Jonathan Hutt

Jonathan Hutt
University College London Hospitals NHS Foundation Trust | uclh · Department of Trauma and Orthopaedics

MA (Oxon), MBBS, FRCS (Tr+Orth)

About

44
Publications
10,687
Reads
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603
Citations
Citations since 2017
12 Research Items
519 Citations
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2017201820192020202120222023020406080100120
2017201820192020202120222023020406080100120
2017201820192020202120222023020406080100120
Additional affiliations
January 2014 - December 2014
Hôpital Maisonneuve-Rosemont
Position
  • Lower Limb Arthroplasty and Joint Preservation Fellow

Publications

Publications (44)
Article
Few studies of total hip arthroplasty (THA) implants with a large-diameter femoral head and metal-on-metal design have directly compared the progression of metal ion levels over time and the relationship to complications. As we previously reported, 144 patients received one of four types of large-diameter-head, metal-on-metal THA designs (Durom, Bi...
Article
Background: Kinematic alignment for total knee arthroplasty (TKA) may be one way of improving outcomes. Previous studies have either used patient-specific instrumentation, which adds cost, or standard instrumentation, which provides no intraoperative feedback on resection alignment. Hypothesis: To determine if computer navigation could reproduce...
Article
Hip dysplasia is a spectrum of disease. There are established screening programmes for its detection in childhood, but there is also increasing interest in its presentation and surgical treatment at skeletal maturity. This study was aimed at establishing patterns of operative treatment for hip dysplasia in the UK using the hospital episode statisti...
Article
The most widely used classification system for acetabular fractures was developed by Judet, Judet and Letournel over 50 years ago primarily to aid surgical planning. As population demographics and injury mechanisms have altered over time, the fracture patterns also appear to be changing. We conducted a retrospective review of the imaging of 100 pat...
Article
Kinematic total knee arthroplasty (TKA) is an emerging technique, but concerns remain around the effect of implanting the prosthesis in more anatomic orientations. Native knees show variation in joint line orientation relative to the tibial mechanical axis but the joint line remains parallel to the floor when standing. This study was undertaken to...
Article
Full-text available
Background The aim of this study was to define outcomes after total knee arthroplasty (TKA) in lymphoedema and lipoedema patients managed by a multidisciplinary team and daily compression bandaging. Methods A retrospective study was performed in a single centre. Between 2007 and 2018, 36 TKA procedures were performed on 28 consecutive patients wit...
Article
Background Revision total hip arthroplasty (rTHA) is associated with an increased dislocation risk. Dual-mobility (DM) bearings have been used to address this issue. Such constructs offer increased range of motion and enhanced stability whilst avoiding some issues associated with fully-constrained devices. DM bearings have been used in our unit sin...
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Full-text available
Background Serum C-reactive protein (CRP) is an important test in the initial diagnosis of prosthetic joint infection (PJI). There is no widely accepted algorithm for the resolution of PJI. Surgeons have traditionally used CRP to determine if the infection has resolved. However, this practice is not currently supported by significant data. Methods...
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Full-text available
Introduction Prosthetic joint infection (PJI) remains one of the major challenges facing orthopaedic surgeons. There is a paucity of evidence on non-operative management of PJI. We present the results of prolonged antibiotic suppression therapy (PSAT) in PJI from a single centre. Methods A retrospective study was performed. Twenty-six patients wer...
Article
Full-text available
Arthroscopic procedures to treat hip pathologies such as femoroacetabular impingement (FAI) syndrome are now established in mainstream orthopaedic practice. Surgical techniques, rehabilitation protocols and outcomes are widely published. However, consensus on standards of practice remains to be determined. The International Hip Preservation Society...
Article
Introduction Instability accounts for 1/3 of revision total hip arthroplasty (rTHA) performed in the UK. Removal of well-fixed femoral stems in rTHA is challenging with a risk of blood loss and iatrogenic damage to the femur. The Bioball universal adaptor (BUA), a modular head neck extension adaptor, provides a mechanism for optimisation of femoral...
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Full-text available
Background: This prospective study evaluates outcomes and reoperation rates for unicompartmental knee arthroplasty (UKA) from a single non-designer surgeon using relatively extended criteria of degenerative changes of grade 2 or above in either or both non-operated compartments. Methods: 187 consecutive medial mobile bearing UKA implants were in...
Article
Introduction: Metal ion release from wear and corrosion at the femoral head-stem taper junction can evoke local adverse reactions to metal debris (ARMD). In a specific large-diameter head (LDH) total hip arthroplasty (THA) system, ceramic femoral heads of 44 to 48 mm are available with a titanium (Ti) adaptor sleeve, while heads of 36- to 40-mm co...
Article
Full-text available
Objectives: The purpose of this study was to compare the intra-operative benefits and the clinical outcomes from kinematic or mechanical alignment for total knee arthroplasty (TKA) in patients undergoing revision of failed unicompartmental kneel arthroplasty (UKA) to TKA. Methods: Ten revisions were performed with a kinematic alignment technique a...
Article
Résumé Introduction La restauration de l’alignement anatomique lors de l’arthroplastie totale du genou (PTG) pourrait être un moyen d’en améliorer les résultats cliniques. Cette technique a été initialement décrite ; soit avec des instruments à usage unique personnalisés, ce qui est associé à des coûts importants ; soit avec l’instrumentation stan...
Article
Purpose Total hip arthroplasty (THA) has recently evolved regarding the design of the femoral stem. Manufacturers and surgeons are developing shorter stems in order to preserve femoral bone stock, adapt to minimally invasive surgical approaches, reduce thigh pain and facilitate revision. We present the minimum two-year follow-up of the first 285 TH...
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Full-text available
This report details the reconstruction of the anterior cruciate ligament in an 18-year-old man with Ehlers-Danlos syndrome (EDS). The reduced mechanical properties of the tissue in EDS can pose a challenge to the orthopaedic surgeon. In this case, we describe the use of a hamstring autograft combined with a Ligament Advanced Reinforcement System (L...
Article
This randomised trial evaluated the outcome of a single design of unicompartmental arthroplasty of the knee (UKA) with either a cemented all-polyethylene or a metal-backed modular tibial component. A total of 63 knees in 45 patients (17 male, 28 female) were included, 27 in the all-polyethylene group and 36 in the metal-backed group. The mean age w...
Article
Full-text available
Total hip arthroplasty (THA) is the gold standard in the treatment of degenerative hip disease, especially in the older patient. Concerns regarding the higher levels of failure of traditional implants in younger, more active patients have led to a search for alternative arthroplasty techniques. Hip resurfacing (HR) is one of these alternatives. Whe...
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Purpose: The place of knee arthroscopy as a therapeutic option for osteoarthritis (OA) has been the subject of some debate. The hypothesis for this study was that arthroscopic debridement is beneficial in patients with OA who have significant mechanical symptoms. Methods: Forty-three patients with radiological OA on plain radiographs and mechani...
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Full-text available
The optimal design for a cemented femoral stem remains a matter of debate. Over time, the shape, surface finish and collar have all been modified in various ways. A clear consensus has not yet emerged regarding the relative merits of even the most basic design features of the stem. We undertook a prospective randomised trial comparing surface finis...
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Full-text available
The collum femoris preserving (CFP) uncemented prosthesis has a bone-preserving, high subcapital neck resection and a short anatomical stem. The ideal arthroplasty option in the younger, active patient is a subject of some debate. We evaluated midterm outcomes of the CFP in this patient population. A prospective, consecutive cohort of 75 CFP total...
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Full-text available
There is increasing interest in the use of patellofemoral joint replacements and the cohort receiving them are the youngest of any of the groups of patients undergoing a knee arthroplasty. With more contemporary prostheses, progression of arthritis in other parts of the knee joint is becoming the predominant mechanism of failure. We conducted a mul...
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Full-text available
We report our experience with 143 Durom acetabular components. Our data show a survivorship of 99.2% at 5 years, (95% CI 94.8-99.9), which is not consistent with other reports in the literature of high early failure rates. The true natural history of this component is yet to unfold completely.
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Full-text available
We evaluated the outcome of pyrocarbon arthroplasty for proximal interphalangeal joint osteoarthritis in 18 arthroplasties carried out by a single surgeon using the Ascension prosthesis (Ascension Orthopedics Inc., Austin, Texas) in 15 patients after a mean of 6.2 years. Significant and maintained improvements in pain scores at rest and on active m...
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Full-text available
Hemiarthroplasty of the hip is a common procedure for treatment of displaced intracapsular fractures of the femoral neck. Cementing the stem in the femur may lead to the cardiovascular complications of bone cement implantation syndrome, whereas the use of uncemented stems has been associated with an increase in intraoperative fractures. In this art...
Article
A case report of massive localized lymphoedema in a morbidly obese 50-year-old woman and review of the literature.

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