Mr Pedro Foguet F.R.C.S. (Ed), F.R.C.S. (T&O) Consultant Orthopaedic Surgeon
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<h3>Mr PEDRO FOGUET, FRCS ED, FRCS T&O, Consultant Orthopaedic Surgeon, Specialist in Lower Limb Reconstruction</h3> <b>I work at University Hospital Coventry and Warwickshire NHS Trust and privately at BMI The Meriden, Coventry, part of Circle Health Group and at the Nuffield Health Warwickshire Hospital in Leamington Spa.</n> I qualified as a doctor in Barcelona and came to the UK in 1993. Here I underwent basic surgical training and subsequently specialist training in Trauma & Orthopaedics in the West Midlands region. I was appointed as a Consultant Orthopaedic Surgeon to University Hospital Coventry and Warwickshire (UHCW) NHS Trust in 2003. Before becoming a Consultant I did a Fellowship in lower limb reconstruction at the Nuffield Orthopaedic Centre in Oxford. I am a high volume lower limb arthroplasty surgeon (hip and knee surgeon) performing hundreds of primary and revision hip and knee replacements every year. Over the last decade I have been performing between 3 and 4 times the number operations than the average lower limb replacement surgeon in the UK, please Read More Here. In the field of hip replacement I do primary and revision surgery, I utilise both cemented and uncemented hips and I tend to use ceramic bearings for most of my cases. I am also familiar with most commonly used approaches to the hip including anterior, antero-lateral, posterior and Superpath and this gives me the flexibility to chose the right type of hip replacement, bearings and approach for each individual patient on the basis of his/her expectations, age and bone quality. Because over the years I have treated lots of patients referred to me with failed hip and knee replacements, I have developed a clear understanding of what worked and particularly of what did not work for these patients and I believe that this has made me a better surgeon. I have a special interest in failed Metal on Metal hip replacements and Resurfacings and some years ago I started a "Groin Pain" clinic at UHCW NHS Trust where I monitor, investigate and treat these patients. A big proportion of my earlier clinical research has been on this subject. My other main area of interest has been the management of infected hip and knee replacements. Ten years ago I started a multi-disciplinary musculoskeletal infection group at UHCW that is currently well established and has lead to our Trust becoming the regional hub for the management of prosthetic joint infection accepting referrals from all the neighboring hospitals. My biggest contribution to the group was the introduction of one-stage revisions for infected hip and knee replacements. Most of my most recent research has been devoted to prosthetic joint infections. I am currently involved in the development and implementation of an innovative way of improving the orientation of the hip replacement components based on pre-operative CT scans and X rays taken with the pelvis in different functional positions. This takes into account the fact that the pelvis is not a static structure but a mobile one that tilts forwards and backwards with movements such as rising from a sitting position or standing on one leg. This “dynamic” modeling of a planned hip replacement should minimize the risk of edge loading and impingement in this way prolonging the survival of the prosthesis and reducing the risk of complications such as dislocation. Read More Here. As a consultant in a teaching hospital I am continuously involved in the teaching and training of medical students and junior doctors. In addition, for the last few years I have been running a very successful fellowship on lower limb reconstruction and I regularly entertain overseas visiting surgeons coming to observe my practice for short periods of time that can range from one day to 6 weeks. I am an Honorary Associate Clinical Professor at the University of Warwick. Among other commitments I am the co-leader of the module "Managing Lower Limb Pain" that is part of a Masters in Medical Sciences run by the University and the co-convenor of the "Cadaveric Hip and Knee Surgery Courses" that form part of a series of cadaveric courses organized by Warwick Orthopaedics and the University of Warwick. Over the years I have presented at many meetings, both nationally and internationally, and I have been the author or the co-author of a number of scientific papers published in high profile, peer reviewed, Orthopaedic journals. Read More Here. I am married to Nuria, who is a GP, with whom I share three children. My family represents my biggest passion outside medicine my other interests being history and travelling.
| Work Days | Monday Tuesday Wednesday Thursday Friday |
Mr PEDRO FOGUET, FRCS ED, FRCS T&O, Consultant Orthopaedic Surgeon, Specialist in Lower Limb Reconstruction
I work at University Hospital Coventry and Warwickshire NHS Trust and privately at BMI The Meriden, Coventry, part of Circle Health Group and at the Nuffield Health Warwickshire Hospital in Leamington Spa
I qualified as a doctor in Barcelona and came to the UK in 1993. Here I underwent basic surgical training and subsequently specialist training in Trauma & Orthopaedics in the West Midlands region. I was appointed as a consultant orthopaedic surgeon to University Hospital Coventry and Warwickshire (UHCW) NHS Trust in 2003.
Before becoming a consultant, I completed a Fellowship in lower limb reconstruction at the prestigious Nuffield Orthopaedic Centre in Oxford.
I am a high-volume lower limb arthroplasty surgeon (hip and knee surgeon) performing hundreds of primary and revision hip and knee replacements every year. Over the last two decades I have been performing between 3 and 4 times the number operations than the average lower limb replacement surgeon in the UK, please Read More Here.
Because over time I have treated lots of patients referred to me with failed hip and knee replacements requiring revisions, I have developed a clear understanding of what worked and particularly of what did not work for these patients, and I believe that this has made me a better surgeon.
I have a special interest in failed Metal on Metal hip replacements and Resurfacings and some years ago I started a “Groin Pain” clinic at UHCW NHS Trust where I monitor, investigate, and treat these patients. A big proportion of my earlier clinical research has been on this subject.
My other main area of interest has been the management of infected hip and knee replacements. Fifteen years ago, I started a multi-disciplinary musculoskeletal infection group at UHCW that is currently well established and has led to our Trust becoming the regional hub for the management of peri-prosthetic joint infection (PJI) accepting referrals from all the neighbouring hospitals.
Most of my most recent research has been devoted to prosthetic joint infections. Furthermore, through my involvement in the management of PJI I became the chair of the working group assembled with the purpose of forming a British Bone and Joint Infection Society (BAJIS), that went live in June 2023, and of which I have become the first Vice President.
University Hospital Coventry and Warwickshire NHS Trust is a Major Trauma Centre and has been recently designated a Major Revision Centre for knees. I am the current clinical lead of the Major Revision Centre.
As a consultant in a teaching hospital, I am continuously involved in the teaching and training of medical students and junior doctors. In addition, for the last 15 years I have been running a very successful fellowship on lower limb reconstruction.
Throughout my career I have been the author and co-author of a significant number of scientific papers published in high profile, peer reviewed, Orthopaedic journals; and I have lectured and presented at many meetings, both nationally and internationally.
Memberships
BOA (British Orthopaedic Association)
BHS (British Hip Society)
BASK (British Association of Surgery of the Knee)
BAJIS (British Bone and Joint Infection Society)
EBJIS (European Bone and Joint Infection Society)
SECCA (Spanish Hip Society)
Girdlestone Society, Oxford
Naughton Dunn Society, Birmingham
SELECTED PUBLICATIONS
The blood flow to the femoral head/neck junction during resurfacing arthroplasty: a comparison of two approaches using Laser Doppler Flowmetry
Amarasekera HW, Costa ML, Foguet P, Krikler SJ, Prakash U, Griffin DR.
JBJS B 2008 Apr; 90(4):442-5.
Femoral Neck Fractures after Hip Resurfacing
RT Steffen, P Foguet, P McLardy-Smith, S Krikler, R Gundle, DW Murray. Journal of Arthroplasty 2009 June; 24 (4): 614-619
Narrowing of the femoral neck after resurfacing arthroplasty of the hip: a comparison of cemented and uncemented femoral components
Kevin Ho, James Beazley, Nick Parsons, Matthew Costa, Pedro Foguet
Hip International 2010 December 14; 20 (4): 542-46
Changing prophylactic antibiotic protocol for reducing Clostridium Difficile-associated diarrhoeal infections
Waleed Al-Obaydi, Chris Smith, P Foguet
J Orthop Surg & Research. 2010 Dec; 18(3):320-3
Metal-on-metal hip resurfacing with uncemented fixation of the femoral component. A minimum of 2 years follow up.
P Hull, J Baxter, C Lewis, G Kordas, P Foguet, U Prakash
Hip International, Hip Int. 2011 Jul-Aug;21(4):475-8
Femoral neck narrowing following hip resurfacing using posterior and Ganz approaches at two years
Deans VM, Ho KW, Prakash U, Parsons N, Griffin DR, Foguet P
Hip International, Hip Int. 2011 Sep;21(5):596-601
Groin pain following hip resurfacing. A case control study
McArthur JR, Costa M, Griffin DR, Krikler SJ, Parsons N, Foguet PR
Hip International, Hip Int. 2011 Sep;21(5):602-9
Costa ML, Achten J, Parsons NR, Edlin RP, Foguet P, Prakash U, Griffin DR
BMJ. 2012 Apr.
Assessment of cup orientation in hip resurfacing: a comparison of Traumacad and computed tomography
Westacott, McArthur, King, Foguet
J Orthop Surg & Research 8 (1); 8. April 2013
Masters JP, Smith NA, Foguet P, Reed M, Parsons H, Sprowson AP.
BMC Musculoskelet Disord. 2013 Jul 29;14: 222.
Sensitivities, Specificities, and predictive Values of Microbiological Culture Techniques for the Diagnosis of Prosthetic Joint Infection
Jordan RW, Smith NA, Saithna A, Sprowson AP, Foguet P
BioMed Research International. 2014. Volume 2014, Article ID 180416, 5 pages
A case series of 35 revisions for adverse reactions to metal debris following Cormet hip resurfacing
Norris RJ, McArthrur J, Parsons H, smith NA, Sprowson AP, Foguet P
Hip International 2014, Dec; 24(6): 575-81
The incidence of post-operative urinary retention in patients undergoing elective hip and knee arthroplasty
Fernandez M, Karthikeyan S, Wyse M, Foguet P
Ann R Coll Surg Eng. 2014 Sep; 96(6):462-5
Does intraoperative tissue sample enrichment help or hinder the identification of microorganisms in prosthetic joint infection?
Jordan RW, Saithna A, Smith NA, Norris RJ, Sprowson AP, Foguet P
Eur J Orthop Surg Traumatol. 2015 May (4) 731-36
The Promising Role of Dynamic 18F-NaF PET-CT in Diagnosing Symptomatic Joint Prosthesis
Adesanya O, Foguet P, Hutchinson C
Integrative Biomed Sci, 1(2): 64-69 (2015) doi: 10.18314/gjbs.v1i2.40
Investigation of Taper Failure in a Contemporary Metal-on-Metal Hip Arthroplasty System Through Examination of Unused and Explanted Prosthesis
Langdon D, Ahmed I, Avery P, Bone M, Cooke N, Deehan D, Duffy D, Foguet P et al
J Bone Joint Surg Am. 2017 Mar 1; 99 (5): 427-36
Costa ML, Achten J, Foguet P, Parsons NR; Young Adult Hip Arthroplasty team.
BMJ Open. 2018 Mar 12;8(3):e018849. doi: 10.1136/bmjopen-2017-018849. PMID: 29530907
Hip and Knee Section, Diagnosis, Algorithm: Proceedings of International Consensus on Orthopaedic Infections
Abdel Karim M, Andrawis J, Bengoa F, Bracho C, Compagnoni R, Cross M, Danoff J, Della Valle CJ, Foguet P, Fraguas T, Gehrke T, Goswami K, Guerra E, Ha YC, Klaber I, Komnos G, Lachiewicz P, Lausmann C, Levine B, Leyton-Mange A, McArthur BA, Mihalič R, Neyt J, Nuñez J, Nunziato C, Parvizi J, Perka C, Reisener MJ, Rocha CH, Schweitzer D, Shivji F, Shohat N, Sierra RJ, Suleiman L, Tan TL, Vasquez J, Ward D, Wolf M, Zahar A.
J Arthroplasty. 2019 Feb; 34(2S): S339- S350
Hip and Knee Section, Treatment, One Stage Exchange: Proceedings of International Consensus on Orthopaedic Infections
Bialecki J, Bucsi L, Fernando N, Foguet P, Guo S, Haddad F, Hansen E, Janvari K, Jones S, Keogh P, McHale S, Molloy R, Morgan-Jones R, Ohlmeier M, Saldaña A, Toms A, Walker R, Zahar A.
J Arthroplasty. 2019 Feb; 34(2S): S421- S426
Risk factors associated with revision for peri-prosthetic joint infection following knee replacement: an observational cohort study from England and Wales
Lenguerrand E, Whitehouse MR, Beswick AD, Kunutsor SK, Foguet P, Porter M, Blom AW; National Joint Registry for England, Wales, Northern Ireland and the Isle of Man.
Lancet Infect Dis. 2019 Jun; 19(6): 589-600
Culture negative peri-prosthetic joint infections.
Palan J, Nolan C, Sarantos K, Westerman R, King R, Foguet P
EFORT Open Reviews. 2019 Oct: 4 (10): 585- 594. Published online 2019 Oct 7
The Bone and Joint Infection Registry (BAJIR) and its role in supporting the Bone and Joint Infection MDT at our institution
Petrie M, Foguet P
JTO. Volume 09. Issue 3. September 2021
Does Functional Planning, 3D Templating and Patient Specific Instrumentation Improve Accuracy in Total Hip Replacement? A Randomised Controlled Trial
Vatsal Gupta, Christopher Thomas, Helen Parsons, Andrew Metcalfe, Pedro Foguet, Richard King. Arthroplasty. 2022 Oct 2; 4 (1): 43
Sahemey R, Ridha A, Stephens A, Farhan-Alanie MM, Kozdryk J, Riemer B, Foguet P. Arthroplasty. 2024 Jan 9;6(1):4.
SELECTED PRESENTATIONS & LECTURES
Blood metal ion levels predict local soft tissue abnormalities in painful hip resurfacings
J McArthur, M Costa, D Griffin, S Krikler, N Parsons, G Pereira, U Prakash, S Rai, P Foguet
Annual Meeting of the British Hip Society, Sheffield, February 2010
Groin Pain Following Hip Resurfacing. A case control study
J McArthur, M Costa, S Rai, S Krikler, D Griffin, G Pereira, U Prakash, P Foguet
Annual Meeting of the AAOS, New Orleans, USA, March 2010
Uncemented Components in Hip Resurafcing may decrease Complication rates
N Baraza, J Beazley, K Ho, P Foguet
6th Annual Meeting BOA/BOSA, Crewe, UK, May 2010
Hip Resurfacing. The Coventry Experience 1995- 2010
P Foguet
III Reunion Internacional sobre Complicaciones y Alternativas en Artroplastia de Cadera y Rodilla. Moscow, May 2010
The effect of surgical approach in narrowing of the femoral neck in uncemented hip resurfacing arthroplasty: Ganz versus the posterior approach
Harpal Uppal, Gurdip Chahal, Pedro Foguet, Udai Prakash, Panayiotis Makrides
EFORT Meeting, Madrid, Spain, June 2010
Sport after Resurfacing arthroplasty
P Foguet
Sports Hip Surgery 2010, Warwick University, Coventry, June 2010
Painful Hip Resurfacing, where does it come from?
P Foguet
VI International Meeting of Hip Surgery in the Young Adult. Hospital Universitario Infanta Leonor, Madrid, March 2011
Functional outcome of revised metal-on-metal hip resurfacing arthroplasty
JC Beazley, U Prakash, J Baxter, S Krikler, P Foguet
EFORT Meeting, Copenhagen, Denmark, June 2011
Hard bearings and their consequences
P Foguet
SECCA Meeting, Cartagena, Spain, June 2011
Infected TJR. The Coventry perspective
P Foguet
OASISCON 2011, Hyderabad, India, August 2011
What do we do for young active people with end stage OA if not resurfacing?
P Foguet
Sports Hip Surgery 2012, Warwick University, Coventry, June 2012
Hip Resurfacing: Past, Present and Future
P Foguet
Barcelona International Hip Meeting. Barcelona, Spain, June 2012
Early results of the MiniHip after 1 year follow up
Marks, Hill, Mariathas, Donaire, Prakash, Krikler, Griffin, King, Foguet
BOA Annual Meeting. Manchester. September 2012
Changing patient demographics and its impact in hip arthroplasty.
P Foguet
International Course on Conservative Hip Surgery Munich, September 2012
Profemur Preserve: The British Experience
Foguet P
State of the art Hip Arthroplasty: A lifestyle solution, Amsterdam, May 2013
One stage revision for infected TKR. Is this the way forward?
Foguet P
Controversies on knee and shoulder surgery, Worcester, May 2013
How to manage the infected THR
Foguet P
State of the art in Total Hip arthroplasty: A lifestyle solution, Rome, October 2013
Long term results and current indications of hip resurfacing
P Foguet
XVII Jornadas de Actualizacion en COT, Murcia, Spain, November 2013.
Revision of cemented stems
P Foguet
LXVIII Seminario SATO. Como revisar una arthroplatia de cadera?, Almeria, Spain, February 2014.
Early experience with a new short stem (Preserve) in young and active patients that underwent a hip replacement
Sarantos K, Oliveira F, Foguet P
Seventh Congress of Hellenic Association of Orthopaedic Surgery and Traumatology, Athens, Greece, October 2014
La première expérience de la PTH avec la tige courte Profemur Preserve® y col modulair chez les patients jeunes et actifs.
Pardubsky, K. Sarantos, P. Foguet
89th SOFCOT Congress, Paris, France, November 2014
One stage revision for infected TKR and THR is the way to go
Foguet P
Bone cement, infection and local treatment in orthopaedic surgery, Verona, Italy, December 2014
MiniHip arthroplasty: A review of clinical outcomes at a UK centre
Goswami K, Howard D, Harvey K, Masters J, Hill C, King R, Cronin M, Prakash U, Krikler SJ, Foguet P
International combined Meeting BHS/ SIDA, Milan, Italy, November 2015
The Clinical relevance of Functional Pelvic Tilt
Foguet P
XXI International Congress of AMECRA (Asociacion Mexicana de Cirugia Reconstructiva, Articular y Artroscopia), Merida, Yucatan, Mexico, May 2016
Instructional Course on cemented THR.
Revision of cemented THR
Foguet P
SECOT Meeting, La Coruna, Spain, September 2016
Reducing the occurrence of edge loading and impingement in THR through the utilization of the OPS (Optimised Positioning system)
Foguet P
XVII Reunion Internacional de la Sociedad Mexicana de Cirugia de Cadera, Monterrey, Mexico, February 2017
One stage revision for infected THR. My mid-term results
Foguet P
XVII Reunion Internacional de la Sociedad Mexicana de Cirugia de Cadera, Monterrey, Mexico, February 2017
Early results and learning curve data for THR using a novel, supra-capsular, tissue sparing approach, Superpath
Howles S, Cronin M, Sarantos K, Foguet P
Annual Meeting British Hip Society, London, March 2017
Using Anatomical Landmarks and 2D Analysis for THA
Foguet P
New Realities in Hip Arthroplasty, Cirencester, November 2017
The Coventry experience with OPS
P Foguet
Technologic, Methodologic and Therapeutic Innovations in Hip Arthroplasty
Milan, Italy, February 2018
Dynamic Orientation of the THR components
P Foguet
Barcelona Hip Meeting 2018. Back to the Future, Barcelona, Spain, April 2018
My choice of the most relevant questions on hip and knee from the ICM on musculoskeletal infections, Philadelphia 2018
P Foguet
Highlights of the ICM on musculoskeletal infections, Philadelphia 2018, Madrid, Spain, March 2019
One versus two stage revision for PJI: lecture and workshop
P Foguet
Highlights of the ICM on musculoskeletal infections, Philadelphia 2018, Madrid, Spain, March 2019
MDTs and PJI
P Foguet
PJI Instructional Course, BOA Meeting, Liverpool, September 2019
Culture negative PJI. Diagnostic and Treatment
Westerman R, Foguet P
BHS annual meeting. Newport, March 2020
Is there a role for cooled radio-frequency ablation in the management of persistently painful total and revision knee arthroplasty? Our early experience
Thomas C, El-Bayouk K, Remtulla M, Cloake T, Kozdryk J, Tompson P, Westerman R, King R, Spalding T, Metcalfe A, Foguet P
BASK Annual Meeting. Oxford. 2020
What has happened in the world of PJI over the last decade that has impacted my practice
Foguet P
Pre-recorded Zoom presentation. OASIS Meeting, November 2020
Randomized controlled trial of functional CT based planning with patient-specific instruments versus standard care in total hip arthroplasty
Gupta V, Thomas C, Parsons H, Metcalfe A, Foguet P, King R
Virtual Annual Meeting BHS. June 2021
Training in PJI/ Orthopaedic Infection – should it be a recognised sub-specialty?
Foguet P
UK PJI. Glasgow. April 2022
My experience with OPS (Optimised Positioning System)
Foguet P
Barcelona Hip Meeting. Barcelona. April 2023
The Inception of the Bone and Joint Infection Society (BAJIS)
Foguet P
UK PJI. Exeter. June 2023
ICM 2018 or EBJIS 2021. Which diagnostic criteria for PJI should we go with?
Foguet P
BOA. Birmingham September 2023