is at the forefront of using computer-guided techniques to perform complex surgeries. This has allowed easier and quicker recovery periods for his patients, whose care and happiness are at the core of his concerns. 

Professor Ghoz completed his basic surgical training at the Yorkshire School of Surgery and went on to complete specialist training at the Yorkshire Deanery. He became a Fellow of the Royal College of Surgeons in 2011. In 2013, Professor Ghoz obtained his Master of Science in musculoskeletal sciences from Oxford University. Following this, Professor Ghoz completed many prestigious fellowships around the world including the prestigious Australian Orthopaedic Association Fellowship (AOA) at  Prince of Wales Hospital, Sydney.

Professor Ghoz was a reviewer for the British Bone and Joint Journal and has published many peer-reviewed research papers himself. His interests in revision hip and knee surgery feature frequently in his research and publications. He also teaches and acts as an examiner for various courses.

 Videos of doctor

Interview with Mr Ali Ghoz FRCS, consul...

 Credentials

GMC: ‍5201582

 Professional experience

• More than 20 years of experience
• Consultant trauma and orthopaedic surgeon, The London Orthopaedic Clinic (2016 - present)​
• Consultant trauma and orthopaedic surgeon, Hinchingbrooke Hospital (2014 - present)
• Honorary professor of trauma and orthopaedic surgery (2014 - present)

 ...

 Sub-specialties

• Hip replacement
• Knee surgery
• Knee arthroscopy
• Hip pain
• Knee replacement
• Anterior cruciate ligament

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 Positions in public associations

• Clinical orthopaedic audit lead, North West Anglia NHS Trust - Hinchingbrooke (2014 - present)
• Reviewer, British Bone and Joint Journal

 Teaching posts

• Instructor, Cadaveric hip and knee arthroplasty course for SpRs (2014 - 2018)
• Examiner, Miller FRCS revision course (2013 - 2018)
• Cambridge / Leeds University teaching for 5th year medical students (2006 - 2015)

 ...

 Education

• FRCS( Tr. Orth.) Royal College of Surgeons of England (2011)
• MSc (Musculoskeletal Sciences), Oxford Unviversity (2013)
• MRCS(Eng) Royal College of Surgeons of England (2005)

 ...

 Prizes and awards

• Best presentation, European Trauma Congress (2006)
• Best scientific paper, British Limb Reconstruction Society Annual meeting, Nottingham City Hospital (2006)

 Professional membership

• British Orthopaedic Association
• American Academy of Orthopaedic Surgeons
• Fellowship of the Australian Orthopaedic Association
• Wolfson College Alumni, Oxford
• Royal College of Surgeons of England
• Academy of Experts
• Expert Witness
• National Expert Witness Agency
• British Trauma Society
• ​Royal College of Surgeons of Edinbuirgh
• ​Royal Australian College of Surgeons

 ...

Languages spoken

  • English
  • Arabic
  • French

Diseases, Medical Tests and Treatments

Anterior cruciate ligament

What is the anterior cruciate ligament? The anterior cruciate ligament (ACL) is a bundle of collagen fibres that extends obliquely between the femu ...

Hip pain

Hip pain is all the pain localised on the hip or around it. It can be caused by a fracture, bone infection or joint pain or arthritis.

Hip replacement surgery

This surgery replaces all, or part of the hip joint with an artificial joint, which is called a prosthesis. The hip joint consists of two main parts, ...

Knee arthroscopy

Arthroscopic knee surgery is a minimally invasive surgical technique for accessing the interior of the joint through small holes in the skin. Through ...

Knee replacement

What is knee replacement surgery? Knee replacement surgery is a procedure that involves removing and replacing a damaged or worn knee joint with an artificial implant. An implant is placed in the damaged structure and replaces its function, allowing you to move the joint again, eliminating any pain you might have had before. During the operation, the damaged bone and cartilage are removed. For this purpose, either a general or regional anaesthetic will be administered. The anaesthetist and orthopaedic surgeon will decide which to use in order to minimise discomfort as much as possible. Why is knee replacement surgery performed? The main reason for knee replacement surgery is because of osteoarthritis of the knee, which damages the joint. A knee prosthesis or implant may also be required in the case of fractures that have caused significant damage to the subchondral bone, or in the case of specific bone tumours. What does knee replacement surgery involve? Knee replacement surgery takes around two hours and involves removing the damaged cartilage and bone from the joint and replacing them with artificial implants. These implants can be placed in different parts of the knee: the lower end of the femur (metal piece), the upper end of the tibia (piece made of strong plastic and metal), or at the back of the kneecap (made of strong plastic). Once the anaesthetic has been administered, the orthopaedic surgeon will make an incision of around 20 cm long in the joint to open it. The procedure is as follows: The patella is removed and a cut is made in the end of the femur and tibia to accommodate the prosthesis in the joint space The lower part of the kneecap is also cut so that the new piece fits well The two parts of the prosthesis are fixed to the different bones, one to the femur and the other to the tibia, using cement or screws The tendons and muscles of the joint are repaired and the incision is closed. Depending on the injury and the amount of bone removed, the knee replacement may be: Total or tricompartmental: the joint and kneecap are completely replaced. This is carried out with rigid axis prostheses (rarely used because they only allow a single movement, flexion-extension), joint surface replacement prostheses (isolated resection of the damaged joint), prostheses with linked components (these provide good stability due to the link between the tibia and the femur, as well as flexion-extension and rotation movements, but they are no longer used) and self-supporting prostheses (these replace the damaged surface and their design provides stability and functionality. The most common type is the medial pivot prosthesis). Unicompartmental : used for limited joint injuries. The prostheses usually have a metal femoral component that is placed in the damaged femoral condyle, and a polyethylene component that is placed in the tibial part. Preparing for a knee replacement: The orthopaedic surgeon and anaesthetist will advise you on what you need to do before the procedure. You must tell them about any medication you are taking, so that it does not interfere with the outcome of the surgery. The specialist will perform a series of preoperative tests, such as an electrocardiogram, MRI scan, x-rays and other procedures that will make the surgery easier and allow them to access the joint with full knowledge of the injury. Post-operative care: After knee replacement surgery, you must strictly follow the advice of the surgeon and physiotherapist for a complete and successful recovery. The physiotherapist will design a series of personalised exercises for you, adapted to the type of injury. These exercises will increase in intensity as the mobility of the joint increases. The objective is to regain and increase muscle strength, correct any instability or deformity, relieve any pain you may have, eliminate any scar adhesions and improve your physical function. The rehabilitation process also includes a number of other recommendations: to alternate flexion and extension movements when sitting, wear comfortable and well-fitting footwear, avoid sudden changes in weight to avoid overloading the joint, remove any furniture that may cause you to stumble or fall, do exercises at home (as recommended by the specialist), apply ice to the area after rehabilitation exercises, follow the instructions of the specialist for sitting, walking and going down stairs and, above all, keep the wound clean and disinfected. Alternative treatments: There is no alternative to knee replacement surgery. It is only performed in extreme cases, when the joint is severely damaged and the injury cannot be resolved with other procedures or treatments. The specialist will study the injury and decide on the best treatment or alternative. ...

Anterior hip replacement

What is an anterior hip replacement? All hip replacement surgeries remove the damaged hip joint to replace it with prosthetic components to improve the hip’s function. Hip replacements can differ in the surgical procedure. An anterior hip replacement replaces the worn-out joint, removing the diseased joint and bone and inserting a new ball and socket joint. The anterior approach is a method of inserting the artificial joint through the front (anterior) without cutting any muscles or damaging any nerves. Other surgical approaches, such as lateral and posterior, involve cutting the muscles or tendons. The anterior approach leaves no muscle damage and is an advantage for patients to recover quicker, with less pain and without a limp.   What are the symptoms of a joint that needs hip replacement surgery? The symptoms of a joint requiring a hip replacement usually include pain in the groin, which may radiate to the lower back, buttock and down to the knees. Daily activities such as going up and down the stairs, getting up from chairs, walking and driving, become more difficult.   ...

Knee

What is the knee? The knee is the central joint of the legs. It is formed by the meeting of two important bones: the femur and the tibia, and it joins the thigh and the lower leg. Inside the knee is a small bone called the patella or kneecap, which articulates with the anterior and inferior part of the femur. The knee also houses two fibrocartilage discs, the menisci, and it is surrounded by a joint capsule and ligaments, which give it stability. The main ligaments are the external lateral ligament, the internal lateral ligament, the anterior cruciate ligament and the posterior cruciate ligament. Important muscles surround the knee to allow for flexibility and extension movements of the knee and leg. Knee function: The knee supports most of our body weight when standing. The main movement of the knee is flexion-extension, although it can also rotate slightly when flexed. Pathologies of the knee: The knee is vulnerable to serious injury from impact and trauma, usually the result of sports injuries. Osteoarthritis is common in older people and can be very disabling. The most frequent knee injuries are: Simple contusions : minor trauma without damage to the main structures of the joint (meniscus, bone or ligaments). These are considered benign, without complications, and are usually resolved in a short time using conservative measures such as anti-inflammatories, rest and ice applied to the joint. Ligament and meniscus injuries : these are common injuries in sport, as they cause tension in the joint. The most frequent injuries are torn menisci, lateral ligaments and cruciate ligaments. Tendon injuries : the tendons that suffer the most serious injuries are the quadriceps tendon, patellar tendon, goosefoot tendon, and the tendon of the popliteus muscle. Fractures : these can occur in the lower femur, upper tibia, or kneecap. They are generally complex fractures that can affect several bones, ligaments and the menisci and are usually caused by severe trauma. Dislocation : dislocation is considered to be any injury that causes a permanent loss of contact between the joint surfaces. Joint effusion : the joint space usually contains synovial fluid, which serves to nourish the cartilage and provide lubrication, thus reducing friction of the joint and consequent wear. An excess of this fluid leads to joint effusion, which causes pain and an inability to move the knee. Osteoarthritis of the knee: this condition affects more women than men and generally occurs from the age of 50 onwards. Arthritis Osgood-Schlatter disease : this affects the tibial cartilage, causing pain during exercise. It improves with rest. Chondromalacia patella : this is common in young people and sportspersons. It is the degeneration of the cartilage between the kneecap and the femur. Hoffa's disease : chronic inflammation of the area of fat behind the patellar tendon and under the kneecap. Baker's cyst : this is a lump that occurs on the back of the knee due to chronic inflammatory processes and increased production of synovial fluid. Bursitis: the knee has several fluid-filled sacs or bursae, which are particularly vulnerable to repeated trauma. They can cause chronic inflammation. Treatments for knee problems: Treatment for knee injuries will depend on the type and severity of the injury. First of all, you must follow the "PRICE" protocol: Protection, Rest, Ice, Compression and Elevation. To prevent further damage to the knee after injury you should not apply heat, not drink alcohol, not run or do any other exercise, and not massage the injured knee, as this can cause further swelling. Anti-inflammatory drugs may help with mild to moderate pain. If the pain becomes intense, a doctor may prescribe a stronger pain reliever. If the injury is severe, the specialist may recommend physiotherapy and will design a rehabilitation exercise programme that is appropriate for you and the type of injury. In some cases, the injury may require surgery; for example, if you have torn the external lateral ligament, if you have damaged the anterior cruciate ligament and do a lot of sport, or if you have torn the internal lateral ligament, which will require reconstructive surgery. Surgery is also indicated if the injury involves several ligaments or if you have torn a patellar tendon. Which specialist treats knee problems? Orthopaedic surgeons treat problems relating to the knee joints. ...

Knee

The knee joins the thigh to the lower part of the leg, connected by two joints. One is the tibiofemoral joint, between the femur and tibia, while the other is the paletellofemoral joint, between the femur and patella. The knee is the largest of the joints in the human body, but it is also one of the most easily injured. What is the knee made up of? The knee is made up of bone, ligaments, tendons, and ligaments. They work together to allow the knee to move smoothly and support the body. The knee joint is complex, and therefore it can be injured in a manner of different ways. Common knee injuries Some of the more common knee injuries include: Fractures Ligament injuries (such as anterior or posterior cruciate ligament injuries) Tears in tendons or meniscus Dislocation Symptoms of a knee injury The knee can be injured in many ways, but some of the most common symptoms include pain, especially while walking or moving, a feeling of instability, and swelling in the knee or around it. If you are in severe pain, cannot move your knee, have significant swelling, or cannot walk without limping, you should seek immediate medical attention. Treatment of knee injuries Treatment of knee injuries depends on the type of injury and the part of the knee affected. Some knee injuries can be treated through methods like physiotherapy or medication. Some can be treated simply by immobilisation – meaning you cannot move your knee. Usually in these cases a cast or brace will be fitted to ensure protection and help it to heal. In some cases, surgery may be the best course of treatment. Most surgical procedures these days are minimally invasive, using very small instruments and making minimal incisions, which usually allows for a faster healing process. In some cases, some injuries may need to be treated with open surgery which requires a larger incision.  ...

Ligamentoplasty

What is it? Ligament reconstruction (also known as ligamentoplasty) is an endoscopic procedure for surgical tissue graft replacement of the anterior cruciate ligament, a ligament in the knee, often by grafting tissue harvested from your own body. The anterior cruciate ligament is located in the central part of your knee and it stabilizes the knee joint. Surgery will ensure that your knee is stabilised again, avoiding potential damages which could affect the cartilage and meniscus. What is it for? Ligament reconstruction sometimes performed if you have suffered from a strong enough joint trauma that the ligament has torn in your knee. When your ligament is torn, you will feel severe pain and your knee will be swollen. There may also be fluid regurgitation within the knee. Trauma can be the consequence of a sprain or of a sudden inward rotation of the knee after falling down or overextending your knee. What does it involve? The surgery consists in harvesting and then grafting a ligament from your own body. The first phase of the procedure consists in harvesting a healthy ligament, which will substitute the ruptured ligament. The most commonly harvested ligaments are the knee flexor tendon, patellar tendon and hamstring tendon. Using synthetic materials is only recommended if your rupture your ligaments again. Surgery should not last more than 45 minutes and it is an arthroscopic procedure – a minimally invasive form of surgery that can also allow the surgeon to address other issues at the same time. Post-operative progress Post-operative hospitalisation does not normally last more than three days. Harvesting the healthy portion of tendon should not cause any mobility issues. You will be able to move your leg right away, with the use of a knee brace or crutches for the first three weeks. Based on your doctor’s advice, in the first two weeks after surgery you may need to have injections to avoid the risk of venous thrombosis. After roughly six weeks, you will be able to go back to your daily activities; however, you’ll need to wait before going back to sports. You should keep in mind that ligaments stabilisation is a slow complex biochemical process: that is why should avoid excessive exertion and straining which could sabotage your healing process, while also doing physical therapy. ...

Osteotomy

What is an osteotomy? An osteotomy is a surgical procedure, carried out using general anaesthesia, that repairs damaged joints by cutting and reshaping the bones.  An osteotomy can be performed on the following joints: Knee Hip Spine Jaw Chin Big toe Why is an osteotomy done? An osteotomy will fix problems experienced in different bones and joints. Knee – if the kneecap is misaligned or damaged from arthritis then a knee osteotomy cuts either the tibia or femur to take pressure of the damaged knee joint. Hip – the hip socket is reshaped so that the socket aligns better with the ball of the joint. Spine – a wedge of spinal bone can be removed to improve a hunched back. Jaw – in misaligned jaws, a lower jaw osteotomy can reposition the jaw. Chin – an osteotomy can narrow a very square chin. Most often this is performed by plastic surgeons. Big toes – a wedge of bone is removed to prevent the big toe obstructing your other toes. What does an osteotomy involve? Due to the complexity of an osteotomy, a hospital stay will be required. General anaesthesia is used, meaning you are asleep during the operation. The surgeons makes an incision over the area of bone that is being remodelled. Using a special surgical saw, a section of bone will be removed. The cut edges of bone are then secured together with metal hardware or special bone grafts. For a bone graft, a wedge of bone is usually taken from the pelvis, and it is secured with metal hardware. How do you prepare for an osteotomy? Before surgery you won’t be able to eat or drink and certain medications will have to be stopped. You will receive special instructions from your specialist.  Aftercare following an osteotomy You can expect to stay in hospital for a couple of nights. Depending on the type of osteotomy performed, crutches are likely to be needed for a couple of months. Full rehabilitation can take up to 6 months. In most cases, physical therapy exercises will be needed to help restore strength, stability and movement to the bones. Alternatives to an osteotomy An osteotomy is often an alternative to larger surgical procedures, such as hip and knee replacements which are serious operations with very lengthy recovery times, and often revision surgeries too. Discussing your treatment options with your specialist is essential in making a treatment decision.  ...

Partial knee replacement

Unicompartimetal patients suffering from osteoarthritis of the knee can be treated with different surgical methods. The most common are the tibial osteonomía young and total knee replacement in elderly. In unicompartmental knee replacement (also called "partial" knee replacement) only a portion of the knee is resurfaced with metal and plastic components. ...

Revision hip replacement

Hip replacement is a very successful procedure and many patients undergoing total hip replacement do not experience problems. Over time, however, hip replacements can fail for a number of reasons, and it may become necessary for the hip replacement to be revised, and have further surgery performed. There are different types of revision hip surgery and different areas of the prosthesis may need attention, or all of it may need to be replaced.  ...

Revision knee replacement

What is revision knee replacement surgery? Although knee replacement implants are designed to last a long time, sometimes they can wear out and require additional surgery. Hence, revision knee replacement surgery revisits existing knee replacements, sometimes replacing previous implants. These implants, typically made out of plastic, inserted between the shin bone and the thigh bone. Why would you need revision knee replacement surgery? Revision surgery is sometimes needed because the implant can cause instability, possibly due to being placed incorrectly. This can cause the patient to feel wobbly whilst walking. Revision surgery is also needed when the implant is worn down, over time, and surgery swaps out the old implant for a new one. Surgery will also be needed if existing implants become detached from the bone. What does revision knee replacement surgery involve? Depending on the type of revision knee surgery being carried out, the procedure will differ. These procedures are carried out with regional or general anaesthetic. Post-operative care After surgery, patients will usually stay in hospital for 3 to 5 days. Crutches are usually needed for 2-3 weeks following surgery, after which a walking stick can be used for support. During recovery, physical therapy is recommended so that strength and movement is restored to the knee. Sufficient painkillers can be prescribed, along with blood-thinning medication to prevent blood clots forming. It is important to get moving as soon as possible after the revision knee surgery has been carried out. ...

Trigger finger

Stenosing tenosynovitis, also known as trigger finger, is a type of tendonitis that affects the tendons that bend your fingers. When the tendon sheath becomes inflamed, it is difficult to flex or extend the affected fingers, which can suddenly become stuck in a bent position. It is not clear what causes this injury, although it may be related to rheumatoid arthritis, gout or diabetes. The symptoms can begin with discomfort at the base of the finger that can cause some swelling. The treatment can include exercises and stretching, splints, and oral anti-inflammatory medication. If these treatments do not work, you may have to opt for surgery. ...

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