About Graham
Graham Keene is a Consultant Orthopaedic Surgeon, specialising in many aspects of hip and knee surgery. He has a particular interest in hip replacement surgery, hip resurfacing surgery, knee replacement surgery, hip revision replacement surgery and arthroscopic surgery of the hip and knee. He also undertakes some trauma surgery, especially for fractures around the hip.
He qualified as a Doctor in 1987 from St Thomas’s Hospital in London and did his basic surgical training in the Southeast, being awarded the FRCS in 1991. Following this he undertook his higher surgical training in trauma and orthopaedic surgery on the East Anglian program and was awarded the FRCS (Orth) in 1995.
Graham undertook a one-year specialist Hip Reconstruction Surgery Fellowship in 1996/7 at the Royal Adelaide Hospital in South Australia. At this world-renowned academic institution he worked mostly with Prof Don Howie and Prof Steve Graves. This gave him extensive exposure to complex primary and revision hip and knee replacement surgery, as well as an insight into further research and outcome measures.
He was appointed to Addenbrooke’s Hospital as a Consulant Orthopaedic Surgeon in 1998.
As a consultant, he has since undertaken over 9,500 surgical procedures, including over 4,500 hip replacement, resurfacing hip replacement and revision hip replacement procedures and over 600 knee replacements. Joint replacement surgery may be for joint pain & stiffness, OA, osteoarthritis, RA, rheumatoid arthritis, psoriatic arthritis, psoriasis, inflammatory arthritis, etc., affecting the hip or knee. His clinical interests are especially lower limb reconstructive surgery; this includes hip and knee arthroplasty (hip replacement, hip resurfacing, hip revision replacement and knee replacement) and arthroscopic (key hole) surgery for the hip and knee.
Graham has been using the Stryker MAKO robotic arm for robotically assisted hip surgery since 2018 and knee surgery since 2020. This technique is available at both the Cambridge Nuffield Hospital and Spire Cambridge lea Hospital He typically undertakes cemented hip replacements, with an Exeter or CPT stem, or an hybrid replacement using the Trident or Trilogy cup and a ceramic head. (Implants Manufactured by Stryker and Zimmer.)
Graham has experience with hip resurfacing and uses the Adept Hip Resurfacing and Birmingham Hip Resurfacing.
Graham practices at Addenbrooke’s Hospital in Cambridge, The Cambridge Nuffield Hospital and Cambridge Lea Hospital. His private clinics are on a Tuesday afternoon and Thursday morning, but some additional times are available if necessary.
Professional bodies:
- British Orthopaedic Association
- British Hip Society
- British Association for Surgery of the Knee
- Royal College of Surgeons of England
- GMC number: 3257410
Specialties:
- Hip replacement and hip resurfacing surgery
- Hip revision surgery
- Hip arthroscopic surgery
- Knee arthroscopic surgery
- Knee replacement surgery
- General trauma surgery
- Young adult hips
Specific Interests
My outcome data for joint replacement surgery is recorded on the National Joint Registry. My revision rate for hip replacement surgery is below the 99.8% centile, with 14 revisions recorded against an expected 33 to March 2020 in the 1799 recorded hip replacement procedures for the past 10 years. My revision rate for knee replacement surgery is just above the 95% centile, with 8 revisions recorded against an expected 7 to March 2020 in the 403 primary knee replacement procedures for the past 10 years. My 90-day surgery risk adjusted mortality rate for hip surgery is below the national average and for knee surgery equals the national average.
Most joint replacement surgery is for arthritis – osteoarthritis, rheumatoid arthritis, psoriatic arthritis, post-traumatic arthritis, etc. With his colleagues in the Addenbrooke’s Lysosomal Disorders Unit, he undertakes surgery for patients with Gaucher Disease. With his colleagues in the Ophthalmology Department, he undertakes surgery for patients with Stickler Syndrome. He also sees many patients, young and mature, with avascular necrosis (AVN), often associated with chronic liver or kidney disease, or following treatment for leukaemia/lymphoma.
Teaching and Research: Graham has been involved in education, instruction and teaching throughout his professional career, from medical student teaching, to directing ATLS Courses, to presenting research at national and international orthopaedic meetings, teaching orthopaedic specialist registrars, physios, medical students, etc.
Graham has an extensive research portfolio in clinical practice, covering a wide range of arthroplasty (joint replacement) and trauma related topics. This includes some 80-90 published papers, abstracts, presentations, posters, videos, etc. Graham has written some book chapters and was the lead author and editor of Key Topics in Orthopaedic Trauma Surgery.
Graham lives just outside Cambridge with his wife Shona. His interests include classic cars, golf and skiing.
Areas of interest:
- Hip disorders
- Hip pain
- Hip manipulation and injection
- Hip replacement surgery
- Hip resurfacing replacement surgery, the Birmingham Hip and the Adept Hip
- Hip revision replacement surgery
- Hip preservation surgery
- Arthroscopy or arthroscopic hip surgery for femoroacetabular impingement FAI and labral tears
- Hip clicking, tendon clicking, bursitis
- Knee disorders
- Knee pain
- Arthroscopic knee surgery
- Meniscal tears
- Meniscus tears
- Anterior knee pain
- Knee replacement surgery
- Trauma
- Sports injuries
- Medico-legal reporting
- Leg pain
- Cartilage repair
- Revision surgery (orthopaedic)
- Joint injection
- Joint replacement
- Arthroscopy
- Osteoarthritis
- Rheumatoid arthritis
- Psoriatic arthritis
- Gaucher’s syndrome
- Stickler’s syndrome
- Inflammatory arthritis