About Us

Career Statement

I am currently working as a Chairman Orthopaedics and Joint Replacement in Marengo Asia Hospital, Gurgaon. Prior to this, I was heading the unit in Fortis memorial research institute in Gurgaon from August 2012 till June 2016. I started the orthopaedic department in Fortis hospital. As an orthopaedic surgeon with a wealth of experience of over 20 years in complex trauma and elective orthopaedic surgery, both in India and in the UK I have developed a special interest in lower limb joint replacement surgery.

My key area of practice includes revision trauma and revision arthroplasty surgery but I hold a special interest in young adult hips, DDH, sickle cell disease, joint preservation surgery for knee and sports injuries of hip and knee.

Professional Memberships

Royal College of Surgeons of England, UK
General Medical council, UK
Diplomate of National Board(St Stephen’s Hospital), Delhi, India
Prince Charles Hospital, UK

Education and Qualifications

Feb 2010	FRCS (Trauma and Orthopaedics), Royal College of Surgeons of England
Nov 2004	MRCS, Royal College of Surgeons of England
Sep 2003	PLAB, General Medical Council, London
May 2000	Diplomate of National Board, St Stephen’s Hospital, Delhi, India
Nov 1997	Diploma in Orthopaedics, Pt B D Sharma Postgraduate Institute of Medical Sciences, Rohtak, India
Dec 1993	MBBS, Medical College, Rohtak, India

Current Position

Aug 2012- June 2016	Senior consultant and unit head FMRI, Gurgaon Leading independent unit for lower limb arthroplasty and revision surgery. Directly responsible for teaching and training of fellows and registrars.
Aug 2011-March 2012	Senior Fellow, revision knee Arthoplasty University Hospital Llandough, Cardiff Under supervision of Mr R M JONES Independent elective operative lists. Performing complex primary hip and knee replacement surgery Hip, knee and ankle arthroscopy Involved in the day-to-day care of patients admitted for elective hip and knee operations Running a full day of outpatients clinics and three operating sessions in a week Responsible for one dedicated session of administration and research commitments Performing complex hip and knee replacement surgery independently Involved in a research project dealing with the adverse effects of metal on metal bearing articulation in total hip arthroplasty

Career History

Aug 2011 – March 2012	Senior Fellow, revision Lower Limb Arthroplasty University Hospital of Llandough, Cardiff Under supervision of Mr M Maheson Independently practiced primary and revision lower limb arthroplasty surgery Ran six theatre sessions and two clinics with three different consultants each week
Mar 2010 – Jun 2010	Registrar, Trauma and Orthopaedics Soft tissue knee and computer guided Knee Arthroplasty Prince Charles Hospital, Merthyr Tydfil Under supervision of Mr K Karras Took part in a middle grade 1:7 on-call rota for trauma and Orthopaedics Attended daily wards rounds and daily morning meetings Involved in operating lists and clinics both in PCH and peripheral hospitals Undertook a variety of outpatient clinic (including new patients) and operative procedures with minimal supervision from consultants Involved in teaching undergraduate medical students in postgraduate department Organised rotas for the junior staff and registrars Liaised with managers and medical personnel regarding leave arrangements of junior doctors Involved in making protocol for reduction of shoulder dislocations in acute settings in our hospital
Mar 2009 – Feb 2010	Registrar, Trauma and Orthopaedics Foot and Ankle Prince Charles Hospital, Merthyr Tydfil Under supervision of Ms LA Williams Took part in a middle grade 1:7 on-call rota for trauma and orthopaedics and daily ward rounds Attended daily morning meetings Involved in operating lists Attended clinics both in PCH and peripheral hospitals Ran outpatient clinics and undertook operative procedures with minimal supervision Involved in teaching undergraduate medical students in postgraduate department Organised rotas for the junior staff and registrars Liaised with managers and medical personnel regarding leave arrangements of junior doctors
Mar 2008 – Feb 2009	Registrar, Trauma and Orthopaedics Revision Hip and Knee Arthroplasty Prince Charles Hospital, Merthyr Tydfil Under supervision of Mr G Zafiropoulos Took part in a middle grade 1:7 on-call rota for trauma and orthopaedics Attended daily wards rounds and daily morning meetings Involved in operating lists and clinics both in PCH and peripheral hospitals Ran outpatient clinics Performed operative procedures with minimal supervision from consultants Taught undergraduate medical students in postgraduate department Organised staff rotas
Mar 2007 – Feb 2008	Registrar, Trauma and Orthopaedics Soft Tissue Knee and computer guided Knee Arthroplasty Prince Charles Hospital, Merthyr Tydfil Under supervision of Mr K Karras Took part in a middle grade 1:7 for trauma and orthopaedics Attended daily morning meetings Involved in operating lists in PCH and peripheral hospitals Undertook a variety of outpatient clinic (including new patients) and operative procedures with minimal supervision from consultants Taught undergraduate medical students in postgraduate department Organised rotas for the junior staff and registrars
Aug 2006 – Feb 2007	Registrar, Trauma and Orthopaedics Lower Limb Arthroplasty and Hand Surgery Prince Charles Hospital, Merthyr Tydfil Under supervision of Mr A Hussain Took part in a middle grade 1:7 on-call rota for trauma and orthopaedics Attended daily wards rounds and daily morning meetings Involved in operating lists and clinics both in PCH and peripheral hospitals Undertook a variety of outpatient clinic (including new patients) and operative procedures with minimal supervision from consultants Involved in teaching undergraduate medical students in postgraduate department Organised rotas for the junior staff and registrars Liaised with managers and medical personnel regarding leave arrangements of junior doctors
Jan 2006 – Jun 2006	Senior House Officer, Burns and Plastics Morriston General Hospital, Swansea Under supervision Mr D Boyce Gained experience in the management of open fractures necessitating soft tissue cover Improved my soft tissue handling skills Gained skills in the management of patients requiring intensive care unit. Acquired fundamental surgical principles and techniques
Feb 2005 – Dec 2005	Senior House Officer, Burns and Plastics Morriston General Hospital, Swansea Under supervision Mr D Boyce Gained experience in the management of open fractures necessitating soft tissue cover Improved my soft tissue handling skills Gained skills in the management of patients requiring intensive care unit Acquired fundamental surgical principles and techniques
Feb 2004 – Feb 2005	Senior House Officer, Trauma and Orthopaedics Morriston General Hospital, Swansea Under supervision of Mr M Holt Conducting outpatient clinics Developed my consultation skills Gained skills in the management of patients requiring intensive care Gained experience in surgical principles and techniques
Sep 2003 – Feb 2004	Senior House Officer, Trauma and Orthopaedics Princess of Wales Hospital, Bridgend Under supervision of Mr K Singhal Gained an appreciation of NHS medical systems Conducting outpatient clinics Developed my consultation skills Reflected on selected patients I had seen with senior staff to enhance my learning and understanding Gained sound knowledge and understanding of the specific physiological, nutritional, biochemical, haematological, and endocrine requirements of patients with both acute and chronic medical and surgical conditions
Aug 2003 – Aug 2003	Clinical Attachment Princess of Wales Hospital, Bridgend Under supervision of Mr K Singhal
Apr 2001 – Jul 2003	Registrar, Orthopaedics St Stephen’s Hospital, Delhi Under supervision of Dr M Varghese Took part in a 1:4 on-call rota including the management of acute trauma patients attending accident and emergency Involved in the pre- and post-operative management of patients Ran outpatient clinics and performing elective and trauma surgery under consultant supervision Responsible for teaching and training of other junior colleagues Gained vast exposure to all sub-specialties of orthopaedics, particularly paediatric orthopaedics Involved in the management of patients with post-polio paralytic deformity and children with cerebral palsy Led a disaster management team for earthquake victims in Gujarat in 2000
Oct 2000 – Mar 2001	Senior House Officer, Accident and Emergency St Stephen’s Hospital, Delhi Under supervision of Dr V Kataria Took part in a 12-hour full shift system rota Worked as the senior causality medical officer Managed both surgical and medical emergency in adult and pediatric population Managed trauma patients as per ATLS protocol Organised staff rotas Gave demonstration of closed reduction techniques for fractures and dislocations to junior trainees
Jun 2000 – Sep 2000	Registrar, Spinal Surgery Jaipur Golden Hospital, Delhi Under supervision of Dr M Sharma Involved in on-call rota for general trauma and orthopaedics, in addition to management of spinal patients Responsible for providing a high standard of care to patients with spinal deformity and injury Performed spinal decompression and discectomies under direct consultant supervision
Jan 2000 – May 2000	Employment Gap Preparation for DNB examination
Jan 1999 – Dec 1999	Teaching Registrar, Orthopaedics St Stephen’s Hospital, Delhi Under supervision of Dr M Varghese Involved in case presentations and teaching of clinical skills to other trainees and staff nurses Visited the spastic centre once a week for assessment and planning management of children with cerebral palsy Involved in research project over two-year period, which was submitted as dissertation
Jan 1998 – Dec 1998	Senior SHO, Orthopaedics St Stephen’s Hospital, Delhi Under supervision of Dr M Varghese Took part in an on-call rota at SHO level Responsible for the management of patients on the ward Performed patient assessments prior to surgery Presented clinical cases in wards and clinics Undertook trauma and elective orthopaedic surgery under consultant supervision
Nov 1997 – Dec 1997	Resident Medical Officer, Accident and Emergency Kalyani Hospital, Gurgaon, India Under supervision of Dr Khurana Involved the in provision of emergency care to both medical and surgical patients
May 1995 – Nov 1997	Senior House Officer, Orthopaedics Medical College Rohtak, India Under supervision of Dr SS Sangwan Took part in the SHO on-call rota and rotated through various sub-specialties Involved in a dedicated rotation in the rehabilitation unit for patients with complex trauma and spinal injury patients Responsible for providing pre- and post-operative care to patients admitted to the ward Involved in initial management of trauma patients whilst on-call under senior input Worked as a member of the rescue team involved in the Charkhi Dadri air crash in 1996

Research Experience

Dec 1999	‘A study on the prevalence, management and prevention of trophic ulcers of foot in diabetic patients attending a tertiary care hospital’ St Stephen’s Hospital, Delhi, India Led by Dr M Varghese and Dr B ShankaranRole: This was my thesis during my postgraduate training in trauma and orthopaedics; I led this research project under the guidance of Dr Mathew Varghese. I was the principle researcher and was involved in approval from ethical committee, making flyers for the project, collection and collation of data. National Board of Examination accepted this dissertation and I was awarded the degree in trauma and orthopaedics.

Publications

Malek I.A, King, A, Sharma H etal- The sensitivity, specificity and predictive values of the raised plasma metal ion levels in the diagnosis of adverse reaction to metal debris in symptomatic patients with metal on metal arthroplasty of the hip Journal of bone and joint surgery, Br 2012 August; Vol 94 B, no.8.

Kempshell P J, Sharma H and Morgan Jones Rhidian. Revision Total knee arthroplasty: complications, mini symposium, Orthopaedic and trauma, 26:2

Shokorallahi.K, Sharma H et al-A Technique for temporary control of Haemorrhage. Journal of Emergency Medicine 2008 Apr; 34(3): 319-320.Dec 2007

Lohana P, Sharma H et al-Survival of skin graft in mycosis fungoidis – A solution for management dilemma. Annals of Royal College of Surgeons England 2007 Oct; 89(7): W13-4

Debnath U, Sharma H et al-Coeliac axis thrombosis after surgical correction of spinal deformity in type VI Ehlers-Danlos syndrome: a case report and review of the literature, Spine 2007 Aug15; 32(18): E528-31.Review

Presentations

July 2011	‘Use of Zero position for reduction of acute dislocations and fracture dislocations of shoulder’ Sharma H, Kandeparker V, Ahmed N, Sharma A, Williams L, Lewis P. Oral presentation, St Johns New Foundland and Labrador, ID 597, COA/CORS Annual meeting
July 2011	‘Ultra clean air Laminar flow theatres and vascular graft surgery-lessons to be learnt by the orthopaedic team’ Sharma H, Jones N, Bosanquet D, Gill N, Lewis M, Lewis P Poster presentation, St Johns New Foundland and Labrador, ID 595, COA/CORS Annual meeting
June 2011	Trauma Infection rates in District General Hospital Gakhar H, Sharma H etal Poster Presentation, 12th EFORT, Copenhagen
June 2011	False Aneurysm of Femoral artery resulting from fragment of ceramic liner Verma G K, Sharma H etal Poster Presentation, 12th EFORT, Copenhagen
June 2011	‘Use of Zero position for reduction of acute dislocations and fracture dislocations of shoulder’ Sharma H, Kandeparker V, Ahmed N, Sharma A, Williams L, Lewis P. Poster Presentation, 12th EFORT, Copenhagen
March 2011	‘Investigations of Painful MOM hips, sensitivity, specificity and predictor value of metal ions for AMRD based on MHRA Guidelines’ Malek IA, king A, Sharma H, Clatworthy E, Lyons K, Jones S, John A Oral Presentation, British hip Society, Torquay
March 2011	‘Following NICE guidelines for Thromboprophylaxis in Total hip replacement: What is the impact’ N.K.Rath, M. W. Goodson, Sharma H, Thomas P, John A, Foster M C Oral Presentation, British hip Society, Torquay
March 2011	‘Three to six year results of large head metal on metal hip arthroplasty (Cormet-SLplus)’ Sharma H, Malek IA, Clatworthy E, John A. Poster presentation, British Hip Society, Torquay
March 2011	‘The correlation of serum metal ions with pain and functional outcome scores at three to six years following large head metal on metal hip arthroplasty’ Malek IA, SharmaH, Mohanty K, Thomas P, Jones S, John A. Poster presentation, British hip society, Torquay
Oct 2011	‘Laminar flow theatres and vascular graft surgery-lessons to be learnt by the orthopaedic team’ Sharma H, Jones N, Bosanquet D, Gill N, Lewis M, Lewis P Poster presentation, International Society of Technology in Arthroplasty, Dubai, United Arab Emirates
Oct 2006	‘Shifting goal post changes: Changes in symptoms leading to changes in operative plan. A consequence of long waiting lists for an operation on the NHS’ Mehta J, Sharma H, Ahuja, S. Oral presentation, Istanbul, Turkey
Sep 2006	‘Prevalence of skip lesions and outcome of non-surgical management of tuberculosis of spine � An Indian experience’ Tandon V, Sharma H, Varghese M Poster presentation, BOA, Cardiff
Sep 2006	‘Can delayed presentation of clubfeet be treated with Ponseti�s technique?’ Sharma H, Gupta A, Gupta R, Varghese M Oral presentation, 6th EFAS Congress, Prague Congress Centre, Czech Republic
June 2006	‘Recommendation for skeletal survey in spinal tuberculosis’ Tandon V, Sharma H, Gupta R, Varghese M Oral presentation, European Society of Musculoskeletal Radiology, Burgess, Belgium
May 2006	‘Tuberculosis of Spine: Increasing prevalence of skip lesions and results of Middle Path Regime-An Indian Experience’ Tandon V, Sharma H, Varghese M Oral presentation, 25th Annual Meeting of European Bone and Joint Society, Budapest, Hungary
Apr 2006	‘Prevalence of skip lesions and outcome of non-surgical management of tuberculosis of spine- An Indian experience’ Tandon V, Sharma H, Varghese M Poster presentation, British Spine Association, Cardiff
Nov 2005	‘Low cost alternative for simulated training for plastic senior house officers’ Wilson Jones N, Murugkar P, Sharma H Oral presentation, Regional audit meeting, Morriston General Hospital, Swansea
Sep 2005	‘Repair of Ulnar Collateral Ligament by simple pull out technique. Do we need anchors?’ Vishista G, Sharma H, Deshmukh S C Poster presentation, BOA Meeting, Birmingham
May 2005	‘Combined Carbon Dioxide Laser with Photodynamic Therapy for successful treatment of Basal Cell Carcinoma’ Shokarollahi K, Lohana P, Sharma H, Murison, Oral presentation, British Laser Meeting, Birmingham

Continuing Professional Development

I am fully committed to developing and maintaining my skills, knowledge and expertise in trauma and orthopaedics, particularly lower limb arthroplasty, through a variety of activities, including:

Regularly researching topics on medical databases
Reading up-to-date journals
Attending relevant courses and conferences
Maintaining a personal development plan and developing a detailed portfolio

Conferences Attended

April 2011	London Hip Meeting, London, 1 day
March 2011	British Hip Society, Torquay, 3 days
Jun 2009	‘Modern Techniques in Total Knee Arthroplasty’, Hilton Hotel Deangate, Manchester, 2 days
Sep 2006	‘European Foot and Ankle Society 6th International Congress’, Prague, Czech Republic, 3 days
Sep 2005	‘British Orthopaedic Association Annual Congress Meeting’, International Convention Centre, Birmingham, 4 days

Teaching Experience

Since my basic training rotations I have had a keen interest in teaching and training others. As my career has progressed, I have pursued this desire to improve the knowledge and skills of my colleagues, and my experience includes:

Regularly teaching medical students, pre-registration house officers, senior house officers and nursing students through formal lectures, discussion in the ward rounds, in the outpatient clinics and short tutorials, demonstration of clinical signs and reading radiology/other investigations
Demonstrating basic surgical and ATLS skills, the relevant anatomy and the steps of the operations while performing them
Assisting SHOs on intermediate procedures, including: manipulation of fractures, dynamic hip screw fixation, and intra-articular injection
Supporting SHOs with their projects
Teaching undergraduate students for the MBBS degree course of the Maharishi Dayanand University
Working as a teaching registrar in India
Conducting academic activities for final year MBBS students and postgraduate activities

Leadership and Management Experience

I understand the importance of working effectively within a multidisciplinary environment and I am actively involved in the organisational aspects of the department. In particular, I have experience of:

Organising staff rotas and theatre lists
Maintaining databases for the clinical activity.
Working as a member of Orthopaedic Team involved in the rescuing of victims of an air crash at Charkhi Dadri in Haryana in 1997
Working as team leader in rescue operations following the 2001 earthquake in Gujarat

Clinical Skills and Experience

Management of Spinal Patients

Performing injection lists under supervision
Management of acute spinal cord Injuries
Criteria for admission and operative indications
Understanding the use of different implants in spinal surgery
Pre- and post-operative care for scoliosis patients
Pre-operative work-up and post-operative care for patients needing spinal surgeries

Management of Orthopaedic Surgery Patients

Pre-operative workup
Post-operative care
Sub-specialty experience e.g. hand trauma, plastic surgery, spinal surgery, oncology, paralytic poliomyelitis and cerebral palsy, amongst others

Management of Burns

Criteria for admission
Acute management, including fluid resuscitation regimes
Intensive care management of ventilated burns patients
Understanding and use of organic and synthetic skin substitutes

Management of Acute Trauma and Hand Injuries

ATLS, ALS, provider
Trauma skills underpinned by basic principles of fracture treatment-AO course

Operative skills

Acute trauma
Microsurgery skills
Wide local excision of lesions with appropriate margins, and methods of wound closure
Split and full thickness skin grafts and local flaps
Flexor and extensor tendon repair and simple hand fracture fixation

Paediatrics

Management of patients with cerebral palsy and post-polio paralytic deformities
Management of cleft palate and other patients in current job
Management of paediatric plastic surgical in and outpatients
Management of paediatric burns

Intensive Care

Management of fluid balance and renal function, oxygenation and ventilation
Interpretation of biochemistry, haematology, arterial blood gas samples and radiology
Care of post-operative flap surgery, re-implantation of limbs and revascularization patients on HDU, and wards
Daytime and on-call cover of burns unit
Care of patients with unit- and multi-system failure and sepsis
Appropriate use of antibiotics