Mr Gurdeep Singh Biring

Scholarships & Awards

PRIZES

Positions of Responsibility

My career highligths are:

• Developed a world-class arthroplasty training programme.
• Developed a tertiary referral base for young adult hip pathology & sporting injuries.
• Developed the “Enhanced Recovery Pathway” at BHT and constantly striving to Improving Patient Pathways in those having total hip and knee replacements in Buckinghmashire

Adult Lower Limb Reconstruction & Oncology

- 1st July 2005 to 30th June 2006

I was a Fellow in the Division of Lower Limb Reconstruction in the Department of Orthopaedics at Vancouver General and Health Sciences Centre, University of British Columbia, Canada. The unit is the regional referral hip and knee reconstruction unit with vast experience in complex revision hip, knee arthroplasties and surgical management of the young arthritic hip and knee. The unit is well known for developing, amongst others, the Vancouver periprosthetic fracture classification and the PROSTALAC system for infected revision arthroplasty.

The fellowship operative experience included all aspect of arthroplasty surgery. There was extensive exposure to routine and complex revision hip and knee replacements. Novel techniques such as the use of Trabecular Metal implants and augments are used and evaluated prospectively. Mega prostheses are implanted in patients with previous multiple revision surgery or periprosthetic fractures with severe bone loss. Resurfacing hip arthroplasty, metal-on-metal hip replacements and minimally invasive surgery (MIS) are performed as part of ongoing clinical trials. The fellowship was tailored to provide maximum supervised operating opportunities for the Fellow. I have performed 450 arthroplasty cases in Vancouver with 100 revision hip arthroplasty cases, 60 revision knee cases with the remainder being primary hip and knee cases using minimally invasive approaches. I was involved in several research projects, which will lead to peer-reviewed publications.

Two-stage revision arthroplasty of the hip for infection using an interim articulated Prostalac hip spacer: a 10- to 15-year follow-up study.
J Bone Joint Surg Br. 2009 Nov;91(11):1431-7.

The mechanism of injury, the injury severity score and initial outcome of all trauma calls at a district general hospital from August 2006 to August 2007
Injury Extra 40(10):210-210 · October 2009

Ankle arthropathy in the haemophilic patient: A description of a novel ankle arthrodesis technique
Haemophilia 15(2):458-63 · March 2009

Predictors of quality of life outcomes after revision total hip replacement
The Bone & Joint Journal 89(11):1446-51 · November 2007

Outcomes of subcapital cuneiform osteotomy for the treatment of severe slipped capital femoral epiphysis after skeletal maturity
The Bone & Joint Journal 88(10):1379-84 · November 2006

Oophorectomy in primary colorectal cancer
Article in Annals of The Royal College of Surgeons of England 83(2):81-4 · April 2001

Endoscopic ligation or diathermy of the sphenopalatine artery in persistent epistaxis
The Journal of Laryngology & Otology 111(11):1047-50 · December 1997

Bone Research Society & British Orthopaedic Research Society. Enhanced Wear And Corrosion In Modular Tapers In Total Hip Replacement - An In-Vitro Biomechanical Study. J. Meswania, G. Biring, C. Wylie, J. Hua, S. Muirhead-Allwood, and G. Blunn J Bone Joint Surg Br 2012 94-B:(SUPP XXXVI) 16.

Canadian Orthopaedic Association: The Prostalac Hip: Outcomes 10–15 Years After Two-Stage Revision For Hip Infection. T. Kostamo, C.P. Duncan, D.S. Garbuz, B.A. Masri, and G. Biring. J Bone Joint Surg Br 2009 91-B:(SUPP II) 230.

Canadian Orthopaedic Association: Superior Outcomes Associated With The Limited Incision Anterolateral Intermuscular Approach (Mis Watson-Jones Approach). N. Greidanus, G. Biring, C. Duncan, D. Garbuz, and B. Masri. J Bone Joint Surg Br 2009 91-B:(SUPP II) 231.

British Hip Society: The Prostalac Hip: Outcomes 10–15 Years After Two-Stage Revision For Infection. G S Biring, T Kostamo, B A Masri, D S Garbuz, and C P Duncan. J Bone Joint Surg Br 2008 90-B:(SUPP III) 534.

British Hip Society:Predictors Of Quality Of Life Outcomes After Revision Total Hip Replacement. G S Biring, B A Masri, N V Greidanus, C P Duncan, and D S Garbuz. J Bone Joint Surg Br 2008 90-B:(SUPP III) 535.

British Hip Society:Superior Outcomes Associated With The Limited Incision Anterolateral Intermuscular Approach (Mis Watson-Jones Approach).
G S Biring, B A Masri, D S Garbuz, N V Greidanus, and C P Duncan. J Bone Joint Surg Br 2008 90-B:(SUPP III) 546.

British Orthopaedic Research Society: Enhanced Corrosion In Small Modular Tapers In Total Hip Replacement.
G. Biring, J. Meswania, C. Wylie, S. Muirhead-Allwood, J. Hua, and G. Blunn. J Bone Joint Surg Br 2006 88-B:(SUPP III) 370-371.

British Society Of Children's Orthopaedic Surgeons:Outcomes At Skeletal Maturity Of The Fish Cuneiform Osteotomy In The Treatment Of Severe Slipped Upper Femoral Epiphysis.
G Biring, A Hashemi-Nejad, and A Catterall. J Bone Joint Surg Br 2006 88-B:(SUPP III) 435.

European Federation Of National Associations Of Orthopaedics And Traumatology (Efort): Oral Presentations: Wear And Corrosion Of Tha O1224 Enhanced Corrosion Of Small Modular Tapers For Hip Replacement.
Gurdeep Biring, J. Meswania, C. Wylie, S. Muirhead-Allwood, J. Hua, and G. Blunn. J Bone Joint Surg Br 2004 86-B:(SUPP III) 250.

British Orthopaedic Association:Long-Term Functional Outcome Of Carbon Matrix Support Prosthesis In Chondral Injury And Early Osteoarthritis. G S Biring and G Bentley. J Bone Joint J Bone Joint Surg Br 2003 85-B:(SUPP II) 118.

The Distribution Of Mirror And Multiple Intracranial Aneurysms.
Biring G, Grieve J, Ellamushi H, Solanki G, Kitchen N. British Journal of Neurosurgery. Proceedings of the 135^th Meeting of Society of British Neurological Surgeons. 2000; 14:3:273-93.

Basic Orthopaedic Sciences: The Stanmore Guide.
Biotribology of Synovial & Artificial Joints. Friction, lubrication, wear and corrosion.
Biring G, Bankes M, Meswania J and Blunn G.

Minimal Direct Lateral Approach. Edited by AAOS
AAOS- Monograph on Minimally Invasive Hip Replacement
Biring G, Garbuz D, Masri B, Greidanus N & Duncan C.

Surgical Treatment of Hip, Arthritis: Reconstruction, Replacement, Revision. Edited by Dr. William J. Hozack.
Cement Extraction Techniques
Biring G, Masri B.

Surgical Treatment of Hip, Arthritis: Reconstruction, Replacement, Revision.Edited by Dr. William J. Hozack.
The anterolateral minimal / limited incision intermuscular approach for total hip arthroplasty
Biring G, Garbuz D & Duncan C

Yearbook of Orthopaedics, Mosby 2010. Edited by Morrey BF
Two-stage revision arthroplasty of the hip for infection using an interim articulated Prostalac hip spacer: a 10- to 15-year follow-up study.
Biring GS, Kostamo T, Garbuz DS, Masri BA, Duncan CP.

The Hip Joint. 1st Edition, Pan Stanford Publishing Pte. Ltd. Editors: K Mohan Iyer, 2017.
Chapter 6 - Injuries around the Hip Joint, Including Periprosthetic Fractures
Chapter 15 – Hip Arthroscopy
Biring G

Basic Orthopaedic Sciences: The Stanmore Guide. Second Addition 2017.
Biotribology of Synovial & Artificial Joints. Friction, lubrication, wear and corrosion.
Biring G, Bankes M, Meswania J and Blunn G.

‘Minimally Invasive Total Hip Replacement’.

Outcomes of Femoro-acetabular Impingement Surgery - a correlation between post-operative MRI imaging & clinical outcome.

Innovative Cartilage Techniques for Hip Chondral Defects.

Predictors and determinants of patient satisfaction with outcome after revision total hip replacement.

Outcomes of patients undergoing mechanically aligned vs kinematically aligned total knee replacements.

Robotic unicompartmental knee replacement.

Robotic total hip /knee replacements.

- The Centre of Biomedical Engineering, Institute of Orthopaedic & Musculo-Skeletal Science, University College London

I investigated the head/neck interface of modular total hip replacements to see whether the use of small spigots (minispigots) resulted in enhanced wear and corrosion, and if this was influenced by the surface finish on these tapers. Wear and corrosion of spigots were compared in-vitro using a test based on the resultant force through the femoral head. The surface parameters & profiles were measured before & after testing along with scanning electron microscopy (SEM). Electrochemical static and dynamic corrosion (pitting) tests were performed on minispigots under loaded and non-loaded conditions. In the CoCrMo/ Ti combinations, wear and corrosion was increased in minispigots compared with standard spigots. Surface finish was crucial and corrosion of the minispigot was reduced if the surface finish was smooth. I was a awarded a ‘Distinction’ for the dissertation.

- National / International Presentations

Poster Presentations

Podium Presentations

Arthroplasty and Arthroscopy

I have always been involved in managing teams from an early age and have held positions of responsibility to enable me to do this:

• Headboy,
• Captain of First XI Cricket Teams,
• Captain of Basketball Team,
• Student Union NAMS Representative,
• Anatomy Demonstartor,
• Golf Society Organiser,
• Interviewer for Senior SHO posts,
• ROTA co-ordinator at several hospitals,
• Mentor and Clinical Supervisor at the University of British Columbia,
• Fellow’s Representative at Vancouver Health Sciences Centre,
• Faculty Examiner
• Educational Supervisor
• Senior Arthroplasty Lead
• Consultant Medical Appraiser for Revalidation
• Clinical Lead in Arthroplasty & Lower Limb Reconstruction
• VTE lead in Trauma & Orthopaedics
• Human Tissue Authority (HTA) Designated Individual
• Peri-prosthetic Infection MDT Lead

I have been actively involved in the teaching of medical students, F1, F2, CT and higher surgical trainees. Regular contribution to lunchtime meetings and grand rounds. I have been voted for trainer the year for specialist registrars over the last several years. Teaching and examining experience includes the following:

Sport

Good Golfer, Keen cricketer, Fitness Training including ergometer training. I also enjoy hiking, biking and cricket practice with my three boys.