Training & Experiences

  • Trained & worked in UK for > 10 years, passing through basic (SHO) & higher surgical training (SpR), arthroplasty fellow, then locum consultant.
  • Subspecialty experience in hip and knee arthroplasty was gained from 3 international centres:
    1. Wrightington Hospital, Wigan, UK (2004)
    2. Western Pennsylvania Hospital, Pittsburgh, Pennsylvania, USA (2005)
    3. St Michael’s Hospital, Toronto, Ontario, Canada (2006)
  • Special interest:Navigation & CAOS, particularly in hip and knee arthroplasty
  • Pioneering work (Patient specific instruments (PSI) for total knee arthroplasty: I had an interest in computer assisted orthopaedic surgery (CAOS) started in 1998 with a one-year fellowship in navigation and robotics, University of Hull, UK. In 2001, I initiated and run a laboratory experiment at the University of Leeds, UK as an MD project leading to the development of the novel technique of PSI. For which, I was granted few awards and patents. I published > 10 book chapters, few editorials & several originals in this field.
  • I organised symposia on PSI and CAOS and performed live surgery.
  • I was invited as a plenary speaker & session chairman in courses & conferences in this field.
  • A reviewer of PSI technology by ECRI, USA & a consultant to ConforMIS, USA.
  • Teaching & Examination

    • Examiner for the SICOT diploma (World Orthopaedic Organization)
    • Examiner, National Egyptian Training Program in Orthopaedics: Egyptian board of orthopaedic & Trauma (EBOT)
    • Ex Head of Year I exam panel, Medical School, October 6 University
    • Undergraduate teacher & examiner in medical, physiotherapy & nursing schools, October 6 University & external examiner for MSc and MD degrees in 7 Universities (Cairo, Al Azhar, Tanta, Zagazig, Suez Canal, Menofyia and Beni Souef)
    • Established training program/ professional diploma in orthopaedics 2007-2011
    • Teaching in “Basic Surgical Skills Course”, Royal College of Surgeons of England
    • Attended ATLS instructor & Training the trainer (ToT) courses
    • Established Int Arthroplasty Conference, CAOS & PSI symposia, orthopaedic review, orthopaedic skills & orthopaedic nursing Courses
    • Instructor for ATLS, AO-Recon and Stolzalpe (Austrian) knee arthroplasty courses
  • Research Experience

    • Theses: MSc thesis, Cairo University, Egypt (on cervical spine in rheumatoid arthritis) MD thesis, University of Leeds, UK (on computer assisted total knee replacement)
    • Originals: >50 in peer reviewed journals (pages 8-10), such as CORR, JBJS-B, Injury, Archives of Orthopaedics, CAS, IEEE, Foot & Ankle (Int & Surgery), operative tech in Orth, F Rheum, biomedical Eng, KSSTA, Int J Medical Rob, Study Health Technology Information, CAD, IJCARS, Current Orthopaedic Practice, OJO, Bone Joint J and others
      Citations: >1000 Impact factor (sum): >50 i10-index: 15
    • Presentations > 200 in Int conferences such as AAOS, EFORT, ORS, SICOT, ICS, BTS, BORS, ISTA, CAOS Int, MIS_CAOS, AFA, CAOS-UK, EKA, ESSKA, CARS, ICJR, APAS, IHKS, AO, conferences of national societies, IFIA innovation fairs & others
    • Community Arthroplasty register: I established the register and the data base.
    • Egyptian Musculoskeletal Research Association (EMRA): Founder and president.
    • Book Chapters & Editorials: the most popular book chapter in “Surgery of the Knee” textbook, Insall-Scott. Elsevier, 2006 (1655-1674) & 2012 (1240-1254)
    • Faculty & Session Chairman in Conferences: In SICOT, CAOS International, ESSKA, APAS, ICJR, Cleveland Knee Summit, CAOS-UK, local and national conferences in (France, China, India, Pakistan, Indonesia, Sudan, Nigeria, Saudi Arabia, Kuwait, UAE)
    • Editorial & Review Activities
      • Editor of the medical section of October 6 University Journal
      • Ex Editorial board member, The Journal of Bone and Joint Surgery (JBJS-British) for the Middle East Edition
      • Editorial board member, Open Journal of Orthopaedics (OJO), USA
      • Ex Editor of "October medical", a local journal & newsletter (inactive)
      • Reviewer to the Journal of Clinical Orthopaedics and Related Research (CORR), USA
      • Reviewer to The Journal of Bone and Joint Surgery (JBJS-American)
      • Reviewer to The Journal of Computer Aided Surgery (CAS), USA
      • Reviewer to British Medical journal (BMJ), UK
      • Panel peer reviewer, AO foundation, Switzerland
      • Reviewer to ECRI institute "health Technology Assessment", USA
  • Pioneering Work

    • (Patient specific instruments (PSI) for total knee arthroplasty): I had an interest in computer assisted orthopaedic surgery (CAOS) started in 1998 with a one-year fellowship in navigation and robotics, University of Hull, UK. In 2001, I initiated and run a laboratory experiment at the University of Leeds, UK as an MD project leading to the development of the novel technique of PSI. For which, I was granted few awards and patents. I published 10 book chapters, few editorials & several originals in this field. I organised symposia on PSI and CAOS and performed live surgery. I was invited speaker & session chairman in courses & conferences in this field. A reviewer of PSI technology by ECRI, USA & a consultant to ConforMIS, USA.
  • Training and Clinical Experience

    • I have been interested in orthopaedics since my graduation in 1985. Since then, I had no gaps in my training and employment and all my jobs were directly related to orthopaedics. I worked in 5 countries (Egypt, KSA, UK, USA& Canada) with different health care systems; each country has different endemic diseases and its own challenging conditions.
    • My special interest is hip and knee arthroplasty but I have a broad based experience in general orthopaedics and traumatology that was gained during my training and work in UK for > 10 years. During my SpR training, I rotated to all orthopaedic subspecialties (trauma, hip and knee, foot & ankle, spine, paediatric and upper limb surgery) except oncology. The North American fellowship (Pittsburgh and Toronto) gave me a valuable experience in lower limb arthroplasty & computer assisted surgery. During my Toronto job, I used to perform about 5 to 7hip & knee arthroplasty procedures per week. These procedures included primary & revision total hip arthroplasty (THA) & total knee arthroplasty (TKA), navigation TKA, navigation hip resurfacing.
    • In Egypt, I usually perform about 10-15 Operations a week, > half of them are joint replacement, the other half is general orthopaedic and trauma. I use conventional and navigational techniques for single TKA, while I routinely use patient specific instruments (PSI) for bilateral simultaneous TKA. For THA, I normally do uncemented using different bearing surfaces such as metal on poly or ceramic on Poly. I usually use lateral approach but occasionally posterior approach for revision. I established an arthroplasty register in 2007 and recently, I applied a fast-track arthroplasty protocol with a preoperative arthroplasty class that resulted in better recovery with a reduction in blood transfusion.
    • I am the head of the orthopaedic department, October 6 University Hospital, Cairo, Egypt. This is a teaching university hospital with > 300 beds. Clinical duties include running the orthopaedic department, outpatient clinic, operative surgery as I perform > 10 operative cases per week, the majority are trauma and arthroplasty cases. I have academic responsibilities e.g. research & teaching (under- and postgraduate). I established a training program in orthopaedics that has been developed to be "professional diploma" in association with the Arab Medical Union.
    • In Cairo, I work of as a part time Consultant Orthopaedic Surgeon in Ministry of Health Hospitals, first at Al Helal Orthopaedic Hospital, (from 2007 to 2012) Cairo, Egypt. It is a tertiary referral centre for the Ministry of Health. It is the national orthopaedic hospital and the largest one in the region with > 400 orthopaedic beds and > 100 orthopaedic consultants in all subspecialties. I did 2 outpatient & 2 operative sessions a week. Cases are usually complicated primary hip & knee arthroplasty (e.g. neglected #s, deformities & revision) & then I worked at Zayed Specialized Hospital (2012 - 2015) and Al Zaitoun Specialized Hospital (2016 to date).
    • In UK, I work as a part time consultant orthopaedic surgeon in NHS hospitals (locum during summer holiday), to keep myself updated with UK practice. This work usually involves outpatient clinics and operative sessions predominantly hip and knee arthroplasty ± on call for trauma.
  • Continuing Professional Development (CPD):

    • I have undertaken several online courses through Medacs Healthcare Org:
      • Safeguarding Children & Young Adults For Ancillary Workers Level 1
      • Safeguarding Children & Young People - Levels 1 & 2
      • Safeguarding Children & Young Adults Level 3
      • Information Governance, Data Protection, Handling Patient Information, Record Keeping and Caldicott Protocols
      • Complaint Training & Conflict Resolution
      • Control of Substances Hazardous to Health Regulation
      • Fire Safety Awareness
      • Handling of Violence and Aggression
      • Health & Safety Including Risk Incident Reporting
      • Infection Control and Standard Precautions, HAI (MRSA & Clostridium Difficile)
      • Lone Worker
      • RIDDOR (Reporting of Injuries, Diseases & Dangerous Occurrences Regulations)
      • Safeguarding Vulnerable Adults (SOVA), Level 2 Modules 1-3
      • Counter Fraud
      • Equality, Diversity & Inclusion
      • Preventing Radicalisation
  • Courses in lower limb and computer assisted surgery:

    1. Speciality Day (Hip & Knee) during AAOS, New Orleans, 10 March 2018
    2. Principles of Total Hip and Knee Arthroplasty, Egypt, 01-02 Nov 2017
    3. The intensive course. The Hip joint, Egypt, 6-7 April 2017
    4. Oxford Uni-compartmental knee replacement, Athens 11-12 May 2016
    5. Instructional course on revision knee replacement, Alexandria University, 27-28 Aug 2015
    6. Cadaveric knee surgery course. Amman. Jordan. 29-31 May 2014
    7. Instructional course in primary & revision knee replacement, Stolzolpe, Austrio, 19-21 June 2013
    8. Speciality day, the American Association of hip & knee surgeons, Chicago, IL, 19-23 March 2013
    9. Instructional course lectures on hip & knee replacement, San Francisco, California, 7-11 Feb, 2012
    10. Speciality day, the American Association of hip & knee surgeons, San Francisco, California, 11 Feb 2012.
    11. Instructional course lectures on hip & knee replacement, San Diego, California, 16-18 Feb, 2011
    12. Speciality day, the American Association of hip & knee surgeons. San Diego, California, 19 Feb 2011
    13. International course of revision hip arthroplasty, 4th International hip resurfacing & metal on metal & short stem training workshop, Faculty of Medicine, Alexandria Univ., 1-3 April 2010
    14. The XXIV Intensive course shoulder & knee joint disorders, Cairo, Egypt, 12-13 march 2009.
    15. CAS-articular surface replacement, ESI, Hamburg, Germany, 28 May, 2008
    16. The arthroplasty course-shoulder, hip & knee, October 6 Univ., Cairo, Egypt, 2Feb 2008
    17. Computer in Orthopedics course + research & publications workshop, Ain Shams Univ., Cairo, Egypt, 19-20 Dec 2008
    18. Computer assisted navigation for hip arthroplasty, European Training Centre, Germany,2008
    19. Master Class in knee arthroplasty, Dubai, UAE. 10-11 Feb 2007
    20. Instructional course lectures. Canadian Orthopaedic Association, Canada 2006
    21. Speciality day of the American Association of hip & knee surgeons, Washington, USA. 2005
    22. Instructional course in total knee arthroplasty: Edinburgh, UK, 27-30 Aug 2003
    23. Exter hip course (total hip replacement): Manchester, UK, 24-25 March 2003
    24. Instructional course in total hip arthroplasty: Edinburgh, UK, 5-8 Sept 2002
    25. Cement pressurization workshop: Leeds, 8 April 2002
    26. Practical arthroscopic knee surgery workshop: 13 CME, Droitwich, UK, 27-28 March 2002
    27. AAOS instructional courses (TKR, Surgical navigation, THR): 28 CME, Dallas, USA, 13-17 Feb 02
    28. Computer-assisted total joint surgery: Tuttlingen, Germany, 30 June-1st July 2000
    29. International conference on TKR: Institution of Mechanical Engineers, London, UK, 22-24 April 99
    30. Advances in hip & knee arthroplasty: University of Oxford, Oxford, UK, 26-29 March 1998
    31. Cartilage repair meeting: Institute of Orthopaedics (RJAH Hospital), Oswestry, UK, 20 Nov.1997
    32. Limb trauma management course: 7 CME, Plastic Surgery Dept, St Thomas’s H, 15-16 Nov 1997
    33. Knee arthroscopy course: 6 CME, RNOH, Stanmore, London, UK, 11 Nov. 1997
  • Courses in general orthopaedics and traumatology:

    1. Courses and workshops during AAOS Conference, New Orleans, 6-10 March 2018
    2. Faculty Training program for AO course, National Training Institute, Cairo, 9 July 2017
    3. Orthopaedic Skills Course 19 – 21 May 2016, O6U, Egypt
    4. ATLS instructor course, Egyptian Life Support Center,6-7 May 2016
    5. ATLS (course for consultants). Southern General Hospital, Glasgow. 13-15 August 2014
    6. Orthopaedic review course, AAOS annual meeting, San Francisco, California, 7-11 Feb, 2012
    7. Orthopaedic review course, AAOS annual meeting, San Diego, California, 18 Feb 2011
    8. Orthopaedic review course, October 6 University in association with institute of orthopaedics(Oswestry),Cairo, Egypt, 15-17 April 2010
    9. Orthopaedic review course, October 6 University in association with Leeds University, Cairo, Egypt, 3-5 May 2009
    10. British trauma course in association with EOA, Cairo, Egypt 2008
    11. International course of skeletal deformities correction, Cairo, Egypt, 25-17 April 2007
    12. International course of skeletal deformities correction, Cairo, Egypt, 18-20 May 2006
    13. Orthopaedic Review Course. AAOS, Washington, USA. 2005
    14. AAOS Annual Congress, Washington, USA, 2005
    15. Oxford FRCS Orth course: Nuffield Orthopaedic centre, Oxford, UK, 27-30 April 2004
    16. Hand surgery course: Wrightington Hospital, Wigan, UK, 3-4th October 2003
    17. Nottingham basic science course: Nottingham, UK, 19-20 Sept 2003
    18. Orthofix (BOTA/ Intavent): Verona, Italy, 18-21 May 2003
    19. AAOS Annual Congress: Dallas, TX, USA, 2002
    20. Orthopaedic Review Course, AAOS, Dallas, TX, USA, 2002
    21. Challenges in locking nailing: The Royal College of Surgeons of England, UK, 14 Nov 2001
    22. ATLS course: 19 CME, St Richards H, 29-31 May 1996 and St James’s H, 23-25 Feb 2000.
    23. AO advanced course: 29 CME, University of Leeds, UK, 30 June-3 July 1998
    24. Shoulder arthroplasty course, 6 CME by Charles Rockwood. San Antonio, USA, 18 May 1998
    25. American Fracture Association Annual Meeting: 17 CME, Nashville, USA, 7-10 May 98
    26. The Leeds orthopaedic biomechanics Course: University of Leeds, UK, 15-16 Oct. 1997
    27. Radiation protection course: 6 CME, Queen Elizabeth Hospital, Birmingham, UK, 11 June 96
    28. 6th Trainee Meeting of SICOT: University of Madrid, Madrid, Spain, 20 - 22 April 1995
    29. AO basic course: 37 CME, The Royal College of Surgeons of England, UK, 5-8 July 1994
    30. Spinal surgery symposium: King Fahd Military Medical Complex, Dhahran, KSA, 15-17 Feb 1992
  • Courses in generic skills: Teaching, research and management:

    1. See 16 online courses under CPD
    2. WIPO workshop on patent cooperation treaty Cairo, 3-5 November 2015
    3. Statistics for arthroplasty registry: ISAR Annual Meeting. Boston, USA. 31/5 to 2/6. 2014
    4. Course and workshop on Hepatitis C protection, October 6 University, 2012
    5. Training the trainer course: Royal College of Surgeons of Ireland, National training centre, Cairo, Egypt, 2011
    6. Workshop on CPR, October 6 Univ., Cairo, Egypt, 2010
    7. Medical publication, Cairo University, Cairo, Egypt, 21-23 April 2008
    8. Diversity and ethnic orientation, AAOS meeting. Washington, USA, 2005
    9. Training the trainer course: Royal College of Surgeons of England, UK, 23-24 June 2003
    10. Writing a scientific paper (Tim Albert Training): BMA House, London, UK, 11 March 2003
    11. Generic skills for postgraduate research degrees (MD): University of Leeds, 9 days in 2001 and 2002
    12. ATLS instructor course: Royal College of Surgeons of England, 26-27 Nov 2001
    13. Professional management programme: Yorkshire Deanery, UK, 7days (Feb-July 2001)
    14. Statistics for medicine: 16.5 CME, University of Sheffield, UK, 28 Oct.- 2 Nov.1998
  • Course chairman:

    1. AO-Trauma (CTM for ORP), October 6 University Hospital, 3 January 2019
    2. ATLS Provider Course, October 6 University Hospital, 20-22 December 2018
    3. ATLS course for medical students (Team), October 6 University, 17 June 2018
    4. Symposium on management of Neuromuscular disorders with Dr Geoffrey Miller, Los Angles, USA, President of American Fracture Association, in Cairo, 5 June 2018
    5. Meet the Expert: Uni knee live surgery by Andrew Price, Oxford, UK at O6U 22 March 2017
    6. Innovation Summit in Egypt in association with IFIA, O6U Campus, Cairo, 15-17 Sept 2017
    7. Basic Orthopaedic Skills Course, October 6 University, 19-21 May 2016
    8. International Arthroplasty Conference in Egypt: Every year in Jan or Feb since 2008 till 2019
    9. IC: knee arthroplasty course in Egypt with Prof Siegfried Hofmann, Stolzalpe, Austria: 6 Feb 2014, 6-7 Nov 2014, 29 Jan 2015, 4 Feb 2016, 19 Jan 2017, 18 Jan 2018 & 31 Jan 2019
    10. Orthopaedic Review course (3 days): With 4 consultants from the Institute of Orthopaedics, Oswestry in 2009 and Leeds University Hospitals in 2008 at October 6 University
  • Management Experience:

    1. Head of the orthopaedic Dept. at both October 6 University and its teaching hospital
    2. Founder & Head of the Egyptian Musculoskeletal Research Association (EMRA)
    3. Chairman of the Int Arthroplasty Conference & the Orthopaedic Review Course, Egypt
    4. Admin Senior Registrar: I was the Admin Reg when I was year 4 SpR. I was organising the staff rota for Leeds General Infirmary and Chapel Allerton Hospital from March to July 2003. This hybrid rota served 27 doctors (HOs to consultants).
    5. Team working and communication: During my post in Spinal Injuries in Oswestry, I was one of a team who was responsible to declare to patients & relatives the outcome of the injury e.g. tetraplegia. Then working on the return of patients back to the community.
    6. Organisation: During my research post at Hull University, I was responsible to organise meetings (writing the agenda and the minutes) and liasing between surgeons and engineersin the three Universities Hull, Dundee and Loughborough.
    7. Initiatives: I often take the initiatives in teaching, research and occasionally in social activities. I volunteered to run the journal club and to organise workshops and clinical teaching in UK and Egypt. I initiated ideas and led the teamin most of my research work.
  • Voluntary work:

    1. Founder of "Al Mohsen Medical Charity" to help in providing free medical treatment for the needy. In 2012, we got a funding from Misr El Kheir Foundation to perform 43 TKA for needy patients.
    2. Founder & Chairman of the Egyptian Musculoskeletal Research Association (EMRA): With the aim to facilitate academic activities and high quality research & innovations http://www.egyorth.org/Research/Research.aspx?ID=172
    3. I established the Egyptian Arthroplasty Register, which is now an associate member of the International Society of arthroplasty Registers (ISAR). http://www.isarhome.org/directory
    4. Translation of medical books from English to Arabic: I translated a chapter from “Harrison Principles of Internal Medicine” from English to Arabic, it was published in The New Egyptian Journal of Medicine. 1987;1(1):250-6 & 1987;1(2):571-4.