EXPERIENCE
Jul 2015 – Mar 2017
Consultant
Royal Liverpool & Broadgreen University Hospitals, Liverpool
Tumours, Arthroplasty & Adult Reconstruction
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Aug 2014 – Jul 2015
Post CCT Fellowship
Royal Liverpool & Broadgreen University Hospitals, Liverpool
Lower Limb Arthroplasty & Adult Reconstructive surgery
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Apr 2013 – Oct 2013
OOP Fellowship
Royal National Orthopaedic Hospital, Stanmore
Musculoskeletal Tumours & Arthroplasty
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Aug 2008 – Aug 2014
Specialty Registrar
Orthopaedic Rotation – Higher Surgical training
Trauma & Orthopaedics, Liverpool
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Aug 2004 – Aug 2008
Basic Surgical Training
Royal Orthopaedic Hospital, Birmingham
Royal Liverpool Childrens’ Hospital, Liverpool
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Jul 2002 –Jul 2003
House Officer
Rotation – Medicine, Surgery, OBG
KIMS Hospital & Research Centre, Bangalore
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CONSULTANT
Consultant Tumours, Arthroplasty & Adult Reconstruction
(Jul 2015 – Mar 2017)
Royal Liverpool & Broadgreen University Hospital
My practice as a consultant is predominantly with primary and revision Arthroplasty, musculoskeletal tumours and arthroscopic surgery. I also have special interest in complex trauma, periprosthetic fractures and periarticular fractures. My current focus is on developing strategies for our hospital to constantly improve the patient experience and patient reported outcomes in joint replacement surgery.
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FELLOWSHIPS
1. Arthroplasty Fellowship Lower limb Arthroplasty & Adult reconstruction
(Aug 2014 – Aug 2015)
Royal Liverpool & Broadgreen University Hospital
Royal Liverpool & Broadgreen is one of the country’s busiest units with a huge revision arthroplasty burden from the failing metal on metal hip replacements. Apart from independent operating and out-patient clinics, I have gained a lot of experience on the management and teaching front which will stand me in good stead for the future. This fellowship has provided me with an extensive experience in revision hip Arthroplasty and hip arthroscopy, apart from large volume complex primary hip replacements. The job has also refined my clinical skills and knowledge in managing metastatic bone disease and complex trauma including periprosthetic fractures.
2. Tumour Fellowship Musculoskeletal Tumours & Arthroplasty
(Apr 2013 – Oct 2013)
Royal National Orthopaedic Hospital, Stanmore
RNOH, Stanmore is one of the premier hospitals in the world of musculoskeletal oncology. The weekly multidisciplinary meeting discussed well over 150 tertiary referrals every week. I gained valuable experience in operative and non-operative management of primary and secondary musculoskeletal tumours. I interacted regularly with the design engineers of custom-made tumour prosthesis. I understand the issues and logistics behind setting up a musculoskeletal tumour unit.
3. BOTA Travelling Fellow Orthopaedic Oncology
(Apr 2013 – Oct 2013)
Tata Memorial Hospital, Mumbai
The travelling fellowship award provided me with a great opportunity to visit one of the finest cancer centres in the world. The set up in Mumbai has given me a great insight into providing evidence-based health care in a cost effective manner.
PUBLICATIONS
1. Blood Metal Ion Levels Have Limited Utility in the Surveillance of Asymptomatic Large-Head Metal-on-Metal Total Hip Arthroplasties.
Kiran M, Shivarathre D, Peter VK.
J Arthroplasty 2017; (online first, ahead of print)
2. Incidence of impingement and osteochondral lesions in chronic lateral ankle instability – an arthroscopic study.
Shivarathre DG, Odak S, Mahmood A, Hennessey M, Platt S
Foot Ankle Int. 2015 – in press
3. Psychological factors and personality traits associated with patients in chronic foot and ankle pain
Shivarathre DG, Howard N, Krishna S, Cowan C, Platt S
Foot Ankle Int. 2014 Nov; 35(11):1103-7
4. Anterior Cruciate ligament graft choices – A review of current concepts
Dheerendra SK, Khan WS, Singhal R, Shivarathre DG, Pydisetty R, Johnstone D.
Open Orthop J. 2012; 6:281-6.
5. Operative fixation of unstable ankle fractures in patients aged over 80 years
Shivarathre DG, P Chandran, SR Platt
Foot Ankle Int. 2011 Jun; 32 (6):599-602.
6. Uncemented vs Cemented Thompson hemiarthroplasty – postoperative morbidity and mortality
Kankanala G, Shivarathre DG, Pidikiti P
Journal of Orthopaedics, Trauma and Rehabilitation 2011 Dec (15): 47-50
7. Correction of knee flexion contractures in children using the guided growth
Shariff R, Shivarathre DG, , Khan A, Bass A, Sampath J
J Orth Surg 2011; 8 (3): 11
8. Outcome of the scarf osteotomy in adolescent hallux valgus.
George HL, Casaletto J, Unnikrishnan PN, Shivratri DG, James LA, Bass A, Bruce CE.
J Child Orthop. 2009 Jun; 3(3):185-90
9. Epidemiology of Acute Haematogenous Osteomyelitis in Children – A single unit’s experience over three different time-periods
Shivarathre DG, Kaima N, George H, James L
Acta Orthopaedica Belg 2009 Feb; 75(1):81-6.
10. Management of closed humeral shaft fracture with radial nerve palsy- A
survey of Consultants’ approach in North England
Shivarathre DG , Dheerendra SK, Bari A, Muddu BN
Surgeon 2008 Apr;6(2):76-8
11. Lateral radiographs in fracture neck of femur – Is it a ritual?
Dheerendra SK , Shivarathre DG, Bari MA, Muddu BN
Eur J Trauma Emerg Surg 2008;34:504–7
12. Inferior dislocation of patella after total knee replacement – A case report
Shivarathre DG, Keys GW
J Knee Surg J Knee Surg. 2013 Dec; 26
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PROCEEDINGS
1. Outcomes following revision of large diameter metal on metal THR for adverse local tissue reaction
DG Shivarathre, C Croitoru, S Dhotare, F Rashid, C Armstrong, B Kapoor, V Peter
Bone Joint J Jun 2016, 98-B (SUPP 13) 13
2. Complications associated with parallel plating technique for the operative treatment of complex distal humeral fractures.
Clifford R, Shivarathre DG, Bidwai, Guisasola
International Journal of Surgery 2014 Nov (12), S65
3. Infection in elective shoulder surgery
Clifford R, Shivarathre DG, Bidwai A, Kent M, Smith M, Brownson P, Guisasola
International Journal of Surgery 2014 Nov (12), S64–S65
4. Pre operative Ferritin estimation is important in children with cerebral palsy.
PN Unnikrishnan, HL George, D Shivarathre, A Bass, J Sampath
Orthopaedic Proceedings July 2011 93-B: 288-289
5. Operative fixation of unstable ankle fractures in patients aged over 80 years
D Shivarathre, P Chandran, SR Platt
J Bone Joint Surg Br Proceedings, Oct 2010; 92-B: 590 – 591
6. Revision Total Knee Arthroplasty with Co-ordinate Ultra prosthesis: Medium
term results (minimum of 5 years follow up)
PK Mereddy, S Hakkalamani , D Shivarathre, RW Parkinson
J Bone Joint Surg Br Proceedings, May 2010; 92-B: 325
7. Intramedullary fixation following diaphyseal derotational osteotomy in
children – a preliminary report
D Shivarathre, R Shariff, J Sampath, A Bass
J Bone Joint Surg Br Proceedings, May 2009; 91-B: 215.
8. Epidemiology of acute haematogenous osteomyelitis in children – The
Alder Hey Experience
D Shivarathre, , N Kaimal, H George, L James C Bruce
J Bone Joint Surg Br Proceedings, May 2009; 91-B: 213.
9. 8 plate epiphysiodesis in fixed knee flexion deformity – a preliminary report
R Shariff, D Shivarathre, J Sampath, A Bass
J Bone & Joint Surg Br Proceedings – 2008; 90(B) Supp 3: 520
10. Management of long term complications following trapeziectomy
D Shivarathre, J Fischer, D Quinton
J Bone & Joint Surg (Br) Proceedings July 2011 93-B: 301
11. Percutaneous limited fixation of 3-4 part fractures of proximal humerus –
a prospective study of a new technique.
D Shivarathre, M Agarwal, BB Peravali, BN Muddu
J Bone Joint Surg Br Proceedings, Jul 2008; 90-B: 356.
12. Scarf Osteotomy in Adolescent Hallux Valgus
L James, H George, D Shivarathre, A Bass, C Bruce
Journal of Children's Orthopaedics- Vol.1, Suppl. 1 / March, 2007
13. Metacarpal Fractures – Comparison of 3 treatment methods
M.Snow, S Hakkal, D Shivarathre, BN Muddu
European Journal of Trauma- Vol. 30(1) May 2004:18
PRESENTATIONS
1. Medium term results following large diameter metal on metal total hip replacements
D Shivarathre, S Dhotare, S Odak, C Armstrong, B Kapoor, V Peter
Awarded Jacques-Duparc Award at EFORT Annual meeting, Geneva Jun 2016
Presentation - European hip society, Stockholm Oct 2014
2. Outcomes following revision of large diameter metal on metal THR for adverse local
tissue reaction
DG Shivarathre, C Croitoru, S Dhotare, F Rashid, C Armstrong, B Kapoor, V Peter
Presentation - EFORT Annual meeting, Geneva 2016
Presentation - Indian Orthopaedic society, UK, Liverpool Jul 2015
3. Does the taper contact length influence the incidence of adverse local tissue reaction
in patients with large diameter metal on metal total hip replacements?
S Dhotare, DG Shivarathre, C Croitoru, F Rashid, C Armstrong, B Kapoor, V Peter
Poster Presentation - EFORT Annual meeting, Geneva 2016
4. Infection in elective shoulder surgery
R Clifford, D Shivarathre, A Bidwai, M Kent, M Smith, PB Brownson, I Guisasola
Poster Presentation - Annual Oxford Bone infection conference, April 2014
5. Psychological factors and personality traits associated with patients in chronic
foot and ankle pain
Nominated for AOFAS Goldner award 2013
D Shivarathre, N Howard, S Krishna, S Platt
Presentation - American Orthopaedic Foot & Ankle Society, Florida, July 2013
6. Mini invasive stabilisation of the MPFL for chronic patellofemoral instability
N Rahmatullah, P Chandran, D Shivarathre, J Stamer
Poster Presentation - British Association of Knee Surgery, Derby, March 2012
Presentation - EFORT Annual Congress, London, Jun 2014
7. Diagnostic value of Neutrophil- Lymphocyte Ratio in soft tissue sarcoma
D Shivarathre, K Rushton, S Dheerendra, I Idowu, CR Chandrashekar, Q Yin
Poster Presentation - British Sarcoma Group - Annual Meet, Oxford, Nov 2011
8. Arthroscopic and MRI findings in chronic anterolateral instability of ankle
D Shivarathre, A Mahmood, SR Platt
Presentation - BOFAS meeting, Nottingham, Nov 2010
Presentation - EFORT Annual Congress, Copenhagen, Jun 2011
9. Operative fixation of unstable ankle fractures in patients aged over 80 years
D Shivarathre, P Chandran, SR Platt
Presentation - BOFAS meeting, Liverpool, Nov 2008
Presentation - EFORT Annual Congress, Vienna, Jun 2009
Presentation - BOA Annual Congress, Manchester, Sep 2009
Presentation - American Orthopaedic Foot & Ankle society, Baltimore – Jul 2010
10. Management of long term complications of trapeziectomy
D Shivarathre, J Fischer, D Quinton
Presentation - BOA Annual Congress, Manchester, Sep 2009
Poster Presentation - EFORT Annual Congress, Vienna, Jun 2009
11. Scarf osteotomy in adolescent hallux valgus
L James, H George, D Shivarathre, A Bass, C Bruce
Presentation - European Paediatric Orthopaedic Society, Sorrento, April 2007
Presentation - EFORT Annual Congress, Vienna, Jun 2009
Poster Presentation - BOA Annual Congress, Manchester, Sep 2009
12. Patient compliance in postoperative splintage following Duputyens fasciectomy
J Fischer, D Shivarathre, R Rhees, A Morris, A Simison
Poster Presentation – EFORT Annual Congress, Vienna, Jun 2009
13. Pre –operative ferritin estimation is important in children with cerebral palsy.
PN Unnikrishnan, HL George, D Shivarathre, A Bass, J Sampath
Presentation - BOA Annual Congress, Manchester, Sep 2009
14. Epidemiology of acute haematogenous osteomyelitis in children – The AlderHey Experience
D Shivarathre, N Kaimal, H George, L James C Bruce
Presentation - British Society of Children’s Orthopaedic Surgeons, Glasgow, Jun 2007
Poster Presentation - EFORT meeting, Nice, May 2008
15. Long term follow up of Ethibloc injection into Aneurysmal Bone cysts
HL George, Y Joshi, N Garg, D Shivarathre, C Bruce
Presentation - Paediatric Orthopaedic Society of North America, USA, May 2008
16. Revision Total Knee Arthroplasty with Co-ordinate Ultra prosthesis: Medium term
results (minimum of 5 years follow up)
PK Mereddy, S Hakkalamani, D Shivarathre, RW Parkinson
Presentation - EFORT meeting, Nice, May 2008
Presentation - BOA Annual Congress, Liverpool 2008
17. Surgical site marking – Re audit of practice
D Shivarathre, U Ahmad, J Stamer
Presentation - Royal College Audit Symposium, Edinburgh, March 2008
18. Femoral diaphyseal derotational osteotomy followed by intramedullary nailing in cerebral palsy
D Shivarathre, R Shariff, J Sampath, A Bass
Presentation - British society of surgeons for cerebral palsy, Birmingham, Nov 2007
Poster Presentation - European Paediatric Orthopaedic Society, Sorrento, April 2007
Presentation - British Society of Children’s Orthopaedic Surgeons, Glasgow, Jun 2007
19. 8 plate epiphysiodesis – a preliminary report
R Shariff, D Shivarathre, J Sampath, A Bass
Presentation - British Society of Children’s Orthopaedic Surgeons, Newcastle Jan 2007
Presentation - European Paediatric Orthopaedic Society, Sorrento, April 2007
20. Percutaneous limited fixation of 3-4 part fractures of proximal humerus – A
prospective study of new technique
D Shivarathre, M Agarwal, BB Peravali, BN Muddu
Poster Presentation - British Elbow & Shoulder Society Annual, Edinburgh, May 2006
Presentation - European Society for Surgery of Shoulder and Elbow, Athens, Sep 2006
21. The radiographic and clinical outcome of immediate acetabular lucency in Birmingham hip resurfacing.
Is failing to fully seat the acetabular component a problem?
D Shivarathre, PB Pynsent, E Davies
Presentation - Naughton Dunn Regional Orthopaedic Meet, Birmingham, May 2006
22. Management of closed humeral shaft fracture with radial nerve palsy- A survey
of Consultants’ approach in North England
D Shivarathre, SK Dheerendra, BN Muddu
Poster Presentation - International Society for Fracture Repair, Adelaide, May 2006
Poster Presentation - European Society for Surgery of Shoulder and Elbow, Athens, Sep 2006
23. Metacarpal Fractures – Comparison of 3 treatment methods
M.Snow, S Hakkal, D Shivarathre, BN Muddu
Presentation - European Trauma Meet, Prague 2004
Presentation - British Trauma Society Meet, London 2004
