Mr. Bhuvaneshwar Machani
MBBS, MCh (Tr & Orth), FRCS (Tr & Orth)
Qualifications
- M.B.B.S. Bellary, India - 1993
- M.R.C.S. (Edinburgh) - 1999
- MCh (Trauma & Ortho)
University of Liverpool - 2006
- F.R.C.S (Trauma & Ortho) - 2006
CCT : April
2007
Membership of Professional Bodies
- BOA (British orthopaedic Association)
- BESS (British Elbow & Shouder Society)
- BSSH(British Society for Surgery of Hand)
Fellowship Programmes
- Upper Limb Fellow, 1st July 2007 to 31st December 2007
Epsom & St Helier NHS Trust - Mr Daniel Mok
- Upper Extremity and Sports Fellow 1st Jan 2007 - 30th June 2007
PanAm Sports Surgery Centre - Prof Peter MacDonald
Winnipeg, Manitoba, Canada - Dr James Dubberley
- Wrist & Hand Fellow 1st Nov 2005 - 30th June 2006
Wrightington, Wigan & Leigh - Mr M J Hayton
NHS Trust - Mr S R Murali
- Hand Fellow 01/05/05 to 31st October 2005
Plastics and Hand reconstruction - Miss L Feldberg
Whiston - Mr P McArthur
- Specialist Higher Surgical Training
Nov 2000 - April 2007
Mersey
rotation, Liverpool UK
Clinical Experience
Shoulder:
- Arthroscopic Shoulder Impingement
Surgery
- Arthroscopic / Open Rotator Cuff Repair
- Arthroscopic / Open Shoulder stabilization
- Resurfacing and Total Shoulder Joint
Replacement
- Complex Shoulder Trauma
- Fracture Clavicle Fixation
Elbow:
- Elbow Arthroscopy
- Arthroscopic / Open Tennis Elbow release
- Open / Arthroscopic Arthrolysis for
stiff elbow
- Ligament Stabilizations
- Elbow Joint Replacement
- Complex Elbow trauma fixation
Wrist & Hand Surgery:
- Carpal Bone Surgery including SNAC / SLAC wrist
- Dupuytren's Surgery
- Trapeziectomy
- Rheumatoid hand surgery
- Wrist fusion / arthroplasty
- Percutaneous scaphoid fixation
- Carpal instability
- Wrist arthroscopy
- Tendon transfers
- Complex wrist and hand trauma
Conferences
- Feb 2007 American Academy, San Diego, USA
- September 2005 BOA, Birmingham, UK
- May 2004 ICSS, Washington, USA
- April 2002 Instructional Paediatric Course, Alder Hey Hospital
- June 2001 EFFORT, Rhodes, Greece
- April 2001 ICSS, Cape Town, South Africa
- July 2000 ESSKA, London, UK
International and National Meetings
Results of arthroscopic shoulder labral tears repair with capsular plication reinforcement – minimum 2 year follow-up
• BESS, 2008 Liverpool, UK (poster)
Correlation of clinical assessments, MRI, and arthroscopic findings in patients with SLAP lesions
- Canadian Orthopaedic Association, Quebec, Canada, 2008
- SECEC, 2008, Bruge (accepted for poster presentation)
Results of arthroscopic calcium deposit removal, SAD and cuff repair compared with calcium deposit removal and SAD without cuff repair
- SECEC, 2008, Bruge (accepted for poster presentation)
Inter-observer reliability and Intra-observer reproducibility of the Weber classification system of ankle fracture
- American Academy, SanDiego, USA, February 2007
Arthroscopic stabilisation of the shoulder: a prospective randomised study of absorbable versus non-absorbable suture anchors
- BOA, September 2005, Birmingham, UK
- BESS, June 2006, Edinburgh, UK
Mid term results of PlantTan plate for proximal humerus fracture
- ICSS [International Congress of Shoulder Surgeons];Washington DC, May 04
Early results of PlantTan plate in the treatment of proximal humerus fracture
- EFFORT [European Federation of Orthopaedics & Trauma]; Rhodes, Greece, June 2000
- ICSS; Cape Town, South Africa, April 2001
Clavicular hook plate for lateral end fractures
- ICSS; Washington, DC, May 04
- OTA [Orthopaedic Trauma Association]; Salt Lake City, USA, Oct 2003
- EFORT; Helsinki, Finland, June 2003
Titanium arthroplasty for hallux metatarso-phalangeal joint
- EFORT; Helsinki, Finland, June 2003
Degeneration or remodelling: MMPs in the torn rotator cuff
- ORS [ Orthopaedic Research Society]; Dallas, USA, Feb 2002
Arthroscopic release of coraco-humeral ligament for resistant frozen shoulder
- EFORT; Rhodes, Greece, June 2000
- ICSS; Cape Town, South Africa, April 2001
Acromion reconstruction following failed anterior acromionectomy
- EFORT; Rhodes, Greece, June 2000
- ICSS; Cape Town, South Africa, April 2001
One stage ipsilateral shoulder & elbow arthroplasty in rheumatoid patients
- ICSS; Cape Town, South Africa, April 2001
- EOA [Annual International Conference of Egyptian Orthopaedic association]; Cairo, 2000
Vascularity, hypoxia & necrosis in soft tissue neoplasms of the extremities
- BDPS [British Division of the International Academy of Pathology], Liverpool July 2001
Matrix metalloproteinases & degenerative changes in the torn rotator cuff
- BDPS, Liverpool July 2001
Gelatinase MMPS in palmar fibromatosis: Immunohistochemistry & Zymography
- BORS [British Orthopaedic Research Society]; Newcastle, September 2000
Teaching
- I am a part of Faculty for the advanced
cadavaric shoulder arthroscopy course conducted by Depuy-Mitek every year in Liverpool
- I have been a faculty member in wrist and hand course for FRCS orth at Wrightington and advanced knee arthroscopy course conducted in Canada
- I am the lead tutor teaching medical
students from Univ of Birmingham
- I am honourary senior lecturer affiliated to
Univ of Birmingham and also the lead tutor
to teach medical students
- I am faculty member for the advanced elbow
cadaveric courses
- I train the physiotherapists in the
rehabilitation of upper limb problems
Courses
- Nov 2008 - Advanced Elbow Cadaveric Course,
Liverpool, UK
- Sep 2007 - ATLS, Stoke-on-Trent, UK
- April 2007 - Advance knee Arthroscopy course, Winnipeg, Canada, faculty
- March 2007 - Techniques in Upper limb locking Plates fort trauma, Vancouver
- Dec 2006 - Professional Management Development course, Mersey Deanery
- Nov 2006 - Elbow arthroplasty course, Liverpool
- Nov 2006 - Advanced Shoulder arthroscopy course, Liverpool, faculty
- Dec 2005 - Wrist and Hand arthroplasty course, Wrightington, UK
- Jun 2005 - FLAP course for extremities, Liverpool, UK
- April 2005 - Clinical and Viva for FRCS, Oxford, UK
- Jan 2005 - Basic Science course for Orthopaedics, Oswestry, UK
- Dec 2004 - Foot and ankle course, Oswestry, UK
- Sep 2004 - Hand Course for FRCS orth exams, Wrightington, UK
- May 2004 - Intravent Orthofix External Fixator Course, Verona, Italy
- March 2003 - Advanced Shoulder Arthroscopic Course, Reading, UK
- March 2001 - Basic Knee Course, Birmingham, UK
- Feb 2001 - Basic techniques in knee arthroscopy, London, UK
- July 1999 - AO/ASIF Course, Leeds, UK
- Feb 1999 - POPUMET Course, Sheffield, UK
- Dec 1998 - ATLS (Provider status course), Brighton, UK
- Nov 1997 - Basic Surgical Skills Course, Leeds, UK
Research
I have successfully completed my Masters in Orthopaedic Surgery, my thesis being on the fixation of proximal humerus fractures. I have also been involved in both basic science and clinical research studies. Through the University of Liverpool I was involved in projects looking at the role of MMPs in soft tissue sarcoma, Dupuytren’s disease and rotator cuff disease. The results have been presented in both British and American Orthopaedic Research Societies. I was the clinical lead in a level I prospective randomised study on arthroscopic shoulder stabilisation and I have been involved in several other retrospective and prospective studies which have been presented at various international meetings and published in peer reviewed journals.
Completed Research Projects
- Outcome of cuff repair & SAD following calcium removal versus calcium removal & SAD
- Arthroscopic labral tears repair with capsular plication reinforcement
- Correlation of clinical, MRI scan and arthroscopy findings in patients with SLAP lesions
- Inter-observer reliability and intra-observer reproducibility of the Weber classification system of ankle fracture
- Arthroscopic stabilisation of the shoulder: a prospective randomised study of absorbable versus non-absorbable suture anchors
- Mid term results of PlantTan plate for proximal humerus fracture (MCh Thesis)
- Arthroscopic release of coraco-humeral ligament for resistant frozen shoulder
- Clavicular hook plate for lateral end fractures
- Degeneration or remodelling: MMPs in the torn rotator cuff
- Vascularity, hypoxia & necrosis in soft tissue neoplasms of the extremities
- Matrix metalloproteinases & degenerative changes in the torn rotator cuff
- Gelatinase MMPS in palmar fibromatosis: Immunohistochemistry & Zymography
Publications
Published Papers
- Inter-observer reliability and Intra-observer reproducibility of the Weber Classification system of Ankle Fracture: Malek IA, Machani B, Mevcha AM, Hyder NH. J Bone Joint Surg Br. 2006 Sep; 88(9):1204-6
- Arthroscopic stabilization of the shoulder: a prospective randomized study of absorbable versus non absorbable suture anchors: Tan CK, Guisasola I, Machani B, Kemp G, Sinopidis C, Brownson P, Frostick S. Arthroscopy. 2006 Jul; 22(7): 716-20
- Mid term results of PlantTan plate: proximal humerus fracture fixator plate: Machani B, Sinopidis C, Brownson P, Papadopoulos P, Frostick SP. Injury. 2006 Mar; 37(3): 269-76
- Clavicular hook plate for lateral end fractures: Meda PV, Machani B, Sinopidis C, Braithwaite I, Brownson P, Frostick SP. Injury. 2006 Mar; 37: 277-83
- A case report of spinal epidural haematoma associated with warfarin therapy: Prasad SS, O'Malley M, Machani B, Shackleford IM. Ann R Coll Surg Engl. 2003 Jul; 85(4): 277-8
- Closed avulsion of tibialis anterior causing compartment syndrome: Machani B, Narayan B, Casserly HB. Injury. 2000 Nov; 31(9): 738-9
Published Abstracts
- Clavicular hook plate for lateral end fractures: P Meda, B Machani, IJ Braithwaite, SP Frostick. J Bone Joint Surg (Br) 2003; 83-B: 225
- Titanium arthroplasty for hallux metatarso-phalangeal joint: P Meda, B Machani, Pydishetty, JM Auchincloss; J Bone Joint Surg (Br) 2003; 83-B: 226
- Early experience of PlantTan – proximal humerus fracture fixator plate: Machani B, Yin Qi, Papadopoulos P, Brownson P, Frostick SP; J Bone Joint Surg 2001; 82-B : 174
- Arthroscopic release of coraco-humeral ligament for resistant frozen shoulder: Papadopoulos P, Machani B, Frostick SP; J Bone Joint Surg 2001; 83-B: 175
- Acromial reconstruction following failed anterior acromionectomy: B Narayan, B Machani, P Brownson; J Bone Joint Surg. 2001; 83-B: 175
- Gelatinase MMPS in palmar fibromatosis: immunohistochemistry & zymography: MM Roebuck, B Machani, S Bradburn, TR Heliwell, SP Frostick: JBJS. 2001; 83-B: 182
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