The Elective Orthopaedic Centre
Research & Education Department
South West London Elective Orthopaedic Centre (The EOC) is an NHS Treatment
Centre. It serves a population of 1.5 million and performs over 4,000 elective
operations per year, making it one of the largest orthopaedic centres in the
majority (approximately 3,000) of these operations are major replacements, hip
or knee, which were the centre’s focus when it opened 6 years ago. The centre
is diversifying its services to include shoulder, elbow, spinal and soft tissue
world-leading centre in Orthopaedics, the EOC gives research a high priority.
This ensures the best possible care for patients who are offered surgical
techniques, implants and medicines that are most technologically advanced, and
are cared for by a high calibre of staff.
addition to monitoring the clinical outcomes and standards of care delivered to
all EOC patients, the research unit is actively involved in three main streams
- The development of
new implants and surgical techniques
- The long term
evaluation of new implants: many through the Orthopaedic Data Panel (ODEP)
- Research trials on
new medicines (e.g. Factor Xa inhibitors)
EOC has the infrastructure in place to deliver research on a significant scale.
in collaboration with us enables access to:
- 4,000 patients per
annum undergoing elective surgery
- High recruitment
rates of patients to studies
- Experience in
- Knowledge of
approvals within the NHS
- Project management
(including multi-national studies), from start-up to the analysis and
reporting of results
- Data entry, data
management and effective systems for long-term follow-up of patients
- Highly experienced
- Director – Mr
Richard E Field
administration & IT support
- Clinical research
staff (nurses, surgeons and physicians)
research-promoting culture ensures that staff remain interested in their work
and are motivated to improve the care provided to patients. Research
presentations and publications enable communication of work to the broader
healthcare community and strengthen the reputation of the Centre as a national
and international leader in orthopaedic practice.
part time Director of Research is in post and a limited company, The Orthopaedic
Research and Education Foundation Ltd, has been established to enable contacts
with industry. A charitable trust has also been established.
repeats of the fundraising charity walk for EOC research, which rose over
£80,000 in June 2009.
Research Unit has undergone a rapid expansion since it’s opening in 2006 and
currently consists of Research Director, Senior Orthopaedic Fellow, Business
Manager, 2 Clinical Research Fellows, 2 Surgical Research Fellows, 1 Teaching
Fellow, 2 Research Nurses, ODEP Co-ordinator, Outcomes Administrator,
Administration Assistants and Work Experience Students.
EOC’s goal is to gather accurate data on every step of the patient pathway. The
acquisition of accurate outcome data is essential to provide the highest
standard of patient care. It is the basis for staff awareness of performance,
the driver for the improvement programme and the source of information that
enables The EOC to share its experiences with the broader healthcare community.
outcome data has been used to prepare presentations at numerous healthcare
meetings and is providing data that allows the submission of research papers.
The presentation of this data will continue to be developed and will be
increasingly powerful as the number of patients increases.
aims to develop its data acquisition infrastructure into a web based service
that will allow the Centre to host multi-centre research and outcome studies
for the pharmaceutical industry and orthopaedic implant manufacturers.
is a table of some research studies that are being undertaken at the EOC at
present. We also have a number of new projects in the pipeline which can also
be identified below.
EOC Studies Actively Recruiting as
of June 2010
Amistem Anterior vs posterior surgical technique RCT
Tissue Donation (Kennedy Institute)
Studies in the pipeline
& Nephew Deuce Knee
Implants, Tribofit Buffer -ODEP
of Yakult on preventing antibiotic-associated diarrhoea and C. difficile
infection in healthy patients undergoing elective orthopaedic surgery
Recruitment recently completed
prevention – YM150
have a research programme that is generating a steady stream of publications,
higher degrees, inclusion in NIHR sponsored research grants and income from
commercial trials. The EOC aims to maximise
the number of publications that are generated by the centre and its staff. We are increasingly aware of the value of
publications and the importance that leading medical institutions place on this
measure of performance. Below is a list
of publications that have been published in peer review journals