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Mr Raghbir Khakha

FRCS (Tr & Orth), MBBS, MSc
Consultant Orthopaedic & Specialist Knee Surgeon

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London Knee Osteotomy Centre
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Introduction

Mr Khakha is a fellowship trained specialist trauma and orthopaedic knee surgeon. His surgical expertise revolves around all aspects of knee problems including trauma, sports injuries, arthritis and joint preservation surgery. His specialist interests include knee osteotomy surgery, cartilage preservation, arthroscopic ligament reconstructions and partial and total knee replacement surgery. He regularly works in partnership with Professor Adrian Wilson with whom Mr Khakha has set up The London Knee Osteotomy Centre and Children’s Knee Clinic.

About Mr Khakha

Mr Khakha’s NHS practice is based in central London teaching hospital Guy’s and St Thomas’. He has been in consultant practice since 2017 dealing with all elements of knee related injuries ranging from children’s knee injuries right the way through complex redo surgery for failed joint replacements. His philosophy is based on joint preservation surgery, where he routinely performs ligament repairs and reconstructions, meniscal repairs and osteotomy surgery. He regularly accepts referrals from other orthopaedic centres to manage complex primary and redo knee reconstructive surgery.

Following his successful completion of fellowship in the US at Massachusetts General Hospital in trauma surgery and knee fellowship at North Hampshire Hospitals, Mr Khakha embarked on his consultant career at Guy’s and St Thomas’. Prior to this, he trained on the prestigious South-East London Training Rotation, for which he is now the Deputy Training Programme Director. He is also Knee Lead Tutor for South London and KSS Trauma and Orthopaedic training programme and is Honorary clinical lecturer at Kings College London, where he is also Patron of the Orthopaedic Society. He has a passion for research as well as education and training, and regularly speaks at international and national meetings on modern minimally invasive knee surgical techniques. In April 2021 he was a course convenor on the London Osteotomy Virtual Masterclass attended by over 11,000 orthopaedic surgeon colleagues from across the world.

Mr Khakha completed his medical degree at St Georges University Hospital in 2006. He was awarded a BSc with honours at University College London in Orthopaedics and went to complete a Masters in the same field at the University of Brighton. He is an honorary senior lecturer at King’s College London and oversees surgical fellows looking to refine their skills in knee surgery.

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Professional background

Mr Raghbir Khakha

FRCS (Tr & Orth), MBBS, MSc
Consultant Orthopaedic & Specialist Knee Surgeon

  • European Knee Association
  • British Orthopaedic Association
  • British Association for Surgery of the Knee
  • European Society of Sports Traumatology, Knee Surgery
  • British Orthopaedic Sports Trauma and Arthroscopy Association
  • Knee Lead Tutor for South London and KSS
  • Deputy Training Programme Director for South-East London Orthopaedic Trainees
  • Honorary clinical lecturer at Kings College London
  • Patron for Kings College London Orthopaedic Society
  • Course convenor on 2021 London Osteotomy Virtual Masterclass attended by over 11,000 delegates
  • Fellowship director for Joint Preservation Surgery
  • Fellowship trained with specialist interest in knee osteotomy surgery, cartilage preservation, arthroscopic ligament reconstructions, partial and total knee arthroplasty surgery.
Teaching Experience

2016
Founder of the Guy’s and St Thomas’ FRCS Viva course

2016
King’s College London Orthopaedic Society Lecture

2010 – Present
Bedside teaching for pre-MRCS candidates

1998 – Present
Shotokan Karate Martial Arts instructor – Senior National Level

2004 – Present
Clinical Skills Tutor

Publications

2021 Incidence and risk factors for residual high-grade pivot shift after ACL reconstruction with or without a lateral Extra-articular tenodesis.
Jacquet C, Pioger C, Seil R, Khakha R, Parratte S, Steltzlen C, Argenson JN, Pujol N, Ollivier M.
Orthop J Sports Med. 2021 May 7;9(5) PMID: 33997078

2021 Osteotomy around the knee is planned toward an anatomical bone correction in less than half of patients
Micicoi G, Grasso F, Kley K, Favreau H, Khakha R, Ehlinger M, Jacquet C, Ollivier M
Orthop Traumatol Surg Res. 2021 Mar 19 PMID: 33753267

2021 Suprapatellar versus infrapatellar nailing for tibial shaft fractures: A comparison of surgical and clinical outcomes between two approaches.
Al-Azzawi M, Davenport D, Shah Z, Khakha R, Afsharpad A.
Journal of Clinical Orthopaedic Trauma 2021 Jan 29;17:1-4 PMID: 33717965

2021 Minimally Invasive High. Tibial Osteotomy Using Patient Specific Cutting Guide.
Bin Abd Razak HR, Jacquet C, Wilson AJ, Khakha RS, Kley K, Parratte S, Ollivier M
Arthroscopic Techniques 2021 Jan 30;10(2) PMID: 33680776

2021 Soft-tissue management and neurovascular protection during opening wedge high tibial osteotomy
Kley K, Bin Abd Razak HR, Khakha RS, Wilson AJ, Van Heerwaarden R, Ollivier M
Arthroscopic Techniques 2021 Jan 30;10(2) PMID: 33680774

2021 Global varus malalignment increase from double-leg to single-leg stance due to intra-articular changes
Bardot LP, Micicoi G, Favreau H, Zeman P, Khakha R, Ehlinger M,  Ollivier M.
Knee Surgery, Sports Traumatology Arthoscopy. 21 Jan 2021 PMID: 33486561

2021 Patients with varus knee osteoarthritis undergoing high tibial osteotomy exhibit more femoral varus but similar tibial morphology compared to non-arthritic varus knees.
H Razak, G Micicoi, R Khakha, M Ehlinnger, A Faizan, S LiArno,  M Ollivier
Knee Surgery, Sports Traumatology Arthoscopy. 9 Jan 2021 PMID: 33423093

2020 Managing Intra-articular deformity in high tibial osteotomy: a narrative review.
Micicoi G, Khakha R, Kley K, Wilson A, Cerciello S, Ollivier M
Journal of Experimental Orthopaedics. 2020 Sep 9;7(1):740. PMID: 33036575

2020 Posteromedial Opening-Wedge Tibial Osteotomy for Metaphyseal Varus and Abnormal Posterior Slope Correction in Failed Anterior Cruciate Ligament Reconstructions Using a Custom Cutting Guide.
Boris Corin, Adrian Wilson, Raghbir Khakha, Kristian Kley, Sebastien Parratte, Matthieu Ollivier
Arthroscopic Tech. 2020 Aug;9(8):e1101-e1108. PMID: 32874889
Arthroscopy Techniques. August 2020. PMID: Awaiting number

2020 Evaluation of the “Minimal Clinically Important Difference” (MCID) of the KOOS, KSS and SF-12 scores after open-wedge high tibial osteotomy.
Chistophe Jacquet, Charles Pioger, Raghbir Khakha, Camille Steltzlen, Kristian Kley, Nicolas Pujol, Mattieu Ollivier.
Knee Surg Sports Traumatol Arthrosc. 2020 Apr 27.  PMID: 32342141

2019 Ankle Home Stay Programme:- A review of ankle fracture management and costs at a busy district general hospital
Raghbir Khakha, Onur Berber, Amit Patel, Langhit Kurar, Laurence James
Annals of Medicine and Surgery. Dec 2019, 50:6-9. PMID: 31885868

2019 The biomechanical effects of allograft wedges used for large corrections during medial opening wedge high tibial osteotomy.
Belsey J, Diffo Kaze A, Jobson S, Faulkner J, Maas S, Khakha R, Pape D, Wilson AJ.
PLoS One. 2019 May 10;14(5) PMID: 31075145

2019 Graft material provide greater static strength to medial opening wedge high tibial osteotomy than when no graft is included.
Belsey J, Diffo Kaze A, Jobson S, Faulkner J, Maas S, Khakha R, Pape D, Wilson AJ.
Journal of Experimental Orthopaedics. 2019 March 28;6(1):13 PMID: 30923931

2017 Improved Survival of Computer Assisted Unicompartmental Knee Replacement: 252 Cases with Minimum Follow-up of 5-years
Khakha RS, Chowdhry M, Norris M, Kheiran A, Chauhan SK.
Journal of Arthroplasty Apr 2017 PMID: 28110847

2016 Acute Surgical Management of Traumatic Knee Dislocations – Average Follow-up of 10-yrs
Mr R S Khakha, Mr A Day, Mr J Gibbs, Miss S Allen, Lt Col P Hill, Mr J Hull, Mr A Perry, Mr H Chissell.
Knee. March 2016 3 PMID: 26545616

2015 Radiological and Functional Outcomes in Computer Assisted Total Knee Arthroplasty between Consultants and Trainees – a prospective randomized controlled trial
Khakha RS, Chowdhry M, Norris M, Kheiran A, M. Sivaprakasam, Chauhan SK.
J Arthroplasty. 2015 Mar 14. (15) PMID: 25820119

2015 Low Incidence of Complications in Computer Assisted Total Knee Arthroplasty – a retrospective review of 1596 cases.
Khakha RS, Chowdhry M, Norris M, Kheiran A, Chauhan SK.
Knee. 2015 Mar 24 PMID: 25819156

2015 Corrective osteotomy for mal-united metacarpal fractures: Long-term results of a novel technique.
Karthik K, Tahmassebi R, Khakha RS, Compson J.
J Hand Surg Eur Vol. 2015 Feb 2. PMID: 25646144

2014 Five-year follow-up of minimally invasive computer assisted total knee arthroplasty (MICTKA) versus conventional computer assisted total knee arthroplasty (CATKA) – a population based study.
Khakha RS, Chowdhry M, Norris M, Kheiran A, Patel N, Chauhan SK.
Knee. 2014 July 2. PMID: 25086899

2013 Technique to aid elastic nailing of paediatric femoral shaft fractures
Ashman O, Khakha R, Abhishetty N, Lahoti O
Injury. 2013 Nov; 44(11): 1651-3 PMID: 23870397

2013 Hip Arthroscopy for femero-acetabular impingement: results of 118 consecutive cases in a district general hospital
Trompeter A, Colegate-stone T, Khakha R, Hull J
Hip International 2013 May 10 PMID: 23813161

2013 Review Article: Anti-Embolism Stockings
Patel N, Khakha R, Gibbs J.

Journal of Orthopaedic Surgery 2013;21(3):361-4 PMID: 24366800

Published Book Chapters:

2020 Void Filler in Opening Wedge Osteotomies Around the Knee
Parkar. A, Pastides. P, Khakha. R, Dawson. M

2011 An introduction to Clinical Research
Chapter on Evidence Based Medicine. Oxford University Press.
Page. P, Carr, Eardley, Shah, Hill, Weir, Khakha. R.

Published Case Reports:

2018 Paediatric physeal sparing posterior cruciate ligament (PCL) reconstruction with parental donation allograft: Rationale and operative approach
Khakha RS, Yasen SK, Wilson AJ
Knee 2018. Jan 14 PMID: 29343450

2017 An isolated Traumatic Medial Third Clavicular Fracture Requiring Surgical Fixation
Smelt J, Khakha RS, Harrison-Phipps K, Richards A, Bille A
Annals of Thoracic Surgery 2017 March 103(3) PMID: 28219576

2017 Extravasation of fluid in Anterior Thigh Compartment Following Knee Arthroscopy: A Case Report Highlighting Duty of Candour
Bansal M, Sandiford A, Khakha R.
The Medico-legal Expert Practice 2017

 2013 27 year Survival of Maney-Watt Unicondylar Hemi Knee Replacement for Fixation of a Lateral Tibial Plateau Fracture – a Case Report
Khakha RS, Gibbs JR, Chissell H
Knee 2013 June;20(3)221-3 PMID: 23182188

2011 Embolisation of Angio-Seal Device: An Unusual Case of Post-Cardiac Catheterisation Limb Ischaemia
Khakha. RS, Ali. T, Chong. P, Gerrard. D, Leopold. P. Frimley Park Hospital
Annals of the Royal College of Surgeons 2011 (Jul;93(5) PMID: 22043497

Research

2017 MSc in Trauma and Orthopaedics 
Clinical Assessment of the Anterolateral Complex in the Anterior Cruciate Deficient Knee
Khakha RS & A Ajuied
Guys and St Thomas’ Hospital, London

2005    BSc in Trauma and Orthopaedics
Differences in the reactive hyperaemia and vibrational loading response on bone in able bodied and spinal cord injured persons using Near Infrared Spectroscopy.
Khakha R, Bloomer Z, Bain D, Nicholson G, Gall A & Ferguson-Pell M
Royal National Orthopaedic Hospital, Stanmore. UCL

Work in progress

Scientific Papers:
2017 Optimal graft tension in anterior cruciate ligament reconstruction surgery – an experimental study.
Khakha RS, A Ajuied

2017 The use of bone wedge allograft in high tibial osteotomy: a prospective study of pain and time to union.
Khakha RS, Yasen S, Risebury M & Wilson A.

2017 Case Series: Slope changing osteotomy with Biological Plate Fixation
Khakha RS, Yasen S, Risebury M & Wilson A.

2017 Clinical Assessment of the Antero-lateral Complex in the ACL Deficient Knee, a Decision Aid in Surgical Management
Khakha RS, Stephen J, Inderhaug E, Davies A, Ajuied A, Williams A & Amis A.

Book Chapter:

2020 First Pass – A Guide to passing the FRCS Trauma and Orthopaedics
Pastides. P, Khakha. R

Mr Raghbir Khakha MBBS, MSc, FRCS (Tr & Orth) is a Consultant Trauma and Orthopaedic Surgeon with an exclusive interest in disorders of the knee. He has particular expertise in knee joint preservation surgery including cartilage repair, ligament reconstruction and osteotomy surgery. He has been fellowship trained in unicompartmental joint replacement, total knee replacement and revision of failed joint replacement surgery.

Mr Khakha has been a Consultant at Guy’s and St Thomas’ since 2017 where he is involved in the education and training of junior surgeons as well as fellows looking to refine their skills in all aspects of knee surgery.

Having completed an undergraduate Bachelor’s Degree in Trauma and Orthopaedics at University College of London in 2005, Mr Khakha went on to complete his medical education at St George’s Hospital in 2006. Subsequently he has gained a post graduate Master’s Degree also in Trauma and Orthopaedics.

Mr Khakha has completed a fellowship in knee surgery with Professor Adrian Wilson. During this time, he was trained in complex ligament, osteotomy and arthroplasty surgery. He also had the opportunity present research and lecture at national and international meetings as well as visit renowned surgeons around the world. This included a visiting fellowship to Massachusetts General Hospital for Trauma Surgery in Boston.

Mr Khakha continues to be involved with research and education. He is an honorary senior clinical lecturer and runs educational courses in post-graduate surgical exams. He features as faculty on courses both nationally and internationally and continues to supervise junior surgeons undertaking research projects.

Mr Raghbir Khakha is a specialist trauma and orthopaedic knee surgeon