Hip

Mr Ivor Vanhegan

BSc (Hons), MBBS, Dip Sports Med, PG Cert Education, MD (Res), FRCS (Tr&Orth)
A dedicated hip surgeon who is passionate about improving the experience and outcomes for his patients with a specific interest in hip preservation surgery

Mr Ivor Vanhegan

Completed a 100k ultramarathon
Practicing as a consultant since 2016
Authored 25+ peer-reviewed publications in orthopaedics field

BIO

Mr Vanhegan is a dedicated hip surgeon who is passionate about improving the experience and outcomes for his patients. He has a wealth of clinical experience and an impressive academic background to provide a highly specialised service tailored to your individual needs. His main interests are in optimising recovery after joint replacement and he boasts an excellent track-record in same-day discharge. His main research interest lies in hip replacement design and he holds experience in both pre-clinical (laboratory) and clinical research in this field.

Mr Vanhegan was born and educated in London and completed his higher surgical training on the prestigious North-West Thames rotation (Imperial College Healthcare). At a formative stage in his career he gained phenomenal experience under influential trainers in hip surgery and knew that was where his interests lay. He obtained his Certificate of Completion of Training in 2018 and went on to complete three UK-based fellowships (Oxford, Reading and Royal National Orthopaedic Hospital Stanmore). These positions focused on primary and revision (‘re-do’) joint replacement as well as in young adult hip surgery (‘hip preservation’). A highlight in training was being awarded the highly competitive Hip Fellowship from the British Hip Society which he used to good effect broadening his international exposure to joint replacement surgery in Chicago and Vancouver.

His NHS appointment sees him manage a broad range of hip and knee disorders to included hip preservation, joint replacement and trauma. In addition to his clinical practice he has additional governance interests including hip fracture management where he is the Clinical Lead for this service which has been rated as one of the best in the country.

From his time on the Bone Infection Unit in Oxford he is interested and knowledgeable in managing orthopaedic infections and is a member of his local Bone Infection MDT (multidisciplinary team) and a member of EBJIS(European Bone & Joint Infection Society). This wealth of experience means that he is often approached by Solicitors to provide an expert medicolegal opinion on matters of clinical negligence relating to hip surgery. Mr Vanhegan also provides high-quality personal injury reports and has experience giving evidence in Court as an expert witness.

Mr Vanhegan boasts an impressive CV with an extensive list of peer-reviewed publications as well as experience as a reviewer for high-impact journals. He was awarded a First Class BSc and went on to complete an MD(Res) at UCL 2014, with both degrees on the subject of hip replacement design. He has been awarded multiple national and international awards including the acclaimed WJ Little medal at the Seddon Society in recognition of his work. He has also helped establish a clinical research unit gaining ethical approval and completing a randomised control study as the Principal Investigator.

Mr Vanhegan is an enthusiastic educator and has been appointed as Surgical Tutor to the Royal College of Surgeons with over-sight of surgical training in his hospital as part of the Wessex Deanery. He sits on interview panels, training committees and regularly appraises doctors in training (ARCP). As an international sportsman himself (rowing and road cycling) he is drawn to the management of elite athletes. He worked alongside the International Olympic Committee (IOC) at the London 2012 Games collecting and analysing data on the injuries and illnesses of athletes and published several papers from this experience. He continues to participate to a competitive level in sport and recently completed a 100km Ultramarathon.


SPECIAL INTERESTS

Hip preservation surgery
Hip replacement (uncemented and hybrid fixation) – primary and revision ‘re-do’ operations
Joint replacement in young patients
Robotic & navigated hip surgery
Hip arthroscopy
Osteotomy (realignment procedures)
Soft tissue procedures around the hip
Hip injections (corticosteroid, viscosupplementation, PRP)
Core decompression (for avascular necrosis)
Hip fracture management
Fractures around hip replacements (periprosthetic fractures)
Infection following joint replacement (periprosthetic joint infection, PJI)
Hypermobility
Hip dysplasia
Childhood conditions: Perthes’ disease, Slipped capital femoral epiphysis (SCFE / SUFE)
Arthritis / osteoarthritis
Hip bursitis
Hip cartilage injuries
Hip impingement (FAI)
Hip sprain
Hip tendon/muscle/nerve injuries
Labral Tears / Degeneration

PROFILES

PROFESSIONAL BACKGROUND

  • British Orthopaedic Association
  • British Hip Society
  • ISHA – Hip Preservation Society
  • EBJIS – European Bone & Joint Infection Society

[1] Tibial derotation osteotomies are effective in improving pain and function and avoiding hip arthroscopy in patients with hip pain—a short-term follow-up.

Goriainov V, Farook M, Vanhegan I, Pollard T, Andrade A.

Journal of Hip Preservation Surgery, published November 2023, https://doi.org/10.1093/jhps/hnad041

[2] 2-Year Radiostereometric Analysis Evaluation of a Short, Proximally Coated, Triple-Taper Blade Femoral Stem Versus a Quadrangular-Taper Stem With Reinforced Proximal Body: A Randomized Controlled Trial.

Fontalis A, Kayani B, Vanhegan I, Tahmassebi J, Haddad IC, Giebaly DE, Rajput V, Hansjee S, Haddad FS.J Arthroplasty. 2023 Mar 15:S0883-5403(23)00242-5. doi: 10.1016/j.arth.2023.03.030.

[3] Early to medium-term outcomes of uncemented ceramic-bearing total hip arthroplasty in teenagers for paediatric hip conditions.

Buddhdev PK, Vanhegan IS, Khan T, Hashemi-Nejad A.

Bone Joint J. 2020 Nov;102-B(11):1491-1496. doi: 10.1302/0301-620X.102B11.BJJ-2020-0668.R1.

[4] Trust compliance with best practice tariff criteria for total hip and knee replacement

Vanhegan I, Sankey A, Radford W, Ball S, Gibbons C. Brit J Hosp Medicine, Sept 2019, Vol 80, no. 9; pp.404-407

 

[5] Hip Hemiarthroplasty for Fractured Neck of Femur; A Freedom of Information Study to Assess National Variation in Implant Selection and Procurement.

Martin A, Vanhegan I, Dean B. Surgeon. 2019 Jan 10. pii: S1479-666X(18)30145-8. doi: 10.1016/j.surge.2018.12.002.

 

[6] Diagnosis, management and complications of distal humerus lateral condyle fractures in children.

Shaerf DA, Vanhegan IS, Dattani R. Shoulder Elbow. 2018 Apr;10(2):114-120

[7] An in vitro comparison of the primary stability of two tapered fluted femoral stem designs.

Vanhegan IS, Coathup M, McCarthy I, Meswania J, Blunn G, Haddad FS. J Arthroplasty. 2016 Feb;31(2):517-23

[8] Outcomes following sub-capital osteotomy for severe slipped upper femoral epiphysis

Vanhegan IS, Cashman JP, Buddhdev P, Hashemi-Nejad A. Bone Joint J. 2015 Dec;97-B(12):1718-25

[9] Effect of Independent Sector Treatment Centre on provision of elective orthopaedic surgery in East and North Hertfordshire.

Vanhegan IS, Hakmi A, de Roeck N, Rumian A. Ann R Coll Surg Engl. 2015 Oct;97(7):519-25

[10] Financial analysis of revision knee surgery based on NHS tariffs and hospital costs: does it pay to provide a revision service?

Kallala RF, Vanhegan IS, Ibrahim MS, Sarmah S, Haddad FS. Bone Joint J. 2015 Feb;97-B(2):197-201

[11] A rare Lisfranc-type injury involving dorsal dislocation of the intermediate cuneiform.

Kalraiya AJ, Vanhegan I, Cheung A, Rudge B. BMJ Case Rep. 2014 Jul 29; 2014

[12] Kitson’s line as a useful visual aid in spinal magnetic resonance imaging interpretation.

Vanhegan I, Kaila R, Kitson J. Ann R Coll Surg Engl. 2014 Jul; 96(5): 399

[13] Management of acute anterior shoulder dislocation.

Dala-Ali B, Penna M, McConnell J, Vanhegan I, Cobiella C. Br J Sports Med. 2014 Aug; 48(16): 1209-1215

[14] Elbow injuries at the London 2012 Summer Olympic Games: demographics and pictorial imaging review.

Bethapudi S, Robinson P, Engebretsen L, Budgett R, Vanhegan IS, O’Connor P.

AJR Am J Roentgenol. 2013 Sep; 201(3): 535-49. Erratum in: AJR Am J Roentgenol. 2014 Apr; 202(4): 933

[15] Sports injuries and illnesses during the London Summer Olympic Games 2012

Engebretsen L, Soligard T, Steffen K, Alonso JM, Aubry M, Budgett R, Dvorak J, Manikavasagam J, Meeuwisse W, Mountjoy M, Palmer-Green D, Vanhegan I, Renström P. Br J Sports Med, May 2013, Olympic / Paralympic Games Supplement

[16] The London 2012 Summer Olympic Games: an analysis of usage of the Olympic Village ‘Polyclinic’ by competing athletes

Vanhegan IS, Palmer-Green D, Soligard T, Steffen K, O’Connor P, Bethapudi S, Budgett R, Haddad FS, Engebretsen L. Br J Sports Med, May 2013, Olympic / Paralympic Games Supplement

[17] The epidemiology of total hip arthroplasty in England and Wales

Jassim SS, Vanhegan IS, Haddad FS. Seminars in Arthroplasty

[18] The Morel-Lavallée lesion as a rare differential diagnosis for recalcitrant bursitis of the knee: a case report and literature review. Vanhegan IS, Dala-Ali B, Verhelst L, Mallucci P, Haddad FS. Case Rep Orthop. 2012; 2012:593193

[19] Single stage revision: regaining momentum

Gulhane S, Vanhegan IS, Haddad FS. J Bone Joint Surg Br. 2012 Nov;94(11 Suppl A):120-2

[20] Revising the Well-Fixed, Painful Resurfacing Using a Double-Mobility Head: A New Strategy to Address Metal-on-Metal Complications. Verhelst LA, Van der Bracht H, Vanhegan IS, Van Backlé B, De Schepper J. 

J Arthroplasty. 2012 Dec;27(10):1857-62

[21] Developing a strategy to treat established infection in total knee arthroplasty: a review of the latest evidence and clinical practice.  IS Vanhegan, R. Morgan-Jones, D.S. Barrett, F.S. Haddad.  J Bone Joint Surg Br. 2012 Jul;94(7):875-81

[22] A financial analysis of revision hip arthroplasty: the economic burden in relation to the national tariff.

IS Vanhegan, A. Malik, P. Jayakumar, S. Ul Islam, F.S. Haddad. J Bone Joint Surg Br. 2012 May;94(5):619-23.

[23] Acute popliteal pseudoaneurysm rupture secondary to distal femoral osteochondroma in a patient with hereditary

multiple exostoses. I.S. Vanhegan, K.N. Shehzad, T.S. Bhatti, T.S. Waters. Ann R Coll Surg Engl. 2012;94(3):e134-136.

[24] The use of a novel ‘conservative hip replacement’ to reconstruct an osteoarthritic hip with an occluded femoral

Canal. O. Berber, S.N. Sturridge, I. Vanhegan, S.R Cannon, G.W. Blunn J. Arthroplasty. 2011 Dec; 26(8): 1571.e9-10

[25] A rare patella anatomical abnormality causing locking in an adolescent girl.

I.Vanhegan, B. Mann, D.A. Shaerf, J.A. Skinner.  Knee Surg Sports Traumatol Arthrosc. 2011 Nov 22. PMID 22113215

[26] Evaluation of the painful total knee replacement.

  1. Verhelst, I.S. Vanhegan, F.S. Haddad. Techniques in Orthopaedics. 26(2): 56-63, June 2011

[27] More trainees and less operative exposure: a response.

Letter to the editor of the Annals of the Royal College of Surgeons. Ann R Coll Surg Engl (Suppl) 2010;93:72-74

[28] Arthroscopic Subacromial Decompression And Excision Distal Clavicle – A Case Series Using A Novel Portal.

Templeton-Ward O, Vanhegan I, Sawallah S, Dodd L, Proctor M.  J. Orthopaedics 2010;7(4)e10.

Book Chapters

AO Trauma Manual: Periprosthetic Fracture Management, 1st edition

Chapter 3.2: Causes of and risk factors for periprosthetic fractures – Arthroplasty

Chapter 4: Diagnosis of periprosthetic fractures – Management

Podium Presentations

[1] 8th international RSA conference, 13-14th April 2023, Nijmegen, The Netherlands 

A randomized controlled trial evaluating a short, proximally coated, triple-taper blade femoral stem versus a self-locking stem with reinforced proximal body: A 2-year radiostereometric analysis.

[2] British Hip Society, 8-10th March 2023, Edinburgh

Concerns with dual-mobility bearings: a case report of iliopsoas impingement managed arthroscopically

[3,4] Current Concepts in Joint Replacement 2022, 7-10th December, Orlando, USA

  • 2-Year Radiostereometric Analysis Comparing the Migration of a Short, Proximally Coated, Triple-Taper Blade Femoral Stem Versus a Self-Locking Stem With Reinforced Proximal Body: A Randomized Controlled Trial.

Awarded Best Oral Presentation

  • Migration profile of a cementless, self-locking femoral stem with reinforced proximal body: a two-year radiostereometric analysis.

[5] 33rd Congress, International Society for Technology in Arthroplasty (ISTA), 31 Aug–3 Sept 2022, Maui, Hawaii, USA

2-Year Radiostereometric Analysis Evaluation of a Short, Proximally Coated, Triple-Taper Blade Femoral Stem Versus a Self-Locking Stem With Reinforced Proximal Body: A Randomized Controlled Trial.

[6] 23rd EFORT Annual Congress, 22-24 June 2022, Lisbon, Portugal

Stability And Patient Reported Outcome Measures With The Use Of A Short, Proximally Coated, Triple Taper Geometry Femoral Stem: A Two-Year Radiostereometric Analysis

[7] 42nd SICOT Orthopaedic World Congress 28-30th April, Kuala Lumpur, Malaysia

Migration profile of a cementless, self-locking femoral stem with reinforced proximal body: a two-year radiostereometric analysis.

[8] British Hip Society Annual Scientific Meeting 2022, 2-4th March 2022, Bournemouth

Two-year migration of a proximally coated, tapered, short blade stem.

[9] British Hip Society, 27th Feb – 1st March 2019, Nottingham. 

Rationalisation of surgical instruments in total hip arthroplasty – time to ‘CHOP’ out unnecessary cost

[10] British Hip Society, 14-16th March 2018, Derby. 

Ensuring Compliance with Best Practice Tariff Criteria for Primary Hip & Knee Replacement

[11] RSM President’s Prize Papers 2015/16. Awarded 2nd place

An in-vitro comparison of the primary stability of two tapered fluted femoral stem designs

[12] American Academy of Orthopaedic Surgeons, 24-28th March 2015, Las Vegas, USA

Medium Term Outcome For Total Hip Arthroplasty In Patients Aged 20 And Younger

[13] British Hip Society, 2-3rd March 2015, Lancaster Hotel London

Outcomes following sub-capital osteotomy for severe slipped upper femoral epiphysis

[14,15,16,17] Seddon Society annual meeting, 16th May 2014, RNOH Stanmore Awarded WJ Little Medal

  • Medium term outcome for total hip arthroplasty in patients aged 20 and younger
  • Large series of severe slipped upper femoral epiphysis managed with sub-capital osteotomy
  • A cadaveric analysis comparing primary stability and surface strain in cementless revision prostheses
  • Prevention of neurological injury in spinal deformity surgery: an institutional review of 2370 consecutive cases using somatosensory evoked potential monitoring

[18,19] British Hip Society, 5-7th March 2014, Exeter; Shortlisted for BORS-prize section 

  • A cadaveric analysis comparing primary stability and surface strain in cementless revision prostheses
  • Medium term outcome for total hip arthroplasty in patients aged 20 and younger

[20,21] International Society for Technology in Arthroplasty (ISTA), 16th–19th Oct 2013, Palm Beach Fl, US

  • Improving the Primary Stability of Revision Hip Prostheses: A Cadaveric Study
  • A Financial Analysis of Revision Knee Surgery: Does It Pay to Provide a Revision Service?

[22] 8th Tri-Annual Combined Meeting of Orthopaedic Research Societies (CORS), 13th – 16th Oct. 2013, Venice 

Cadaveric study of primary stability and biomechanical properties of a tapered versus conical revision hip stem

[23] Austrian-Swiss-German Travelling Fellowship, 28th May 2013 Institute of Sport Exercise & Health, UCLH. Modern Cementless Femoral Revision: Is stability possible?

[24] AAOS – 19th – 23rd March 2013, Chicago USA

Financial Analysis of Revision Hip Arthroplasty and the Shortfall in Reimbursement Paid to Hospitals

[25] SICOT – 28th – 30th November 2012, Dubai UAE

The use of somatosensory evoked potential monitoring in spinal deformity surgery

[26] BOA 11th – 14th September 2012, Manchester UK

Response to abnormal intra-operative somatosensory evoked potential (SSEP) monitoring in spinal deformity surgery

[27] 13th EFORT Congress 23-25th May 2012, Berlin

Prevention of neurological harm through response to abnormal somatosensory evoked potential (SSEP) monitoring in

spinal deformity surgery: an institutional review of 2386 consecutive cases

[28] BritSpine 2-4th May 2012, Gateshead, UK.

Intra-operative reaction to abnormal somatosensory evoked potential (SSEP) monitoring in spinal deformity surgery: the effect on reducing neurological injury in a single institute cohort of 2368 consecutive cases

[29] ‘Joined at the Hip’. Institute of Mechanical Engineers, Royal College of Surgeons, 1-3 Nov 2011

Stability and strain distribution for a new conservative hip prosthesis: a bone-preserving option for the younger patient

[30,31] BOA/IOA Combined Meeting 13 – 16th Sept 2011, Dublin

  • A 5-year review of timing and response to abnormal somatosensory evoked potential (SSEP) monitoring

during complex spinal surgery: does intervention by the surgeon influence outcome?

  • The rising financial burden of revision total hip arthroplasty: expense to the Trust versus compensation by the

National Tariff 

[32] SICOT 2011 XXV Triennial World Congress 6-9th Sept 2011, Prague (AWARDED SICOT/AAOS PRIZE)

The use of somatosensory evoked potential (SSEP) monitoring in the prevention of neurological injury in spinal

surgery: a 5-year review of timing and response to an abnormal trace (Podium)

[33] Spring Meeting: Society of British Neurological Surgeons,  30th Mar -1st April 2011, Bristol

The use of somatosensory evoked potential (SSEP) monitoring in the prevention of neurological injury in spinal surgery

Poster Presentations

[1] *AAHKS Annual Meeting, November 2022, Texas (US) 

Stability of Two Cementless, Triple-Taper, Femoral Stem Designs With Proximal Metaphyseal Fixation

[2,3] British Hip Society, 27th Feb – 1st March 2019, Nottingham.

  • Cell salvage as a for improving perioperative outcome in a large series of total femoral megaprostheses
  • medium term outcome for ceramic-bearing total hip arthroplasty in patients 20 years and younger

[4] British Hip Society, 14-16th March 2018, Derby

A technical tip for intra-operative head-trunnion separation during revision of a total hip replacement for protrusion acetabuli

[5] British Hip Society, 2-3rd March 2015, Lancaster Hotel London

Two cases of major nerve injury from cerclage cable misplacement in revision hip arthroplasty

[6,7,8] SICOT 28th – 30th November, Dubai UAE 2012

  • The Morel-Lavallée lesion as a rare differential diagnosis for recalcitrant bursitis of the knee: a case report
  • Tillaux fracture in an adult: a case report and review of the literature
  • Case report of acute rupture of an occult popliteal pseudoaneurysm secondary to a distal femoral osteochondroma

[9] 13th EFORT Congress 23-25th May 2012, Berlin

A case report and literature review of the rare Morel-Lavallée lesion masquerading as recalcitrant bursitis of the knee

[10] American Academy of Orthopaedic Surgeons 7-11th Feb 2012, San Francisco

5 year review of somatosensory evoked potential monitoring in complex spinal surgery

[11]* BOA/IOA Combined Meeting 13 – 16th Sept 2011, Dublin

Arthroscopic subacromial decompression and excision distal clavicle – A case series using a novel portal

[12,13] SICOT 2011 XXV Triennial World Congress 6-9th Sept 2011, Prague

  • A rare patella abnormality causing pain and locking in an adolescent girl: a case report
  • A financial analysis of revision hip arthroplasty: the economic burden in relation to the national tariff

[14]* 12th EFORT Congress 1-4th June 2011, Copenhagen

Metal on metal total hip arthroplasty associated with neurotoxicity and recurrent dislocation.

[15]* Tripartite Colorectal Meeting, Cairns, Queensland, Australia, 3-7 July

Risk stratification and a new scoring system to aid in the assessment of patients presenting with acute lower GI haemorrhage

[16,17]* Association of Surgeon’s in Training Annual Meeting 15–17th April 2011, Sheffield

  • The management of acute shoulder dislocation
  • The potential dangers of the London cycle hire scheme

[18]* British Hip Society, Torquay 2-4th March 2011.

Catastrophic consequences: Metal-on-metal total hip arthroplasty – Neurotoxicity and recurrent dislocation

[19] British Association of Clinical Anatomists, Winter Meeting 2010, St. George’s Hospital London

A rare patella abnormality causing pain and locking in an adolescent girl: a case report

[20] 11th EFORT June 2010, Madrid.

Arthroscopic Subacromial Decompression and Excision of Distal Clavicle via a New Portal.

[21] 7th World Biomaterials Congress 2004, Sydney.

A Laboratory Based Analysis Of The Primary Stability Of A New Conservative Hip Prosthesis.

SPECIALISM CONDITIONS

Mensical-repair-injury-treatment

Labral Tears / Degeneration

The ring of cartilage around the outside rim of the hip socket is called the labrum. It cushions the hip joint and helps to hold the ball at the top of the femur securely within the hip socket. Hip la...
Hip-Tendon-Muscle-Injury-Treatment

Hip Tendon/Muscle/Nerve Injuries

Injuries to the muscles, tendons and nerves in the hip can cause similar types and levels of pain, so it is important to undergo an examination with an orthopaedic specialist to establish a definitive...
Hip-Sprain-Injury-Treatment-Clinic

Hip Sprain

A hip sprain is caused by tearing or stretching the ligaments that surround the hip, joining one bone to another. This is different to a hip flexor strain, which is an injury to the muscles that you u...
Knee-Cartilage-Diagnosis-Treatment

Hip Impingement (FAI)

Hip impingement occurs when a problem inside the hip joint interferes with its smooth motion, preventing the ball from gliding smoothly inside the socket. Over time, the cartilage can become damaged, ...
Hip-Fracture-Treatment-Clinic

Hip Fracture

A hip fracture is a serious injury that is particularly common among older people. Bones tend to become weaker and more brittle with age and older people are more prone to trips and falls as a result ...
Hip-Dysplasia-Children-Clinic

Hip Dysplasia / Congenital Hip Problems

Most people who have hip dysplasia (also referred to as congenital hip problems) are born with it, even though symptoms may not always develop until young adulthood. Hip dysplasia occurs when the hip ...
Hig Cartilage injury treatment

Hip Cartilage Injuries

Cartilage is the tough, flexible tissue that covers the surface of the joints, including the hip. It cushions the joints, acting as a shock absorber, and helps the bones to slide smoothly over one ano...
Keyhole-Surgery-Treatment-Knee

Hip Bursitis

Hip bursitis (also called trochanteric bursitis) affects the hip joint. The bursa are fluid-filled sacs that cushion the muscles, ligaments and tendons, helping them to glide smoothly over bone. Bursi...

TREATMENT LOCATIONS

UME Health
17 Harley Street
London W1G 9QH

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