Vikas Khanduja

Vikas Khanduja
Cambridge University Hospitals NHS Foundation Trust · Department of Orthopaedics and Trauma

MA (Cantab), MB BS, MScFRCS (Orth) PhD

About

288
Publications
85,189
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3,815
Citations
Citations since 2017
154 Research Items
2999 Citations
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Introduction
Vikas Khanduja works in the Department of Orthopaedics and Trauma, Cambridge University Hospitals NHS Foundation Trust, UK. Vikas has been instrumental in setting up the tertiary referral service for Young Adult Hip Surgery in Cambridge and is the Lead of the Elective Clinical Trials for Orthopaedics. Vikas's research is focused on the management and outcomes of patients with Femoroacetabular Impingement which is a pre-arthritic condition of the hip joint. In particular, his interest lies in disease stratification via novel imaging techniques, optimisation of arthroscopic management of FAI and precision surgery via navigation and robotics to improve outcomes. He is also Chairs the Non Arthroplasty Hip Registry in the UK - www.nahr.co.uk & the SICOT Education Academy www.sicot.org.
Additional affiliations
July 2007 - present
Cambridge University Hospitals NHS Foundation Trust
Position
  • Consultant Orthopaedic Surgeon

Publications

Publications (288)
Article
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Purpose Extended reality (XR) is defined as a spectrum of technologies that range from purely virtual environments to enhanced real-world environments. In the past two decades, XR-assisted surgery has seen an increase in its use and also in research and development. This scoping review aims to map out the historical trends in these technologies and...
Article
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Purpose The purpose of this scoping review was to assess the outcomes of all the non-operative modalities of management for femoroacetabular impingement (FAI) and concomitant osteoarthritis (OA) Tönnis Grade 2 or more. Methods A systematic search of PubMed was performed from inception to December 1st 2021 for literature on outcomes of non-operati...
Article
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Background: People with avascular necrosis of the hip have very limited treatment options currently available to stop the progression of this disease; this often results in the need for a hip replacement. There is some weak evidence that a class of drugs called bisphosphonates may delay the course of the disease, and this trial was commissioned an...
Article
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Introduction Femoroacetabular impingement (FAI) is an important cause of hip pain in the young, active population. Treated by hip arthroscopy (HA), chondral lesions are frequently seen, and there are concerns that patients with chondral defects leading to hip osteoarthritis (OA) will not benefit from HA. This review analyses the use of HA in FAI pa...
Article
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PurposeResults from recent randomised controlled trials demonstrate the superiority of surgery over physiotherapy in patients with femoroacetabular impingement (FAI) of the hip in early follow-up. However, there is paucity of evidence regarding which factors influence outcomes of FAI surgery, particularly notable is the lack of information on the e...
Article
Background There is a cohort of patients in whom hip preservation surgery is not indicated, because they have developed signs of early osteoarthritis (OA), and nor can they have a hip replacement, as they are too early in the disease process. Management of this cohort of patients is not standardised and both pharmacological and nonpharmacological m...
Article
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Purpose This cadaveric study aimed at describing the anatomical variations of the iliopsoas complex. Methods The iliopsoas complex was dissected unilaterally in 28 formalin-embalmed cadavers—13 males and 15 females with a mean age of 85.6 years. The number, courses and widths of the iliacus and psoas major tendons were determined. Patients with pr...
Article
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Aims The aim of this modified Delphi process was to create a structured Revision Hip Complexity Classification (RHCC) which can be used as a tool to help direct multidisciplinary team (MDT) discussions of complex cases in local or regional revision networks. Methods The RHCC was developed with the help of a steering group and an invitation through...
Article
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Balancing forces within weight-bearing joints such as the hip during joint replacement surgeries is essential for implant longevity. Minimising implant failure and the corresponding need for expensive and difficult revision surgery is vital to both improve patient quality of life and lighten the burden on overstretched healthcare systems. However,...
Article
Background Total hip arthroplasty (THA) carries a substantial litigative burden. THA may introduce leg length discrepancy (LLD), necessitating a valid and reliable technique for LLD measurement. This study investigates the reliability and validity of techniques quantitively measuring LLD both pre- and post-THA. Methods Embase and MEDLINE databases...
Article
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Purpose Hip microinstability is a relatively new diagnosis which is increasingly being discussed in the literature and yet there are no clear guidelines for making a diagnosis. Microinstability has generally been defined as persistent excessive hip motion that has become symptomatic especially with pain. This aim of this Delphi study was to seek ex...
Article
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Purpose This scoping review aims to map and summarise the available literature on heterotopic ossification (HO) following hip arthroscopy, with particular focus on incidence, distribution as per Brooker classification, efficacy of prophylactic measures and factors that may influence the likelihood of production of HO. Methods A computer-based sear...
Article
Purpose The purpose of this study was to establish an international expert consensus on operating room findings that aid in the diagnosis of hip instability. Methods An expert panel was convened to build an international consensus on the operating room diagnosis / confirmation of hip instability. Seventeen surgeons who have published and/or lectur...
Article
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Aims This study uses prospective registry data to compare early patient outcomes following arthroscopic repair or debridement of the acetabular labrum. Methods Data on adult patients who underwent arthroscopic labral debridement or repair between 1 January 2012 and 31 July 2019 were extracted from the UK Non-Arthroplasty Hip Registry. Patients who...
Article
Purpose: The purpose of this systematic review is to present the most common causes, diagnostic features, treatment options and outcomes of patients with hip micro-instability. Methods: Three online databases (MEDLINE, Embase, and PubMed) were searched from database inception March 2022, for literature addressing the diagnosis and management of...
Article
Objective Articular cartilage defects in the hip joint pose a challenge to obtain a successful outcome. They often lead to significant pain and disability. The aim of this literature review was to report the best available evidence on the various treatment options for hip cartilage defects. Material and methods A comprehensive literature search wa...
Article
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Purpose: The literature on hip injuries in ballet dancers was systematically evaluated to answer (1) whether the prevalence of morphological abnormalities and pathology of hip injuries in dancers differs from the general population (2) if there are any specific risk factors which contribute to a higher rate of hip injury and (3) what are the outco...
Article
Background: Muscle weakness is common after injury in athletes and in the presence of hip pathology. It will cause abnormal hip biomechanics and can predict future injury. However, objective measurement of hip muscle strength is difficult to perform accurately and reliably. Therefore, it is challenging to determine when an athlete has returned to...
Article
Purpose: To investigate whether hip arthroscopy (HA) is effective in patients with femoroacetabular impingement (FAI) and concomitant Tönnis Grade 2 or greater hip osteoarthritis (OA). We hypothesised that HA would result in high rates of conversion to total hip arthroplasty (THA). Methods: The review was registered in the International Prospectiv...
Article
Orthopaedic societies, with their diverse membership from across the world, serve a mission to endorse the progress and innovation in the field of orthopaedics and traumatology with a focus on improving patient care, as well as to encourage and develop education, teaching and research. Such organizations, whether small or large, have been successfu...
Article
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Multiligament knee injuries (MLKIs), though rare, pose significant challenges to the patient and surgeon. They often occur in the setting of high-velocity trauma and are frequently associated with concomitant intra- and extra-articular injuries, the most immediately devastating of which is vascular compromise. A detailed evaluation is required when...
Article
Femoroacetabular impingement (FAI) is a common cause of painful hip in the young and middle-aged population. This condition frequently leads to a labral tear, damage of acetabular cartilage, and secondary arthritis of the hip. When nonsurgical managements are not effective, surgical procedures (open surgery and hip arthroscopy) are indicated. Due t...
Article
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A multi-centre, registry-based cohort study was conducted to assess the effect of the coronavirus disease 2019 (COVID-19) pandemic on the provision of non-arthroplasty hip surgery (NAHS) in the UK by (i) comparing the number of NAHS performed during the pandemic to pre-pandemic levels, (ii) prospectively auditing compliance to established guidance...
Article
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Purpose To determine methods described in the literature to account for patients lost to follow-up (LTFU) in registry studies and whether rates of patient LTFU are within acceptable margins. Methods A scoping review, where a literature search is conducted for studies from 9 arthroscopy registries, was performed on EMBASE, MEDLINE, and the annual r...
Article
Aim Reports have shown that spinopelvic mobility influences the outcome following total hip arthroplasty. The aim of this scoping review was to investigate the relationship between spinopelvic parameters (SPP) and symptomatic femoroacetabluar impingement (FAI). Method A systematic computer search of EMBASE, PubMed and Cochrane for literature relat...
Article
Aim This systematic review aims to understand the relationship between version abnormalities of the femur and acetabulum in patients with primary and secondary femoroacetabular impingement (FAI). Method A systematic review was conducted according to PRISMA guidelines. A computer-based search was performed using the EMBASE, MEDLINE, PubMed and Coch...
Article
Introduction Young adult hip pain is increasingly recognized as an early warning sign for development of debilitating arthritis later in life. Two common causes for young adult hip pain are femoroacetabular impingement (FAI) and dysplasia. Yet, no universal referral pathway exists in the UK for young patients experiencing hip pain. Our aim was to i...
Article
Introduction Total Hip Arthroplasty (THA) is being increasingly undertaken in younger and more active patients, with many of these patients wanting to return to sport (RTS) after surgery. However, the percentage of patients RTS and time at which they are able to get back to sport following surgery remains unknown. The objective of this meta-analysi...
Article
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The iliocapsularis is a relatively unheard-of muscle, located deep in the hip covering the anteromedial capsule of the hip joint. Little is known about this constant muscle despite its clinical relevance. The aims of this scoping review are to collate the various research studies reporting on the detailed anatomy and function of iliocapsularis and...
Article
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Outcomes following different types of surgical intervention for femoroacetabular impingement (FAI) are well reported individually but comparative data are deficient. The purpose of this study was to conduct a systematic review (SR) and meta-analysis to analyze the outcomes following surgical management of FAI by hip arthroscopy (HA), anterior mini...
Article
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Purpose To investigate whether the use of a VR arthroscopic simulator can influence medical students’ attitudes toward a career in orthopaedic surgery. Methods Twenty-five medical students completed seven unsupervised sessions on a VR hip-arthroscopic simulator. All participants completed a pre-simulator and post-simulator pseudo-anonymized questi...
Article
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Background Femoroacetabular impingement (FAI) has been extensively investigated and is strongly associated with athletic participation. Purpose To assess (1) the prevalence of cam-type FAI across various sports; (2) whether kinematic variation among sports influences hip morphology; and (3) whether performance level, duration, and frequency of par...
Preprint
Full-text available
Balancing forces within weight-bearing joints such as the hip during joint replacement surgeries is essential for implant longevity. Minimising implant failure is vital to improve patient wellbeing and alleviate pressure on healthcare systems. With improvements in surgery, hip replacement patients are now often younger and more active than in previ...
Article
Full-text available
Purpose The aim of this study was investigate the relationship between version and torsional abnormalities of the acetabulum, femur and tibia in patients with symptomatic FAI. Methods A systematic review was performed according to PRISMA guidelines using the EMBASE, MEDLINE, PubMed and Cochrane databases. Original research articles evaluating the...
Article
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Subspine impingement syndrome by definition involves a prominent antero-inferior iliac spine (AIIS) which can lead to impingement on the femoral neck thereby causing symptoms. We present the case of a 22-year-old semi-professional athlete who presented with a Type III AIIS morphology leading to subspine impingement syndrome and was managed via a mi...
Article
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Background The tremendous physical demands of elite performance increase the risk of elite athletes sustaining various orthopaedic injuries. Hip pain is common in high-level athletes representing up to 6% of all athletic injuries. Expedient diagnosis and effective treatment are paramount for their future sporting careers and to prevent subsequent j...
Article
Purpose The aim of this study was to assess how biomechanical gait parameters (kinematics, kinetics, and muscle force estimations) differ between patients with cam-type FAI and healthy controls, through a systematic search. Methods A systematic review of the literature from PubMed, Scopus, and Medline and EMBASE via OVID SP was undertaken from inc...
Article
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Objective A higher prevalence of cam morphology has been reported in the athletic population but the development of the cam morphology is not fully understood. The purpose of this systematic review is to establish the timing of development of the cam morphology in athletes, the proximal femoral morphologies associated with its development, and othe...
Article
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Total hip arthroplasty (THA) has been quoted as one of the most successful and cost-effective procedures in Orthopaedics. The last decade has seen an exponential rise in the number of THAs performed globally and a sharp increase in the percentage of young patients hoping to improve their quality of life and return to physically demanding activities...
Article
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Purpose: Great variety and controversies surround the management strategies of acute multiligament knee injuries (aMKLIs) and no established guidelines exist for resource-limited practices. The aim of this study was to compare the management approach of acute knee dislocations (AKDs) by orthopedic surgeons from nations with different economic stat...
Article
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Introduction: Outcomes of hip arthroscopy for femoroacetabular impingement and concomitant moderate- to advanced hip osteoarthritis (Tönnis Grade II or greater) is still a matter of debate as findings in the literature are controversial. This study aims to investigate whether hip arthroscopy is effective in treating patients with femoroacetabular i...
Article
Full-text available
Objectives Heterogeneous patient factors and injury mechanisms result in a great variety of injury patterns encountered in knee dislocations (KD). Attempts to improve outcome can focus on a wide range of challenges. The aim of this study was to establish and prioritise a list of challenges encountered when treating patients with acute KD. Methods...
Article
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Force sensors that are thin, low-cost, flexible, and compatible with commercial microelectronic chips are of great interest for use in biomedical sensing, precision surgery, and robotics. By leveraging a combination of microfluidics and capacitive sensing, we develop a thin, flexible force sensor that is conformable and robust. The sensor consists...
Article
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Aims The ongoing COVID-19 pandemic has disrupted and delayed medical and surgical examinations where attendance is required in person. Our article aims to outline the validity of online assessment, the range of benefits to both candidate and assessor, and the challenges to its implementation. In addition, we propose pragmatic suggestions for its in...
Chapter
Hip arthroscopy was first described by Michael Burman in 1931 who stated “it is manifestly impossible to insert a needle between the head of the femur and acetabulum.” Clearly a lot has developed since that statement in 1931. For the last two decades, there has been an exponential growth in hip arthroscopy and this is expected to rise to 1388% by t...
Chapter
Purpose: Surgical interventions for FAI have become well established in its management, abetted by growing scientific interest and evidential backing in particular fields such as hip arthroscopy. Numerous studies have similarly reported improvement in patients with FAI after certain non-surgical interventions. The aim of this descriptive chapter, t...
Thesis
OA of the hip is one of the most common forms of OA. The reported lifetime risk of developing OA of the hip amounts to 25%. Evidence is emerging that the majority of cases of primary OA are the result of a distinct morphological abnormality, termed FAI which is considered to be a precursor to primary OA of the hip. Hip arthroscopy (HA) has a long h...
Article
Full-text available
Introduction: Stiffness following total knee arthroplasty (TKA) is a challenging complication and can result in a poor functional outcome. There is considerable debate concerning the definition, work-up, and optimal management of this complication. The aim of this study was to record the definition of stiffness, management practices, and expectati...
Article
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Purpose Recent advances in diagnostic imaging techniques and soft tissue endoscopy now allow for precise diagnosis and management of extra-articular hip pathology. The aim of this scoping review is to present an evidence-based update of the relevant literature focussing only on the pathoanatomy, clinical assessment and the diagnosis of pathology in...
Article
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Purpose The purpose of this study was to perform a systematic review to determine the efficacy of arthroscopic osteochondroplasty for patients with femoroacetabular impingement (FAI) secondary to Slipped Capital Femoral Epiphysis (SCFE). Methods A systematic review was performed based on PRISMA guidelines using Embase, PubMed (Medline), and Cochra...
Article
Background Femoroacetabular impingement (FAI) is increasingly recognized as a cause of hip pain in young adults. The condition leads to chondrolabral separation and chondral delamination and eventually predisposes to osteoarthritis of the hip. FAI that inflicts cartilage damage has been observed in hips with abnormal morphological characteristics a...
Article
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PurposeGreater trochanter pain syndrome (GTPS) or lateral hip pain terms include external snapping hip, trochanteric bursitis and gluteus medius or minimus pathology. The aim of this review is to update the most recent knowledge about non-surgical management of peritrochanteric disorders.MethodsA literature review was performed including articles m...
Article
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Purpose; The COVID-19 pandemic has necessitated profound adaptations in the delivery of healthcare to manage a rise in critically unwell patients. In an attempt to slow the spread of the virus nationwide lockdown restrictions were introduced. This review aims to scope the literature on the impact of the pandemic and subsequent lockdown on the prese...
Article
The publications on COVID-19 started from 9th week of 2020 and have increased exponentially, indicating proportional increase in research activity. Publications in specialist orthopedic journals began to appear later and had lower citation counts. There is a steady rise in the publication of protocols weekly on this topic. Reviews (PubMed) and dire...
Article
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Introduction As the demand for rehabilitation in orthopaedics increases, so too has the development in advanced rehabilitation technology. However, to date, there are no review papers outlining the broad scope of advanced rehabilitation technology used within the orthopaedic population. The aim of this study is to identify, describe and summarise t...
Article
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Aims: Femoroacetabular impingement (FAI) describes abnormal bony contact of the proximal femur against the acetabulum. The term was first coined in 1999; however what is often overlooked is that descriptions of the morphology have existed in the literature for centuries. The aim of this paper is to delineate its origins and provide further clarity...
Article
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Purpose: Core decompression (CD) of the femoral head is performed to preserve the hip in avascular necrosis (AVN). The outcome following this procedure differs based on the medical centre and the technique. Also, the time to total hip replacement (THR) and the percentage of patients subsequently undergoing a THR are controversial. Methods: A syste...
Article
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Hip arthroscopy is a minimally invasive therapeutic and diagnostic procedure appropriate for an evolving list of conditions. It is routinely used for the treatment of intra- and extra-articular pathology of the hip joint. The development of endoscopy paved the way for the development of arthroscopy. Hip arthroscopy was first described in 1931 by Mi...
Article
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Hip arthroscopy (HA) is a well-established minimally invasive technique used to treat a wide range of conditions. Technological innovations have expanded the scope of HA and improved its outcomes. Several authors have described post-less arthroscopy to overcome the risk associated with the use of the perineal post for obtaining distraction of the h...
Article
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Background Although total knee replacement (TKR) is an effective intervention for end-stage arthritis of the knee, a significant number of patients remain dissatisfied following this procedure. Our aim was to identify and assess the factors affecting patient satisfaction following a TKR.Materials and methodsIn accordance with the PRISMA guidelines,...
Article
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Aims: This paper aims to review the evidence for patient-related factors associated with less favourable outcomes following hip arthroscopy. Methods: Literature reporting on preoperative patient-related risk factors and outcomes following hip arthroscopy were systematically identified from a computer-assisted literature search of Pubmed (Medline),...
Article
Aims: This paper aims to review the evidence for patient-related factors associated with less favourable outcomes following hip arthroscopy. Methods: Literature reporting on preoperative patient-related risk factors and outcomes following hip arthroscopy were systematically identified from a computer-assisted literature search of Pubmed (Medline...
Article
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Hip arthroscopic surgery for femoroacetabular impingement and periacetabular osteotomy (PAO) for dysplasia is the most commonly used contemporary treatment for these conditions and has been shown to provide pain relief and restore function. What is less understood and perhaps of more interest to health economists, is the role of these procedures in...