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PEOC Consultant - Mr Keith S. Eyres

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Mr Keith S. Eyres

 

Directorate:

Trauma & Orthopaedics

 

Specialty:

Exeter Knee Reconstruction Unit

 

Sub-Specialty and conditions treated:

Injuries and diseases of the knee

General orthopaedic conditions

 

Special Clinical Interests:

Knee replacement surgery, complex primary and revision
Hip replacement surgery
Limb reconstruction surgery

Complex foot and ankle surgery

 

Research interests

Leg lengthening

Bone healing

Cementation techniques

TKR without tourniquet

 

Base Ward(s) worked on / with or department:

Princess Elizabeth Orthopaedic Centre

 

Year of first medical qualification:

1983

 

Current membership(s) of professional, national and regional bodies:

BGeneral Medical Council
British Medical Association
Royal College of Surgeons of Edinburgh
British Limb Reconstruction Society (BLRS)
British Foot and Ankle Society (BFAS)
British Elbow and Shoulder Society (BESS)

British Association for Surgery of the Knee (BASK)

 

Secretary's name:

Cherry Evans

 

Contact details

01392 403529

cherry.evans@nhs.net

 

Recent publications:

The Value of Magnetic Resonance Imaging in Investigating a Painful Total Knee Arthroplasty.
Kosy JD, Eyres KS, Toms AD.
J Arthroplasty. 2010 Oct 28. [Epub ahead of print]

 

Pasteurella abscess in tibial regenerate bone: a case report.
Thomason K, Shepherd A, Eyres KS.
J Pediatr Orthop B. 2008 Sep;17(5):237-40.

 

Hyponatraemia after orthopaedic surgery - a case of pituitary apoplexy.
Thomason K, Macleod K, Eyres KS.
Ann R Coll Surg Engl. 2009 Apr;91(3):W3-5.

 

A technique of fusion for failed total replacement of the ankle: tibio-allograft-calcaneal fusion with a locked retrograde intramedullary nail.
Thomason K, Eyres KS.
J Bone Joint Surg Br. 2008 Jul;90(7):885-8.

 

A technique to obviate the need for assistance while preparing the tibial plateau during knee arthroplasty.
Veale RJ, Dharmarajan R, Eyres KS.
Ann R Coll Surg Engl. 2008 Apr;90(3):258.

 

Evaluation of patients with a painful total knee replacement.
Mandalia V, Eyres K, Schranz P, Toms AD.
J Bone Joint Surg Br. 2008 Mar;90(3):265-71.

 

Percutaneous bone grafting from the distal femur.
Talbot NJ, Kamath S, Sharpe IT, Eyres KS.
Ann R Coll Surg Engl. 2008 Jan;90(1):73.

 

A simple technique to verify the correct placement of locking screws through intramedullary nails.
Talbot NJ, Kamath S, Sharpe IT, Eyres KS.
Ann R Coll Surg Engl. 2007 Oct;89(7):725.

 

A technical innovation for improving identification of the trackers by the LED cameras in navigation-assisted total knee arthroplasty.
Darmanis S, Toms A, Durman R, Moore D, Eyres K.
Comput Aided Surg. 2007 Jul;12(4):247-51.

 

Controlling cement chips in revision arthroplasty.
Blake SM, Howell J, Eyres KS.
Ann R Coll Surg Engl. 2003 Mar;85(2):129.

 

An aid to femoral nail removal.
Ciampolini J, Eyres KS.
Injury. 2003 Mar;34(3):229-31

 

Simultaneous leg lengthening and knee arthrodesis using an external ring fixator--a case report.
Kitson J, Eyres KS
Acta Orthop Scand. 2002 Dec;73(6):712-4.

 

Centralisation of holding screws during external fixation.
Farrington WJ, Eyres KS, Saleh M. (2002)
Ann R Coll Surg Engl. 2002 Nov;84(6):432-3

 

Irrigation and suction technique to ensure reliable cement penetration for total knee arthroplasty.
Norton MR, Eyres KS.
J Arthroplasty. 2000 Jun;15(4):468-74.

 

The tourniquet in total knee arthroplasty.
Eyres KS, Sharpe I, Abdel-Salam A.
J Bone Joint Surg Br. 1999 Sep;81(5):932.

 

Vascular complications of osteotomies in limb reconstruction.
Rickman M, Saleh M, Gaines PA, Eyres K.
J Bone Joint Surg Br. 1999 Sep;81(5):890-2.

 

Safe removal of massive intrapelvic cement using ultrasonic instruments.
Smith PN, Eyres KS.
J Arthroplasty. 1999 Feb;14(2):235-8.

 

Posterior surgical treatment for the rheumatoid cervical spine.
Eyres KS, Gray DH, Robertson P.
Br J Rheumatol. 1998 Jul;37(7):756-9.

 

Thermal necrosis after tibial reaming.
Eyres KS.
J Bone Joint Surg Br. 1997 Mar;79(2):341.

 

Management of Perthes disease of late onset in southern India.
Eyres KS.
J Bone Joint Surg Br. 1997 Jan;79(1):171.

 

Professional Profile:

I qualified from Charing Cross Medical School London in 1983 and developed an interest in Orthopaedic Surgery during my basic surgical training in London and Exeter.  My orthopaedic training programme took me around Yorkshire, predominantly in Sheffield where I practiced for 7 years.  During this period of clinical work, I completed an MD thesis about bone densitometry during leg lengthening and bone healing.  This interest helped me develop one of my skills as a limb reconstruction surgeon and provided the opportunity to publish over 70 original articles. 


My interest in joint replacement surgery was enhanced by a year long sabbatical to Auckland, New Zealand and learning how to work in another health system was very interesting and enlightening.  Although having a practice in general orthopaedics I focused on the knee and hip as areas to develop my expertise.  I found the rapid improvement in patients with joint reconstruction to be particularly rewarding.


I introduced the concept of knee surgery without tourniquet to the surgical world in a way to enhance patient recovery and reduce potential complications which has now developed into a surgical technique for knee replacement.  In this concept, a new way of cementation has already shown to be beneficial so surgery can be performed safely and hopefully with greater survival. 


With this package of care and experience of preoperative and postoperative management, patients are gaining great benefits for their episode in hospital.  Exciting effects are being found using newer painkilling medication aimed at reducing long term nerve pain.


I have been a consultant in Exeter for 15 years and work in the Knee Reconstruction Unit with experienced colleagues and lecture regularly on knee courses to demonstrate these effects to fellow consultants and junior doctors alike.  Videos have been made of operations which can be shown to explain the complexities that can be corrected with the experience available.
I also manage the care of patients with ununited or malunited fractures using external fixators.  These techniques enable limb deformities to be corrected which may have otherwise lead to amputations.


With my general experience I can also provide care for hip primary and revision surgery, complex foot and ankle problems and elbow and wrist injuries.


My research interests lie mainly in the knee field but any interesting innovative aspect of surgery has been a source of publication.  At the moment I am developing methods to reduce ischaemic heal pressure sores and describe the techniques used for knee revision surgery in my unit.

Additional Information

I consult at the Princess Elizabeth Orthopaedic Centre on Thursday afternoons and operate on Monday and Wednesdays.  I also offer a day case surgery in Tiverton and Sidmouth to offer quick care of soft tissue knee injuries in the community.

 

My secretary (Cherry) can be contacted on 01392-403529 information and appointments

Call 111 when its less than urgent