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Princess Elizabeth Orthopaedic Centre (PEOC)

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Exeter Knee Reconstruction Unit


Photo of the team

Our Knee Construction team


The Exeter Knee Reconstruction unit manage all knee problems including sports injuries, early and advanced osteoarthritis, rheumatoid arthritis, revision surgery and complex lower limb trauma. They are also involved in the leading edge techniques and research in cartilage grafting, ligament reconstruction, management of complex lower limb trauma, post traumatic reconstruction, primary knee replacement, computer navigation in knee surgery and revision knee surgery


The team includes consultants, a senior fellow, specialists, surgical trainees and surgical care practitioners.


The knee consultants are:

The Knee team is located in the Princess Elizabeth Orthopaedic Centre (PEOC) at the RD&E Wonford site.


The wards where the team work are:



Patient Notification:

Have you had a revision knee replacement under Mr Toms’ care between November 2005 and October 2016?

If the answer to this question is yes, please read on.

Please be reassured that there is no question of any concern regarding your knee replacement surgery.

Revision knee replacement is a major operation and normally performed because your original knee replacement has worn out or become painful. This may be many years after your first operation. One of the causes of a painful knee replacement is infection and we use blood tests to help us determine this. Mr Toms is a specialist in this type of knee surgery. We would like to examine the blood test results of 322 patients who had this type of surgery under his care between November 2005 and October 2016 to try and establish if one blood result test is more reliable than another in determining whether the knee joint was infected. This means that a member of staff will look at your hospital records to examine your blood test results, your tissue sample results, your surgery operation note and your orthopaedic clinic letters from when you saw Mr Toms or one of his team. They will not examine your notes for any other reason.

The data collected from this will be put onto secure hospital computers, which are password protected and encrypted, and will then be anonymised. The data will be examined by a professional statistician to see if the information helps us work out the reliability of one blood test over another.

Please be reassured that we are looking at these blood tests purely for RD&E clinical and academic research purposes and there is no question of any concern regarding your knee replacement surgery. The aim of the research is to help improve our understanding of the ‘plasma viscosity’ blood test when trying to establish if a patient has an infected knee replacement.

As we did not seek your permission to do this, we are now informing you via this notice-a process known as Patient Notification. We have placed notices like this in the out-patient waiting areas here at the orthopaedic centre, and also on our website. This is to give you the opportunity to decline our using your information for the purpose of this study. We hope you find it acceptable for us to use the information in this way. However, if you do not find it acceptable, and do not want us to use your information, please let one of Mr Toms’ team know when you see them in clinic, or e-mail Patrick Hourigan-research coordinator:

Thank you for taking time to read this notice. If you need further clarification about this please contract Patrick on be assured, the information about your care will only be used for legitimate research purposes.