About

I take my patients’ trust seriously and go above and beyond to help them.

Knee and hip replacements are among the most successful surgeries ever performed, reducing pain and improving mobility. As a surgeon, I feel extraordinarily privileged to have the opportunity to perform these surgeries every single day, changing the lives of patients I operate on.

I have performed numerous hip and knee surgeries since I began my career in orthopaedics. Every procedure that I perform still fascinates me as I reconstruct artificial joints that restore my patients’ quality of life.

It is a privilege to be trusted with patients’ bodies. As doctors, we have an opportunity for healing and helping others in need of help through operations that are both delicate but necessary at the same time.

About My Orthopaedic Journey

My name is Moataz El-Husseiny and I am a consultant in Trauma & Orthopaedics, specialising in lower limb arthroplasty and trauma surgery. I am based at Frimley Health NHS Trust Hospitals in Ascot, Windsor & Slough and have private practising privilege in Spire Thames Valley.

My specialist interests and areas of expertise include:

• Managing adult hip and knee arthritis,
• Revision hip and knee arthroplasty,
• Sports related hip and knee injuries.

I achieved my Bachelor of Medicine & Surgery degree (MBChB) from Cairo University and completed my Basic Surgical Training in Norfolk, United Kingdom. I moved on to work as a Clinical Research Fellow with Professor Gordon Blunn at the Royal National Orthopaedic Hospital and University College London (UCL). I successfully completed an MD (Res) degree in Biomedical Engineering. After that, I went on to secure higher surgical training in Trauma & Orthopaedics, in the prestigious Percivall Pott North East Thames London Deanery Rotation.

Extensive Clinical Skills From Top Hospitals

I gained extensive clinical skills from working at some of the top hospitals in the UK. They include:

• The Royal London Hospital.
• The Royal National Orthopaedic Hospital.
• Great Ormond Street Hospital.
• University College London Hospitals.
• Norfolk and Norwich University Hospitals.
• The Princess Alexandra Hospital, Harlow.

Having successfully obtained my FRCS (Tr & Orth) intercollegiate specialist fellowship exam and the Certificate of Specialty Training (CCT), I went on to complete my fellowship training in world-renowned centres:

• Primary and Revision Lower Limb Arthroplasty Fellowship from University of British Columbia Hospital and Vancouver General Hospital, Vancouver, Canada.
• Trauma fellowship in the Major Trauma Centre at Kings College Hospital.
• Lower Limb Arthroplasty Fellowship at The Barts and London NHS Trust.

I am currently an ATLS instructor and have held positions as an examiner on various FRCS (Tr & Ortho) preparation courses.

Research has always been a great passion for me. I am well published and have been involved in ongoing research. This has culminated in numerous peer-reviewed publications and presentations both nationally and internationally.

I am currently the Orthopaedic Lead for Clinical Governance at Heatherwood and Wexham Hospitals since I joined the Trust, enabling me to work closely with my fellow managers and clinicians.

QUALIFICATIONS

• Certificate of Completion of Training (CCT)       
• Post Graduate Certificate Medical Leadership    
• FRCS (Orth)                                                             
• MD (Res) University College London                    
• Diploma of Sports and Exercise Medicine             
• CCBST                                                     
• MRCS              
• MB BCh, Cairo University 

ACHIEVEMENTS:

• ATLS Instructor- Royal College of Surgeons of England.
• HCA travelling fellowship grant- October 2016.
• Editorial Board Member- Orthopaedic and Muscular System: Current Research Journal.
• Reviewer for Bone and Joint Journal (BJJ).

TEACHING EXPERIENCE

• Running FRCS (TR and Orth) teaching  three evenings a week to help senior Orthopaedic trainees pass their exit exam.
• ATLS instructor 
• Honorary Clinical Lecturer at the University College London, Research Department, Medical School. 

WORK EXPERIENCE

Present Posts:

• Consultant Trauma and Orthopaedics, Frimley Health NHS Foundation Trust, Heatherwood & Wexham Park Hospital
• Clinical lead for lower limb arthroplasty, Heatherwood & Wexham Hospitals 

Previous Posts:

• Post-CCT Fellow Lower Limb Arthroplasty, Royal London Hospital, Newham University Hospital
• Senior Trauma Clinical Fellow, King’s College Hospital
• Clinical Fellow Lower Limb Arthroplasty, University of British Columbia Hospitals, Vancouver, Canada
• Pott rotation: SpR Tr & Orth, Lower Limb Arthroplasty, Royal London Hospital
• Pott rotation: SpR Tr & Orth, Lower Limb Arthroplasty, Royal National Orthopaedic Hospital
• Pott rotation: SpR Tr & Orth Paediatrics, Great Ormond Street Hospital for Children
• Pott rotation: SpR Tr & Orth Young adult hip, University College London Hospitals
• Pott rotation: SpR Tr & Orth Lower Limb. Norfolk and Norwich University Hospital
• Pott rotation: Lower Limb, Princess Alexandra Hospital, Harlow
• Pott rotation: Foot and ankle, Princess Alexandra Hospital, Harlow
• Pott rotation: SpR Tr & Orth Spine surgery, Whittington Hospital
• Pott rotation: SpR Tr & Orth Knee surgery, Queens Hospital, Romford
• Pott rotation: SpR Tr & Orth, Queens Hospital, Romford
• Pott rotation: SpR Tr & Orth Upper limb surgery, The Royal London Hospital
• SpR (LAT) Trauma and Orthopaedics Foot and ankle, University College London Hospitals
• Clinical Research Fellow, University College London Hospitals
• SpR (LAS) Trauma and Orthopaedics, University College London Hospitals
• Clinical Research Fellow, York Hospitals NHS Trust
• Senior House Officer, Plastics surgery, University Hospital Birmingham NHS Trust
• Senior House Officer, Cardiothoracic surgery, North Glasgow University Hospital NHS Trust
• Senior House Officer General surgery, Queen Elizabeth Hospital NHS Trust, King’s Lynn
• Senior House Officer Vascular surgery, Queen Elizabeth Hospital NHS Trust, King’s Lynn
• Senior House Officer Orthopaedics, Queen Elizabeth Hospital NHS Trust, King’s Lynn
• Orthopaedic Resident, El-Helal Hospital, Cairo, Egypt
• PRHO Rotation, Cairo University Hospitals

LANGUAGES

• English (Fluent)
• Arabic (Fluent)

SELECTED RESEARCH

a. PUBLICATIONS:

1. M El-Husseiny*, FS Haddad. The Role of Highly Selective Implant Retention in the Infected Hip Arthroplasty. Clinical Orthopaedics and Related Research Journal 2016 October 474:2157-2163.
2. M El-Husseiny*. Book Chapter: Local Antibiotic Therapy: Non-cement Based Antibiotic Delivery Methods. Book: Periprosthetic Joint Infections: changing paradigms. Springer Publishing. June 2016.
3. Z Ahmad, R Mobasheri, T Das, S Vaidya, S Mallik, M El-Husseiny*, A Casey. How to interpret computed tomography of the lumbar spine. Annals of Royal College of Surgeons of England 2015 October.
4. RJ McFarlane, S Konan, M El-Husseiny*, FS Haddad. A review of outcomes of the surgical management of femoroacetabular impingement. Annals of Royal College of Surgeons of England 2014 July 96: 331–338.
5. M El-Husseiny*. Should we use antifibrinolytic agents in lower limb arthroplasty? Editorial-Orthopedic and Muscular System: Current Research Journal 2012 Apr;1:e105.
6. CJ Pendegrass, M El-Husseiny*, GW Blunn. The development of fibronectin functionalised hydroxyapatite coatings for improving dermal fibroblast attachment in vitro. Journal of Bone and Joint Surgery 2012 Apr;94(4):564-9.
7. M El-Husseiny*, M Sukeik, FS Haddad. Arthroscopic excision of heterotopic calcification in a chronic rectus femoris origin injury: a case report. Annals of Royal College of Surgeons of England 2012 Apr;94(3):e129-31.
8. S Elnikety, M El-Husseiny*, T Kamal, H Richards, AM Smith. Patient Satisfaction with Postoperative Follow-up by a Hand Therapist. Musculoskeletal Care Journal 2012 Mar;10(1):39-42.
9. S Patel, JA Soler, M El-Husseiny*, DJ Pegg, JD Witt, FS Haddad. Trochanteric fixation using a third-generation cable device – minimum follow-up of 3 years. Journal of Arthroplasty 2012 Mar;27(3):477-81.
10. M El-Husseiny*, S Patel, RJ MacFarlane, FS Haddad. Biodegradable antibiotic delivery
    systems. Journal of Bone and Joint Surgery(Br) 2011 Feb;93-B:151-7.
11. M El-Husseiny*, S Patel, F Rayan, FS Haddad. Gluteus medius tears: an under-diagnosed pathology. British Journal of Hospital Medicine 2011 Jan;72:12-16.
12. C Mukundan, M El-Husseiny*, F Rayan, J Salim, A Budgen. “Mini-open” repair of acute tendo-achilles ruptures-the solution? Foot Ankle Surgery 2010 Sept;16(3):122-5.
13. M El-Husseiny*, N Coleman. Inter- and intra-observer variation in classification systems for impending fractures of bone metastases. Skeletal Radiology 2010 Feb;39(2):155-60.
14. S Patel, FS Hossain, H Colaco, M El-Husseiny*, M Lee. The accuracy of primary care teams in diagnosing disorders of the shoulder. Journal of Evaluation in Clinical Practice 2010 Feb; 17(1) 118-22.
15. M El-Husseiny*, J Yarrow, N Moiemen. Primary cutis gyrata: review of literature and a successful new surgical approach. European Journal of Plastic Surgery 2010 Jan; 33:153–157.
16. S Patel, M El-Husseiny*, F Hossain, FS Haddad. Venous thrombotic events following simultaneous bilateral total knee arthroplasty. Advances in Orthopaedics 2009;1(4):151–155.
17. M El-Husseiny*, K Salhiyyah, S Raja, J Dunning. Should warfarin be routinely prescribed for the first three months after a bioprosthetic valve replacement? Interactive Cardiovascular Thoracics Surgery 2006 Oct;5(5):616-23.

b. PRESENTATIONS:

1. M El-Husseiny*, B Masri, D Garbuz, C Duncan. Long Term Results of Tripolar Constrained Total Hip Arthroplasty: A Minimum follow up of 10 years.
   2019 AAOS Annual Meeting, Las Vegas, USA (March 2019)
2. M El-Husseiny*, B Masri, D Garbuz, C Duncan. Revision of Large Head Metal-on-Metal Total Hip Arthroplasty: An algorithm to reduce complications.
   2019 AAOS Annual Meeting, Las Vegas, USA (March 2019)
3. M El-Husseiny*, FS Haddad. The Role of Highly Selective Implant Retention in Selective Infected Hip Arthroplasty. Combined British- Italian Hip Society, Milan, Italy (November 2015)
4. M El-Husseiny*, S Patel, M Sukeik, FS Haddad. Early versus delayed revision anterior cruciate ligament reconstruction: structural and functional outcomes.
   2012 AAOS Annual Meeting, San Francisco, USA (February 2012)
5. M El-Husseiny*, CJ Pendegrass, FS Haddad, GW Blunn, Improving keratinocyte growth and adhesion by dual coating proteins silanized to titanium alloy.
   2012 AAOS Annual Meeting, San Francisco, USA (February 2012)
6. M El-Husseiny*, CJ Pendegrass, FS Haddad, GW Blunn. Effect of dual coating proteins chemically bonded to titanium alloy on improving fibroblast adhesion and growth over time. 2012 AAOS Annual Meeting, San Francisco, USA (February 2012)
7. S Elnikety, M El-Husseiny*, T Kamal, A Smith. Is there a need for routine postoperative follow up post trapeziectomy or single digit Dupuytren’s fasciectomy?
   2012 AAOS Annual Meeting, San Francisco, USA (February 2012)
8. M Sukeik, M El-Husseiny*, AP Wilson, FS Haddad. Methicillin-Resistant Staphylococcus Aureus (MRSA) screening: Is it worth it?
   2012 AAOS Annual Meeting, San Francisco, USA (February 2012)
9. M Sukeik, J Bernheimer, M El-Husseiny*, FS Haddad. A systemic review of the use of platelet concentrates on tendon and ligament injuries of the extremities.
   2012 AAOS Annual Meeting, San Francisco, USA (February 2012)
10. M El-Husseiny*, S Patel, FS Hossain, FS Haddad. Risk factors for revision ACL reconstruction: A model for predicting failures.
    2011 BOA Annual Meeting, Dublin, Ireland (September 2011)
11. M El-Husseiny*, S Patel, FS Haddad. Biodegradable Local Antibiotics Delivery Systems: the present and future.
    2nd National Orthopaedic Infection Forum, London, UK (July 2011)
12. El-Husseiny*, CJ Pendegrass, FS Haddad, GW Blunn. Effect of dual coating proteins chemically bonded to Titanium alloy on sealing the transcutaneous skin-Implant Interface. Orthopaedic Research Society, Long Beach, California, USA (January 2011)
13. M El-Husseiny*, CJ Pendegrass, FS Haddad, GW Blunn. Improving fibroblast growth and adhesion by dual coating proteins silanized to Titanium alloy.
    Orthopaedic Research Society, Long Beach, California, USA. (January 2011).
14. CJ Pendegrass, M El-Husseiny*, GW Blunn. A study of loading and release kinetics, and fibroblast attachment to fibronectin functionalized hydroxyppatite in vitro.
    Orthopaedic Research Society, Long Beach, California, USA. (January 2011).
15. S Elnikety, B Singh, M El-Husseiny*, C Brooks, R Wetherell. Medium term results of total elbow replacement; District General Hospital experience.
    International Society for Technology in Arthroplasty, Dubai, UAE (October 2010).
16. S Patel, FS Hossain, M El-Husseiny*, FS Haddad. Improved recognition of ACL ruptures on MRI using a 4 point card.
    11th European Federation of National Associations of Orthopaedics and Traumatology Congress, Madrid, Spain (June 2010)
17. M El-Husseiny*, F Rayan, A Potty, FS Haddad. Arthroscopic validation of classification systems of Medial Plica Syndrome.
    10th European Federation of National Associations of Orthopaedics and Traumatology Congress, Vienna, Austria (June 2009)
    • Abstract published in Journal of Bone and Joint Surgery – Br 2010; 92-B, Supp IV, 503
18. M El-Husseiny*, F Rayan, FS Haddad. Gluteus Medius tears: A systemic review of an under-diagnosed pathology.
    British Association of Clinical Anatomists Conference, Norwich, UK (December 2008)
    • Abstract published in Clinical Anatomy 2009; 22:411-412
19. M El-Husseiny*, N Coleman. Intra-observer and inter-observer variation in classification systems for impending fractures of bone metastases.
    9th European Federation of National Associations of Orthopaedics and Traumatology Congress, Nice, France (May 2008)
    • Abstract published in Journal of Bone and Joint Surgery – Br 2010; 92-B, Supp II, 281

c. AUDIT PROJECTS:

1. Gastro-protection in patients undergoing total joint replacements-Closing the loop.
   Patients discharged with Aspirin should be given gastro-protection (PPIs) as per NICE guidelines. Improvement was noted 79% from 53% over 2 months as pharmacists highlighted missing PPIs if juniors missed it. Outcomes: 152 of 164 (93%) had PPIs prescribed on discharge. Recommendations: Although good progress was noted, further scrutiny was required by medical staff, nurses and pharmacists to obtain 100% compliance. M El-Husseiny, K Malik, N Saw.
2. Do neck of femur fracture (NOF) patients remain officially under orthopaedics after surgery?
   NOF patients remain under orthopaedics post-operatively until discharge despite being seen daily by medics and treated by them for any medical conditions. Other surrounding hospitals discharge patients 72 hours post-operatively from orthopaedic care if fit for rehabilitation. Outcomes: 32 out of 42 (76%) remained under orthopaedic care until discharge from hospital. Orthopaedic input decreases dramatically 72 hours following surgery and all medical complications are dealt with by the medics. Recommendations: Patients should be transfered to medics awaiting rehabilitation beds to facilitate better patient care. V Pace, M El-Husseiny, A Watson.
3. A&E half hour response time. Where are we now?
   The hospital was criticized by CQC report- December 2012, for long patient wait in A&E department. Outcomes: 47 out of 109 (51%) referred were not seen within half hour referral over 2 weeks. Following our recommendations, this fell to 31 of 91 (34%) referred over the same time period. Recommendations: We recommended placing 2 junior staff to cover A & E from 1-5 pm during peak time referrals. Further reduction required by filling out daily diary sheets for all referral times and time patients’ were seen. M El-Husseiny, A Ali.
4. Use of MRI scans of the cervical spine in the investigative process of those with suspected carpal tunnel syndrome: An audit against AAOS guidelines
   We identified high use of MRI investigations for patients undergoing carpal tunnel syndrome at Queens Hospital, Romford. The main aim therefore of this study was to provide guidance on when such imaging should be performed in the work-up process of patients with suspected CTS. Outcomes: 50 consecutive patients with suspected carpal tunnel syndrome (CTS) were investigated. 48% (24 patients) underwent MRI imaging of the C-spine prior to their CTS release surgery. In 20 of these patients the MRI scan took place following a positive EMG study.11 (46%) had a positive MRI outcome. Despite this all those with a positive MRI result still underwent CTS release surgery with an 82% success rate. Recommendations: Surgeons should perform CTS release with a positive EMG study prior to requesting MRI scans. We suggested that MRI scans of the C-spine should only be used in the event of a negative EMG. M Khalfaoui, M El-Husseiny, B Levack.
5. VTE thromboprohpylaxis in lower limb arthroplasty: are we following the UCH guidelines?
   A prospective audit to monitor when patients undergoing total hip/knee replacements are prescribed chemical and physical thromboprophylaxis. Outcomes: 43% of patients with total knee replacements have TEDS stockings applied 2nd day postoperatively. 14% of patients with total hip replacements did not receive any stockings with no clear reason. 100% compliance was found with chemical thromboprophylaxis guidelines. T Weda, M El-Husseiny, FS Haddad.
6. Evaluation of urgent MRI referrals for suspected cord compression in York Hospital.
   A prospective audit to assess the speed of MRI performance in the radiology department and delay in referring patients who present with ‘’red flags’’.Outcome: 100% of patients with metastatic lesions were referred after neurological symptoms had been established. 60% of these had positive cord compressions. Recommendations: Medical personnels need to be aware of the SIGN guidelines for referring suspected metastatic cord compression patients. M El-Husseiny, K Wallis, A Garry, D King.
7. Adequacy of preoperative blood investigations requested in the surgical assessment unit,
   Queen Elizabeth Hospital, Norfolk.
   A prospective audit investigated the adequacy of preoperative blood investigations against NICE
   guidelines. Outcome: 25% of patients had unnecessary blood investigations with subsequent waste of money. Approximate waste was calculated at £21,000 per year. Recommendations: Change of Practice: Doctors assess patients before requesting blood investigations.
8. Spinal epidural injections and their outcome.
   Pain relief using spinal epidurals in patients with chronic leg pain was evaluated. 103 pts were included to assess adequacy of pain relief given in Queen Elizabeth Hospital against published expected levels. Outcome: 27% of pts had good relief of symptoms in the short term follow up against 50 % good relief of symptoms mentioned in literature. Recommendations: A better selection of patients who were offered spinal epidurals was needed. Presented at the Multidisciplinary Orthopaedic Governance Meeting, Queen Elizabeth Hospital, Norfolk 2nd Feb 2005.