About Mr Andrade
Mr Andrade has pioneered and developed nationally and internationally recognised techniques and training programmes for other surgeons in two main areas: hip preservation surgery, particularly in young adults, and hip and knee joint replacements.
He has also had a keen interest in malrotation problems of the lower limbs and how they present as knee or hip pain. He performs derotation osteotomies of tibiae and / or femora on a regular basis.
He was a member of the original consultant steering group for the Centres of Clinical Excellence (CCE) which was rebranded to Circle Health. He became the chairman of the steering group leading up to the building and opening of Circle Reading in August 2012, when he then became the clinical chairman for the hospital until December 2016. Circle was at that time the largest consultant partnership in Europe.
Hip preservation surgery
Mr Andrade was appointed to the Royal Berkshire Hospital, Reading in 2002, as an orthopaedic hip and knee surgeon. He immediately established a hip arthroscopy and hip preservation service that rapidly evolved into a tertiary referral centre, attracting patients from across the South and South West of the UK.
He is widely recognised as a UK pioneer of hip arthroscopy. Since then he has been at the forefront of the evolving surgical techniques in arthroscopic and other types of hip preservation surgery, and this led to him establishing a visiting surgeon programme where surgeons from the UK and across the world are able to join him to learn these surgical techniques. He was also involved in a surgical mentorship program for arthroscopic hip surgery, where surgeons could spend time with him initially, and then he would go to their institution to support them with their first few cases.
Mr Andrade is regularly invited to lecture nationally and internationally on hip arthroscopy and other associated topics. He has also been heavily involved with teaching on national and international courses, run both by industry and international societies.
He was one of only a very small number of UK surgeons in 2015 who developed the skills of acetabular labrum reconstruction procedures for failed labral repairs and is now recognised as an international expert in these techniques. He authored a chapter on labral reconstruction in the recently published book entitled Hip Preservation Surgery: Open, arthroscopic and endoscopic techniques.
In 2016 he established a Hip Arthroscopy Fellowship Programme, sponsored by Smith & Nephew, which allows senior trainees unrivalled experience in a surgical unit with two very high-volume hip arthroscopy surgeons.
An active member of the International Society of Hip Arthroscopy (ISHA – The Hip Preservation Society), since it was founded in 2008, he became the membership secretary of the organisation in October 2012 and was the host chairman for its Annual Scientific Meeting in Cambridge in September 2015. He is the 2020-21 President of ISHA – The Hip Preservation Society.
Mr Andrade sits on the Non-Arthroplasty Hip Registry (NAHR) user group for the British Hip Society and is active in trying to maximise surgeon engagement with submitting data to the registry.
Hip and knee joint replacements (arthroplasty)
Mr Andrade established a local joint registry in 2002 at the Royal Berkshire Hospital, (predating the national joint registry), and then established a Lower Limb Arthroplasty Fellowship Programme in 2004. This has been a heavily sought-after fellowship as it has provided an excellent opportunity for senior trainees to perform large numbers of hip and knee joint replacements before then going on to their consultant posts.
He performs primary hip and knee replacement surgery with high performing bearings and carries out a large number of hip resurfacing procedures, in young adults, that can return patients to a very high level of activity. He also regularly performs revision hip surgery for failed hip replacements using uncemented implants with high performing bearings to optimise restoration of function.
His interest in optimising treatment of infections in Orthopaedic patients led him to join forces with a consultant microbiologist and form the Combined Orthopaedic and Medical Microbiology Service (COMMS) at the Royal Berkshire Hospital, in 2004. Since then weekly multidisciplinary team meetings have been held to discuss the management of all patients on antibiotics in the Orthopaedic unit. A database has captured data on all these cases and has led to a number of publications.
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Updates in hip joint preservation – webinar 1st July 2020
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Mr Tony Andrade:
Mr Tony Andrade
MBBS, FRCS (Tr&Orth), MSc
Consultant Orthopaedic Hip and Knee Surgeon
ISHA – The Hip Preservation Society
ESSKA (European Society of Sports Traumatology Knee Surgery and Arthroscopy)
BMA (British Medical Association)
BOA (British Orthopaedic Association)
AOAA (AO Alumni Association)
AAOS (American Academy of Orthopaedic Surgeons – Affiliate)
BASK (British Association for Surgery of the Knee)
Non-Arthroplasty Hip Registry (NAHR)
Hip International editorial board
Mr Andrade completed an MSc in Orthopaedic and Rehabilitation Technology at the University of Dundee in 2004, with a dissertation on “The tensile properties of the medial patellofemoral ligament”. This enhanced his knowledge of problems affecting the patellofemoral joint in which he has retained a keen interest.
He has a keen research interest in all conditions affecting the young adult hip but has also been involved with international multicentre studies researching the outcome of joint replacements.
He was a senior co-author for the recently published BMJ article on “Arthroscopic hip surgery compared with physiotherapy and activity modification for the treatment of symptomatic femoroacetabular impingement: multicentre randomised controlled trial”. This was a landmark randomised controlled trial that provided level 1 evidence to support arthroscopic hip surgery in the treatment of femoroacetabular impingement.
He is a regular reviewer for six international Orthopaedic journals and is on the editorial board of Hip International. He has published numerous articles in peer reviewed journals on hip, knee, trauma and infection topics, and has been a section editor in two surgical textbooks, as well as a chapter author in several books.
A – Peer reviewed Journals:
1) Nocturnal Hypoglycaemia: A cause of bilateral anterior shoulder dislocation.
Andrade A J, Mann C, and Grover M L. Journal of Accident and Emergency Medicine. 14(2):103, 1997.
2) Cardiac arrest from the use of diathermy during total hip arthroplasty in a patient with an external pacemaker.
Andrade A J, and Grover M L. Annals of the Royal College of Surgeons of England. 79: 69-70, 1997.
3) Salmonella osteoarticular infection without predisposing factors.
Jonathan Spencer, Giles Cattermole, Tony Andrade, Matthew Dryden, John Fowler. J R Soc Med. 92: 363-364, 1999. + Letter: J R Soc Med. 92: 493, 1999.
4) Invasive group A streptococcal infection: An update on the epidemiology and orthopaedic management.
C.Brown, T.C.B.Pollard, S.Iyer, A.J.M.D.Andrade. Journal of Bone and Joint Surgery (Br) 2010;92(6)-B:763-9.
5) Streptococcus gallolyticus prosthetic joint infection associated with undiagnosed colonic malignancy.
Liddle AD, Abram S, Iyer S, Andrade AJ. Knee Surg Sports Traumatol Arthrosc – (first published online August 2011).
– 2012; 20 (6):1069-70.
6) Gemella haemolysans spondylodiscitis: A report of two cases
Rajagopal T. S., Walia M., Wilson H. A., Marshall R. W., Andrade A. J., and Iyer S. J Bone Joint Surg (Br) June 2012 94-B:825-828.
7) The feasibility of performing a randomised controlled trial for femoroacetabular impingement surgery.
Palmer AJR, Thomas GER, Pollard TCB, Rombach I, Taylor A, Arden N, Beard DJ, Andrade AJMD, Carr AJ, Glyn-Jones S. Bone and Joint Research; accepted December 2012, published February 2013-2: 33-40.
8) Inadequate three-point fixation predicts failure of the gamma nail.
Abram S, Pollard TCB, Andrade AJMD. Bone Joint J: submitted Oct 2012 – Accepted February 2013. Published June 2013;95-B:825–830.
9) Diagnosis and management of femoroacetabular impingement.
Thomas GER, Palmer AJR, Andrade AJ, Pollard TCB, Fary C, Singh P, O’Donnell J, Glyn-Jones S. Br J of Gen Pract (July) 2013; (DOI:10.3399/bjgp13X669392). 63 (612) (pp e513-e515)
10) Corail uncemented hemiarthroplasty with a Cathcart head for intracapsular hip fractures.
Kendrick BJL, Wilson HA, Lippett JE, McAndrew AR, Andrade AJMD. Bone Joint J: Published November 2013; 95B: 1538-1543
11) Protocol for the Femoroacetabular Impingement Trial (FAIT): a multi-centre randomised controlled trial comparing surgical and non-surgical management of femoroacetabular impingement
A J R Palmer · V Ayyar-Gupta · S J Dutton · I Rombach · C D Cooper · T C Pollard · D Hollinghurst · A Taylor · K L Barker · E G McNally · D J Beard · A J Andrade · A J Carr · S Glyn-Jones, Bone & joint research 11/2014: 3(11):321-327
12) Hemiarthroplasty using cemented or uncemented stems of proven design: a comparative study.
Grammatopoulos G, Wilson HA, Kendrick BJL, Pulford EC, Lippett J, Deakin M, Andrade AJ, Kambouroglou G, Bone Joint J: January 2015; 97-B: 94-99
13) Use of a Thrombin Fibrin Sealant in Reducing Blood Loss in Revision Hip
Ali Ghoz, Hesham Al-Khateeb*, Shanmugasundaram Rajkumar, Shawn Tavares and Antonio Andrade, The Open Orthopaedics Journal, 2015, 9, (Suppl 2: M10) 340-343
14) Past and projected temporal trends in arthroscopic hip surgery in England between 2002 and 2013.
A J R Palmer, T T Malak, J Broomfield, J Holton, L Majkowski, G E R Thomas, A Taylor, A J Andrade, G Collins, K Watson, A J Carr, S Glyn-Jones. BMJ Open Sport Exerc Med 2016;2 :e000082
15) A Traffic Light Grading System of Hip Dysplasia to Predict the Success of Arthroscopic Hip Surgery.
Grammatopoulos G, Davies OLI, El-Bakoury A, Gill HS, Pollard TCB, Andrade AJ
The American Journal of Sports Medicine 2017, 45(12):2891-2900
16) Outcomes of Hip Arthroplasty After Failed Hip Arthroscopy: A Case-Control Study.
Parker SJM, Grammatopoulos G, Davies OLI, Lynch K, Pollard TCB, Andrade AJ
The Journal of Arthroplasty 2017, 32(10):3082-3087.e2
17) Factors increasing risk of failure following hip arthroscopy – a case control study.
Davies OLI, Grammatopoulos G, Pollard TCB, Andrade AJ. Journal of Hip Preservation Surgery. J Hip Preserv Surg. 2018 Jun 22;5(3):240-246
18) Arthroscopic hip surgery compared with physiotherapy and activity modification for the treatment of symptomatic femoroacetabular impingement: multicentre randomised controlled trial
Antony J R Palmer,1 Vandana Ayyar Gupta, Scott Fernquest, Ines Rombach, Susan J Dutton, Ramy Mansour, Simon Wood, Vikas Khanduja, Tom C B Pollard, Andrew W McCaskie,6 Karen L Barker,1 Tony J M D Andrade,5 Andrew J Carr,1 David J Beard,1,7 Sion Glyn-Jones,1on behalf of the FAIT Study Group
19) Does lumbar arthrodesis compromise outcome of total hip arthroplasty?
George Grammatopoulos, Kam Dhaliwal, Rajib Pradhan, Simon J M Parker, Karen Lynch, Robert Marshall, Antonio (Tony) J Andrade
HIP International, (First Published online August 20, 2018), Vol 29 (5), Sept 2019; pp. 496–503
20) Intraoperative radiation exposure in hip arthroscopy: a systematic review
Ajay Shah, Mohammed Nassri, Jeffrey Kay, Nicole Simunovic, Vasco V Mascarenhas, Antonio J Andrade, Óliver R Marin-Peña, Olufemi R Ayeni
HIP International, (First Published online 25 Nov 2019). Vol. 30(3), 2020; 267–
Edited Orthopaedic Chapters in:
Pearce’s Surgical Companion – Essential notes for postgraduate exams
TMF Publising May 2009 ISBN: 1903378486
Section editor and Author of Chapter in:
Hip Joint Restoration: Worldwide Advances in Arthroscopy, Arthroplasty, Osteotomy and Joint Preservation Surgery
Springer Science+Business Media LLC 2017
ISBN 978-1-4614-0693-8 ISBN 978-1-4614-0694-5 (eBook)
Chapter: UK and European Experience with Hip Arthroscopy
DOI 978-1-4614-0694-5_88, © 2017
Author of chapter entitled “Femoroplasty for anterior based Cam lesions” in:
Hip Surgery: Tricks of the trade
Thieme publishers. (in press)
Author of Chapter entitled “Labral Reconstruction” in:
Hip Preservation Surgery: Open, Arthroscopic, and Endoscopic Techniques
ISBN 978-3-662-61185-2 ISBN 978-3-662-61186-9 (eBook)
Chapter: Labral Reconstruction DOI 978-3-662-61186-9_15, © 2020
British Hip Society Newsletter, (BHS/BOA revalidation newsletter) 1 October 2019: Pages 18-19
Rotational abnormalities and their effect on the hip
British Hip Society Revalidation Spring Newsletter, 1 May 2020: Pages 70-73
Topic in Focus: Non-arthroplasty Hip Surgery – Illustrative cases
London Knee Meeting, 15th November 2004
The Medial Patellofemoral Ligament (MPFL) – and its relevance in the treatment of acute lateral patella dislocation
Combined Clinical Governance Meeting, RBH, 16th September 2005
Blood Conservation in Orthopaedic Surgery
OTC – UK Winter Trauma Meeting, Chamonix, 7th March 2007
Nailing for Proximal femoral fractures
1st Arthroscopic Hip Techniques International Course, Barcelona, 9th June 2007
- Why I Prefer the Supine Approach
- Overview of Femoroacetabular Impingement
OTC Nailing Course, Swansea, 19th – 20th July 2007
- IM nails for Periprosthetic Fractures
- Reaming in Polytrauma – Good or Bad
Danish Sports Medicine Meeting, Copenhagen, 1st February 2008
Hip Arthroscopy – What’s new
2nd Arthroscopic Hip Techniques International Course, Barcelona,
12 – 13th June 2008 Cam-Type FAI – Pathology and Treatment
Advanced Hip Arthroscopy Masterclass,
14th – 15th Aug 2008 Guy’s Hospital,
21st – 22nd May 2009 Guy’s Hospital,
30th – 31st July 2009 Royal College of Surgeons of Edinburgh,
11th February 2010 Guy’s Hospital,
8th – 9th July 2010, York
25-26th November 2010, York
Gaining Access to Central and Peripheral Compartments
Principles of hip Fracture Management, OTC, Nice, 20th – 22nd October 2008
- Epidemiology and Classification of Intertrochanteric Fractures
- Peri-prosthetic Fractures
Stryker Regional meeting – South West Orthopaedic Team
Royal Berkshire Conference Centre, Reading, 12th March 2009
Challenges in Orthopaedic Practice
Corail Registrar Training Course, Stratford,
29th April 2009, 18th November 2009, 21st April 2010, 20th October 2010
Preoperative Planning and Surgical Technique
14th April 2011 – 1 – Surgery – Preparation of the femur
– 2 – Removal of Corail Stem
Hip Arthroscopy – the New Frontier, Birmingham, 17th September 2010.
How I do a hip arthroscopy
ISHA – 2nd Annual Scientific Meeting, Cancun, Mexico, 8-9th October 2010.
Global Status of Hip Arthroscopy – Europe
Periarticular Hip arthroscopy Course, York Science Park 26th Nov 2010
The Snapping Hip
2011 International Masters Hip Arthroscopy Course, Surgical Skills Centre, York Science Park, 20-21st January 2011 (Course Director)
Diagnostic Workup for hip arthroscopy
Why I prefer the Supine Position
Arthroscopic Management of FAI
Doctor’s Update – Val D’Isere, France 30th Jan – 3rd February 2011
SICOT 25th Triennial World Congress, Prague, Czech Republic, 7th Sept 2011
Indications for Arthroscopic Surgery of the hip
Austrian Society of Hip Arthroscopy Meeting, Vienna, Austria 21st April 2012
The growth of hip arthroscopy in the UK and Europe – NHS perspectives and future directions.
Richard Villar School of Arthroscopy – Level 1 – Therapeutic Hip Course, 27-28th June 2012:
Operating theatre set-up and patient positioning (supine position)
British Hip Society meeting at the BOA Annual Scientific Meeting, Manchester, 12th September 2012:
Reading Plain Radiographs of the hip
Registrar Teaching Course, NOC, 3rd October 2013.
The Young Adult Hip
Solutions and Techniques: Hip Fracture Course, Selzach, Switzerland,15-17th October 2012:
Debate on Subcapital Fractures – the case for THR
Cementless THR for hip fractures
Pertrochanteric fractures – the use of IM nail
Periprosthetic fractures ,
Global Master’s Hip Arthroscopy Course, York Science Park, 2-3rd November 2012:
Iliopsoas and ITB release
St Mary’s Annual Meeting, Circle Reading Hospital, Reading, 16th November 2012:
The European Experience of Hip Arthroscopy
Richard Villar Therapeutic and Reconstructive Hip Arthroscopy Courses, 28-30th November 2012:
1- Operating theatre set-up, and patient positioning (supine position)
2- Acetabular labrectomy
3- How I handle the peripheral compartment
Richard Villar Therapeutic and Reconstructive Hip Arthroscopy Course, 14th June 2013.
1- How I handle the peripheral compartment
2- How I handle the central compartment
Naughton Dunn Meeting, Birmingham, 29th November 2013
European Experience of Hip Arthroscopy – a 100 year journey!
Vail Hip Symposium, Avon Colorado, 26th-28th March 2014
1-FAI Randomised controlled trial in the UK
2- Treatment of Cam Impingement
3- Clinical presentation of hip instability
Austrian Society of Hip Arthroscopy Meeting Vienna, Austria, 10th May 2014
Evidence for hip arthroscopy – NHS refunding!
ISHA – Annual Scientific Meeting, Rio de Janeiro, Brasil, 10th October 2014
Labral Management – Global Perspectives and techniques – The Bioraptor Knotless anchor.
ISHA – Annual Scientific Meeting, Rio de Janeiro, Brasil, 11th October 2014
1- Feasibility of performing a RCT for FAI surgery in the UK
2- The Iliotibial band: Evaluation, indications and technique of tendoplasty
The 3rd Hip and Groin Sports Injury Symposium, Whitfield Clinic, Waterford, Ireland 18th April 2015
An Overview of Femoroacetabular Impingement
ISHA – Annual Scientific Meeting, Cambridge, England, 24-26th September 2015
1- Global perspectives and techniques in labral management : Bioraptor Knotless
2- Surgical options for the snapping ITB
3- Basic Hip Arthroscopy: Supine position – central compartment first
Royal Society of Medicine – Early Intervention in Hip Surgery Meeting, RSM, London 4th November 2015
1 – How I deal with peritrochanteric pain syndrome
2 – Treatment of Cam impingement
Cambridge Hip Course, Evelyn Surgical Training Centre, Cambridge, 8-9th December 2015
1- Indications for arthroscopic surgery of the hip
2- Preparing the acetabulum (cemented and uncemented)
Melbourne Hip Meeting, 21-23rd January 2016
1- Which suture anchors I use and why
2- How should we treat the contralateral asymptomatic hip
3- Psoas tendon pathology – surgical treatment
4- FAIT study
5- Cam resection, cartilage repair, chondroplasty and microfracture
COMOC meeting Capetown, South Africa, 13-14th April 2016.
1- Hip Instability: Clinical presentation, capsular function and how to treat
2- FAIT Study – the femoroacetabular impingement trial
3- First 100 years of hip arthroscopy: a global perspective
Royal Society of Medicine – Early Intervention in Hip Surgery Meeting, RSM, London 2nd November 2016
1 – Peritrochanteric pain: Causes and my approach to management
2 – Labral grafting – technique and indications
3 – Pincer impingement: rim resection, labral detachment and refixation is needed
The Cambridge ESSKA Hip Arthroscopy Course 2017, Evelyn Surgical Training Centre, Cambridge, 24-25th January 2017
1 – Indications for hip arthroscopy
2 – Handling the cam lesions
3 – Labral reconstruction / grafting
4 – Evaluating and managing pain following hip arthroscopy
Totally Hip Meeting, Gothenburg 29-31st March 2017
1- FAI: aetiology and diagnosis
2- Imaging: Current algorithm
3- Surgical Technique – labral repair
4- Hip Arthroscopy: set-up and access
Egyptian Pelvis and Hip Society, Alexandria, 10-12th May 2017
1- Does Lumbar Arthrodesis compromise the outcome of hip arthroplasty
2- FAI and the role of hip arthroscopy
3- Hip arthroscopy: set-up and access
4- Peri-trochanteric pain: Causes and my approach to management
5- Surgical Technique – labral repair
Fortius International Sports Injury Conference, London, 27th – 28th September 2017
Peritrochanteric Pain: Conservative and surgical management
Annual Scientific Meeting of International Society for Hip Arthroscopy (ISHA), Santiago, Chile, 12 – 14th October 2017
1- Assessment of the adductors
2- Advances in imaging in young adult hip pathology
3- Assessment of the painful groin
4- Femoroacetabular Impingement Trial – preliminary results
Sports Injuries and Sports Orthopaedics, Royal Society of Medicine, London 17th January 2018
1- Peritrochanteric pain and indications for surgery
2- Labral repair and indications for labral grafting
London Hip Meeting, London, 12th April 2018
1- The FAIT Trial – an arthroscopic good news story!
2- How is the outcome hip joint arthroplasty affected by previous hip arthroscopy
18th ESSKA Congress, Glasgow, 9th – 12th May 2018
Speedlock for labral repair and labral grafting
3rd Insights – Evidence and Outcomes in Hip and Knee Arthroplasty, London, 21-23rd June 2018
1- The role of arthroscopy in the early degenerative hip
2- The posterior approach to the hip
Cambridge Hip Arthroscopy Course, Watford, 3rd – 4th July 2018
1- Indications for arthroscopic surgery of the hip
2- Labral reconstruction / grafting
Connected Orthopaedics Conference, Huntington Beach, 14-15th September2018
Contemporary challenges for a British THA surgeon
BOA – BHS revalidation session, ICC Birmingham, 26th September 2018
Updating your clinical examination of the hip
ISHA Annual Scientific Meeting, Melbourne, Australia, 4-6th October 2018
1- FAIT – the Femoroacetabular impingement trial
2- Mi-eye 2 in the hip – early experience
3- Capsular management: How I manage without a formal capsulotomy
4- Labral repair or reconstruction: indications and results
5- Case studies in labral preservation
Early Intervention in hip surgery 2018, The Royal Society of Medicine, 14th November 2018
1- Hip Arthroscopy: Current indications and evolution of technique
2- The labrum: from debridement to repair and reconstruction
3- Peritrochanteric pain syndrome: the role of surgery
Vail Hip Symposium, Vail, Colorado, USA 10-12th January 2019
Radiographic pearls and patient selection for hip arthroscopy
British Hip Society, Nottingham, 27th February – 1st March 2019
1- Rotational deformities and their effect on the hip
2- Your hip one company
The London Hip Meeting, London, 3rd April 2019
1- The use of the “Mi-Eye 2” in the hip
2- The influence of rotational abnormalities on the hip
The Cambridge Hip Arthroscopy Course (ESSKA), Croxley Park, Watford, Herts, 16-17th July 2019
1- Indications for hip arthroscopy
2- Labral reconstruction
South African Orthopaedic Association Meeting, Durban, South Africa. 3-6th September 2019
1- FAIT – the Femoroacetabular Impingement Trial
2- The Labrum – from debridement to repair and reconstruction
3- The use of mi-eye 2 in the hip
4- NAHR – The Non-Arthroplasty Hip Registry
5- Rotational deformities and their effect on the hip
The BOA – BHS revalidation session, ACC Liverpool, 11th September 2019
An illustrative case of femoral malversion presenting as hip pain
ISHA Annual Scientific Meeting, Madrid, Spain, 17-19th October 2019
1- FAIT – the Femoroacetabular Impingement Trial
2- Labral reconstruction debate – in the defense
New Realities in Hip Arthroplasty Dinner, We the Curious, Bristol, 26th Nov 2019
OPS Overview: My experience and the future
SICOT, Muscat, Oman, 5Th December 2019
1- Rotational deformities and their effect on the hip
2- Labral repair video (10 minutes)
3- Tips and Tricks to avoid complications (with hip arthroscopy)
SFA, Rennes, France, 13th December 2019
1- FAIT – the Femoroacetabular Impingement Trial
2- The Labrum: Reconstruction– indications and technique
Vail Hip Symposium, Vail, Colorado, USA 9-11th January 2020
Factors associated with outcomes for surgery vs rehab for FAI