Southampton surgeon offers “exact replica” knee replacements using 3D printing

A Southampton surgeon can now replace a patient’s knee with an exact replica using state-of-the-art 3D printing.

Amir Qureshi, a consultant knee and limb reconstruction surgeon, is one of a few specialists in the UK using Conformis iFit image-to-implant technology.

It converts a CT scan of a patient’s knee into a 3D model and then designs a unique implant - all within six weeks.

With conventional “off-the-shelf” implants to treat osteoarthritis, some patients can experience persistent pain or restricted movement.

Using the customised iTotal design means tailored measurements eliminate sizing compromises and follows the shape of and natural joint lines of each individual’s knee to increase movement and avoid instability.

Analysis of the implant in some centres has shown 95% patient satisfaction rates compared to 80 to 85% with standard replacements, while initial data suggests a 60% reduction in early repeat surgery compared to the national average.

“The goal of any knee replacement is to be pain-free, restore natural motion and for patients to return to their everyday activities,” explained Mr Qureshi, who is based at University Hospital Southampton and operates privately at Spire Southampton and Wessex Nuffield hospitals.

“These custom-made knee implants are designed specifically to match every aspect of a patient’s natural knee, delivering better outcomes and higher patient satisfaction.”

He added: “I am always looking to improve the options available to my patients and provide the best possible outcomes - this technology allows me to provide the closest replacement to patients’ natural knees which is extremely exciting.”

Procedures using the Conformis implant are currently only available privately.

iTotal

Knee surgeon says warming up before park kickabouts should be 'routine and socially acceptable'

A top knee surgeon has said warming up before any level of sporting activity – even a kickabout in the park – should be “routine and seen as socially acceptable”.

Amir Qureshi, a consultant knee and limb reconstruction surgeon at University Hospital Southampton, said much more focus was needed on injury prevention and preparation at amateur and recreational level.

He said he had seen an “influx” in knee injuries in recent years due to a rise in popularity of the “couch to 5k mentality”.

“I firmly believe we need a wholesale change in mindset when it comes to injury prevention in amateur and recreational sport as there is a growing belief you can go from nothing to all-out activity with no consequence,” said Mr Qureshi.

“That has manifested itself further over recent years with what I call the 'couch to 5k mentality' among those looking to get back into physical activity and get fit or play amateur sport with little to no preparation.

“There is a tendency to skip warm-up routines and muscle conditioning exercises and concentrate on distance, whereas preparation and gradually increasing activity is where the focus should be.”

Mr Qureshi said it was “imperative” to undertake muscle conditioning prior to competing in competitive sport but also to consider a simple warm-up routine prior to even a kickabout in the park with family or friends.

“Although people might be surprised, partaking in a simple warm-up routine can reduce the incidence of incurring an anterior cruciate ligament injury by up to 70% so for minimal effort you can avoid a serious and disruptive injury,” he explained.

“On many occasions I hear the reasons for avoiding this are that no-one else does, there isn't time and that people feel uncomfortable as it is seen as over the top, yet to me it is clear it is common sense.

“We need to be at a point where it is routine and seen as socially acceptable to warm-up before sporting activity of any kind at any level.”

Mr Qureshi said the only way injury prevention would become an integral part of sporting activity would be for it to be taught from an early age in schools and by instructors at out of school clubs.

“Physical activity and sport is such an important part of life in general and anyone wishing to partake should be commended, but the advantages are severely limited when you spend the next year on the sidelines,” he said.

“To really emphasise the importance of injury prevention and preparation in sport, we must look for it to be taught properly at an early age and not have it glossed over as a take it or leave it option.”

For more information or to book a consultation with Mr Qureshi, please contact us here

Southampton knee specialist to perform robotic joint replacements

A top knee surgeon in Southampton is among the first in the south to offer patients access to pioneering robotic joint replacement surgery.

Amir Qureshi, a consultant knee and limb reconstruction surgeon, is set to begin partial and total knee replacements in the city using the technology next month at the Nuffield Health Wessex Hospital.

The Stryker Mako robotic arm-assisted system is designed to make total knee, partial knee and hip replacement surgery more precise than ever before by creating a custom-made surgical experience.

Surgeons are able to develop a personalised plan for patients before they enter the operating theatre by using a 3D model of their anatomy created from a CT scan to determine the exact implant size required and correct positioning.

The robotic arm - which only moves when directed by the surgeon - then uses this information to cut and remove the bone allowing the implant to be fitted with precision, reducing the risk of surgical errors while helping to protect vital structures. 

The technology, which is available at 15 centres across the UK, has been shown to reduce complications and readmissions and results in a quicker recovery and less post-operative pain.

Knee replacement surgery is the most common type of joint replacement operation in the UK, with more than 100,000 carried out on the NHS and privately every year - mainly as a result of wear and tear of the joints known as osteoarthritis.

“I am really excited to be able to offer patients access to this state-of-the-art technology, which is at the forefront of personalised healthcare - every patient will receive a unique surgical experience,” said Mr Qureshi, who also operates at Spire Southampton Hospital and University Hospital Southampton NHS Foundation Trust.

“The Mako robot enables us to make smaller incisions and precise removal of bone and either partial or total replacement - which results in less pain, quicker recovery and better movement.”

The procedure, which costs around £13,000, is currently only available privately. For more information or to make an appointment, call 023 8091 4505 or email deborah.clark@spirehealthcare.com

A new option for total knee replacement patients

Mr Qureshi now offers ConforMIS Knee Replacements.

To provide patients with better results, ConforMIS has developed the only 3D printed customised total knee replacement that is designed specifically for your knee.

Custom-made for your unique anatomy

Conformis knee implants are designed to match every aspect of your natural knee. The goal of any knee replacement is to be pain-free, restore natural motion, and for patients to return to their everyday activities. The custom-made knee implants are designed specifically for your unique anatomy, enabling Mr Qureshi to deliver better outcomes in knee replacement surgery and higher patient satisfaction

 Customised for you in only four weeks, ConforMIS iFit® image-to-implant® technology converts a CT scan of your knee into a 3D model and then designs an implant that’s unique to you. This fully automated process ensures that your implant is made for you and you alone!

For more information or to make an appointment please call Debbie on 023 8091 4505.