Meet the Team


Mr.Shibu Krishnan


Qualifications:

MBBS, MS, MRCS, Dip Sports Med, FRCS (Tr and Ortho), PgC Innovation and Performance.

Profile:

Mr Shibu Krishnan is a Consultant Orthopaedic Surgeon working at the BMI Chiltern, BMI Shelburne, Wycombe and Stoke Mandeville Hospitals in Buckinghamshire. He is currently the Clinical Governance Lead (Patient Safety) for the Trauma and Orthopaedics department at the Buckinghamshire NHS Trust.He specialises in knee and hip surgery with particular interests in knee arthroscopy, innovative knee cartilage repair techniques, sports injuries of the knee, anterior cruciate ligament reconstruction, partial knee replacement, total knee replacement, revision knee replacement, minimally invasive hip replacement surgery, total hip replacement, revision hip replacement, trauma surgery and management of fractures.

After obtaining his primary medical degree and Master of Science degree in Orthopaedics, Mr. Krishnan carried out a Clinical Research Fellowship at the Royal National Orthopaedic Hospital, Stanmore. During this period, he developed an interest in novel procedures for repairing damaged knee joint cartilage and cartilage implantation techniques. He has published several scientific articles on this topic in major international orthopaedic journals besides presenting them during various national and international scientific meetings. His other areas of research interests include the use of custom jigs for joint replacement surgery. He is also heavily involved with teaching and training, is an Associate member of the Faculty of Surgical Trainers with the Royal College of Surgeons of Edinburgh, and is a reviewer for the Bone and Joint Journal.

Mr. Krishnan completed his Higher Surgical Training in Trauma and Orthopaedics on the prestigious North-West London Thames training programme (St. Mary’s –Charing Cross Rotation). He then undertook subspecialty training by doing several reputable fellowships including the Lower Limb Fellowship (Royal National Orthopaedic Hospital), British Orthopaedic Association Transitional Fellowship in hip and knee surgery (Wycombe and Royal National Orthopaedic Hospital), AO Foundation’s Trauma Travelling Fellowship (University Clinic Muenster, Germany) and the Trauma Fellowship at St Mary’s Major Trauma Unit.

Mr. Krishnan also obtained formal training in Sports and Exercise Medicine with the University of Bath which led to his Diploma in Sports Medicine.

Mr. Krishnan is committed to service development and clinical leadership and has completed a master’s level postgraduate certificate in Innovation and Improving Performance with the Teeside University and a level 7 qualification in Strategic Management and Leadership with the Chartered Management Institute.

External resource

Publications

Modular neck femoral stems
Bone Joint J. 2013 Aug; 95-B(8):1011-21
Authors: Krishnan H, Krishnan S, Blunn G, Skinner JA, Hart AJ

A review of rapid prototyped surgical guides for patient-specific total knee replacement.
J Bone Joint Surg Br. 2012 Nov; 94(11):1457-61. doi: 10.1302/0301-620X.94B11.29350.
Authors: Krishnan S, Dawood A, Richards R, Henckel J, Hart AJ.

The current state of cartilage transplantation in the knee
Biomechanics Hungary Vol 2, No.1, 2009
Authors: S Krishnan, G Bentley.

Who is the ideal candidate for autologous chondrocyte implantation?
J Bone Joint Surg Br. 2006 Jan; 88(1):61-4.
Authors:Krishnan S, Skinner JA, Bartlett W, Carrington RW, Flanagan AM, Briggs TW, Bentley G.

Collagen-covered autologous chondrocyte implantation for osteochondritis dissecans of the knee: two- to seven-year results.
J Bone Joint Surg Br. 2006 Feb; 88(2):203-5.
Authors: S Krishnan, J Skinner, R Carrington,T Briggs, G Bentley.

Common misconceptions of normal hip joint relations on pelvic radiographs.
J Arthroplasty. 2006 Apr; 21(3):409-12.
Authors: S Krishnan, R Carrington, N Garlick.

Arthroscopic removal of loose bodies – a useful technique.
Ann R Coll Surg Engl. 2006 Mar; 88(2):226-7.
Authors: S Krishnan, A Hart, J Skinner, J Blackburn.

Early post-operative femoral component loosening: poor cementing technique?
European Journal of Orthopaedic Surgery & Traumatology March 2006, Volume 16, Issue 1, pp 52-54
Authors: K Iyer, S Krishnan

The effect of variation in medial offset correction on functional outcome after total hip arthoplasty- A pilot study
Journal of orthopaedics
Authors: S Krishnan, A Zaghloul, R Carrington, N Garlick.

Novel treatments for early osteoarthritis of the knee
Current Orthopaedics Volume 19, Issue 6, December 2005, Pages 407–414
Authors: S Krishnan, J Skinner

Collagen-covered versus matrix-induced autologous chondrocyte implantation for osteochondral defects of the knee: a comparison of tourniquet times
European Journal of Orthopaedic Surgery & Traumatology December 2006, Volume 16, Issue 4, pp 315-317
Authors:W Bartlett, S Krishnan, J Skinner, R Carrington, T Briggs, G Bentley

Book Chapters
Book Title: Trauma Management in Orthopaedics
Publisher: Springer-Verlag London Limited (2012). Editor: Mr. K.M Iyer.
ISBN: 978-1-4471-4461-8 (print), 978-1-4471-4462-5 (online)
1. The Cervical Spine
2. The Dorso-lumbar Spine
3. The Sacrum and Coccyx
4. Scoliosis
Author: S Krishnan
Book Title: Guide to FRCS (Tr. & Orth) Examination (2014)
Editor: Prof. N Maffulli
Chapter: Basic Science
Authors: S Krishnan, D Kosuge.

Book Title: The Hip Joint (2015)
Publisher: Thieme. Editor: Mr. K.M Iyer
Chapter: Peri-prosthetic fractures of the hip joint
Authors: S Krishnan, G Biring.

Podium Presentations to Learned Societies

National Meetings

A Wiik, S Tankard, A Lewis, S Krishnan, A Amis, J Cobb. High performance gait analysis comparing hip resurfacing arthroplasty and total hip arthroplasty
British Orthopaedic Association annual congress, Manchester, 12 Sep 2012.

A Wiik, S Tankard, S Krishnan, A Amis, JP Cobb.Unicompartmental knee replacement enables near normal gait at higher speeds, unlike total knee replacement.
British Association for Surgery of the Knee meeting, Derby 4 Apr 2012.

S Krishnan, J Skinner, R Carrington, T Briggs, G Bentley. What is important in cartilage repair- macroscopic grading or histology?
British Orthopaedic Association annual congress, Birmingham, 29 Sep 2006.

S Krishnan, T Briggs. The future of cartilage implantation: enhancement with BMPs.
Continental Surgeon’s Course, Stanmore, UK. 6 Jun 2006.

S Krishnan, T W R Briggs et al. Single surgeon experience of autologous chondrocyte implantation (ACI-C and MACI): 1998- 2006.
User Group meeting: Stanmore/ UK multi centre study group of MACI and ACI.RNOH Stanmore, 28 Apr 2006.

S Krishnan, J Skinner, R Carrington, T Briggs, G Bentley. Durability in cartilage repair- does histology matter?
British Association for Surgery of the Knee meeting, Slough 24 Mar 2006.

S Krishnan, J Skinner, R Carrington, T Briggs, G Bentley. Who is the ideal candidate for autologous chondrocyte implantation?
British Orthopaedic Research Society meeting, Stanmore, 4 Jul 2005.

S Krishnan, J Skinner, R Carrington, T Briggs, G. Bentley. Prognostic indicators in autologous chondrocyte implantation.
Continental Surgeon’s Course, Stanmore, UK. 14 Jun 2005.

J Skinner, S Krishnan, R Carrington, T Briggs, G Bentley. Autologous chondrocyte implantation-Academic Unit Results: RNOH Stanmore.
User group meeting: Stanmore/ UK multi centre study group of MACI and ACI.RNOH Stanmore, 8 Apr 2005.

G Bentley, S Krishnan, J Skinner, R Carrington, T Briggs. Autologous chondrocyte implantation- multi centre comparison of ACI Vs MACI: annual report 2005.
User group meeting: Stanmore/ UK multi centre study group of MACI and ACI. RNOH Stanmore, 8 Apr 2005.

International Meetings

P Gikas, S Krishnan, T Briggs et al. A correlation exists between timing of post-autologous chondrocyte implantation biopsy and histology result.
International Cartilage Repair Society meeting, Warsaw, Poland, 30 Sep 2007.

S Krishnan, T Briggs et al. Single surgeon experience of autologous chondrocyte implantation (ACI-C and MACI): 1998- 2006.8th EFORT congress, Florence Italy, 13 May 2007.

A Bhadra, S Krishnan, R.Carrington, T.Briggs, D Goldhill, J Skinner. Perioperative haemoglobin and rehabilitation after total hip or knee arthroplasty: when should blood transfusion be given?
8th EFORT congress (presenting author), Florence Italy, 13 May 2007.

 

S Krishnan, J Skinner, R Carrington, T Briggs, G Bentley et al. Who is the ideal candidate for autologous chondrocyte implantation?
International Cartilage Repair Society meeting, San Diego, 9 Jan 2006 – plenary session.

S Krishnan, R Carrington, R. Morris, N. Garlick. Common misconceptions of normal hip joint relations on pelvic radiographs.
Combined Orthopaedic Associations meeting, Sydney 24 Oct 2004.

S Krishnan, J Skinner, R Carrington, T Briggs, G Bentley. Results of collagen-covered autologous chondrocyte implantation for symptomatic osteochondral defects in the knee.
4th European Sports Medicine congress, Cyprus 14 Oct 2005.
British Trauma Society/ Hellenic Orthopaedic Association meeting, Athens 15 Oct 2005.

G Bentley, S Krishnan, J Skinner, R Carrington, T Briggs. Autologous chondrocyte implantation: multi-centre comparison of ACI Vs MACI.
7th EFORT congress, Lisbon, 5 Jun 2005.

 

Poster Presentations National
S Krishnan, J Miles. Experience of enhanced recovery programme for hip and knee replacement patients.
British Orthopaedic Association annual congress, Birmingham, Oct 2013.

A Wiik, S Tankard, R Strachan, S Krishnan, A Amis, J Cobb. Top walking speed as a cheap and reliable alternative to PROMS in the high functioning knee arhroplasty patient.
British Orthopaedic Association annual congress, Manchester, 12-14 Sep 2012.

S Krishnan, A Skinner, R W J Carrington, T Briggs, D Goldhill et al. Indicators of rehabilitation in lower limb arthroplasty.
British Orthopaedic Research Society meeting, Southampton, 5-6 Jul 2006.

S Krishnan, R Carrington, N Garlick. The effect of variation in medial offset correction on functional outcome after total hip arthroplasty.
British Orthopaedic Research Society meeting, Stanmore 4-5 Jul 2005.
British Hip Society meeting, Wrightington. 3-4 Mar 2005.

International
T Antonios, S Krishnan, J Skinner, A Hart. The use of blood salvage in revision metal-on-metal hip surgeries should be avoided.
EFORT congress, London, Jun 2014.

S Krishnan, J Skinner, R Carrington, T Briggs, G Bentley. Drilling for symptomatic osteochondral defect in the knee- does it stimulate ossification?
International Cartilage Repair Society meeting, San Diego, 9 Jan 2006.

S Krishnan, J Skinner, R Carrington, T Briggs, G Bentley. The influence of histology on clinical outcome following collagen covered autologous chondrocyte implantation (ACI-C): Minimum four year evaluation.
International Cartilage Repair Society meeting, San Diego, 9 Jan 2006.

S Krishnan, J Skinner, R Carrington, T Briggs, G Bentley. Collagen covered autologous chondrocyte implantation for symptomatic osteochondritis dissecans of the knee presenting in childhood: two to seven year results.
International Cartilage Repair Society meeting, San Diego, 9 Jan 2006.

S Krishnan, A Hart, J Skinner, J Blackburn. Arthroscopic removal of loose bodies- a useful technique.
British orthopaedic association meeting, Birmingham 20-23 Sept 2005.
4th European Sports Medicine congress, Cyprus 13-15 Oct 2005.

Dr Nawal Bahal BSc(Hons) MBBS(Lond) FRCA

I am a Consultant Anaesthetist with special interest in Acute Pain, working in Buckinghamshire.I started working with Mr Krishnan at The Royal National Orthopaedic Hospital in 2013, and we have developed a strong working relationship since then.

I completed my medical training in London, and have trained extensively in Anaesthesia for Orthopaedics and Trauma surgery in London and Oxford. In addition, I have conducted research into the treatment of pain.

I am the Lead Anaesthetic Clinician for the Orthopaedic Enhanced Recovery Programme for Buckinghamshire Healthcare.This is a multidisciplinary service covering all aspects of your care including surgery, anaesthesia, nursing, physiotherapy, mobilisation and discharge. Using this approach, we have designed a programme to give you the best possible care at every step, to get you home and moving as soon as possible.

I have several publications in multiple scientific journals covering acute pain, ethics, resuscitation and paediatric anaesthesia and have written successful textbooks for medical students and anaesthetists in training.

My role is to meet with you before surgery, so that I can tailor your anaesthetic to ensure the best possible outcome. If you have any serious medical conditions, I will discuss these with you and arrange the necessary tests before surgery. In addition, I will carefully plan your pain relief so you are comfortable and confident after your operation.