We join up clinical and engineering expertise at the RNOH to better understand the surgeon, implant and patient factors involved in early implant failures.

Our research impacts surgeons, patients, manufacturers, registries & regulators.


Our research helps understand how implants can function as well and as long as possible and make the most of the annual spend of £1Bn to the NHS for hip and knee replacement; £300M to the NHS on spine implant surgery, and $20Bn hip, knee and spine implant worldwide market.

Implant science research helps minimise the healthcare, patient and societal costs of redo/revision implant surgery which can cost over £10K per case (15K cases done each year in the UK) and sometimes reaches over £100K when high dependency care and 3D customised implants are used.

We are the worldwide retrieval centre for the analysis of MAGEC spine growth rods, impacting over 3,000 patients. Download our Gold Open Access paper:

We’ve published retrieved studies investigating failure mechanisms at all junctions of total hip replacements, including the analysis of the most commonly implanted metal-on-metal hip implant worldwide. Download our Gold Open Access paper:

We were the first to publish on the analysis of the ATTUNE knee replacement, which has been implanted in over 600,000 patients worldwide. Our presentations of this work were awarded 1st Prizes at the annual meetings of the American Academy of Orthopaedic Surgeons (AAOS) and the British Association for Surgery of the Knee (BASK). Our Gold Open Access paper on this has been downloaded over 5,000 times, becoming the most downloaded paper in the history of the journal; read it here: