Consultant Orthopaedic Surgeon

Raheel is a board certified fellowship trained Orthopaedic Surgeon. Having been a successful full time Consultant Orthopaedic Surgeon at the University of Manchester Hospital and working in private practice in the UK, he moved in 2018 to Jeddah, Saudi Arabia for a fresh challenge.

He has a dedicated special interest in disorders affecting the foot and ankle. His practice encompasses the latest evidence based treatment options both surgical and nonsurgical in his chosen subspeciality. His specific interests include sports injuries, arthroscopic surgery, bunions, total ankle replacements and patient related outcome measures.

Training

Raheel completed his basic and higher surgical training at Liverpool UK, having successfully obtained the FRCS (Tr & Orth) in 2012. His skills and expertise in foot and ankle surgery are a culmination of fellowships of international repute:

Fellowship experience

Foot & Ankle Fellowship, Institute of Foot & Ankle Reconstruction, Mercy Medical Centre, Baltimore USA (July 2013 to Dec 2013)

He has undertaken a highly sought after fellowship at Baltimore USA, under the world renowned surgeon Dr Mark Myerson in all aspects of foot and ankle surgery. This included experience in the surgical management of complex foot and ankle deformities and reconstructive procedures.

Limb Reconstruction Fellowship at Royal Liverpool University Hospital (August 2014 to Feb 2015)

Raheel has also undertaken a limb reconstruction fellowship tailored to foot and ankle surgery at the renowned Limb reconstruction unit at Liverpool. This has given him a sound grounding in the use of fine wire frames for complex foot and ankle deformity and trauma surgery.

Being dual fellowship trained in foot and ankle surgery, he is experienced in ankle replacements, revision (redo) ankle replacements, correction of flat feet and high arched feet deformities, minimally invasive surgery (MIS) for the foot and for the ankle, arthroscopic (keyhole) surgery, platelet rich plasma (PRP) therapy, extra corporeal shockwave therapy, sports injuries, enhanced recovery regimes as well as bunion and lesser toe surgery.

Raheel has also published his research widely in peer reviewed journals and presented his work at meetings both nationally and internationally.

He is regularly invited as a contributing author for the ‘Foot & Ankle Clinics of North America’. He is also faculty on International fellowship programmes where he trains other consultants in complex foot and ankle reconstruction techniques, including national foot & ankle courses for speciality orthopaedic trainees in UK and USA.

Areas of Interest

Ankle arthritis – Total ankle replacements

Achilles tendon disorders – including tendonitis, acute and chronic rupture reconstruction

Ankle Arthroscopy for osteochondral lesions of the ankle

Sporting injuries to the foot and ankle – ligament reconstruction and arthroscopic techniques

Bunions

 Arthritis of the big toe

 Diabetic feet

 Lesser toe deformities

 Adult flatfoot deformity correction

 Cavovarus (high arched) foot deformity correction

 Plantar fasciitis – surgical stretching

 Management of the sequelae of traumatic injuries to the foot and ankle

 Management of sequelae of infection of the foot and ankle

Outside of medicine, Mr Shariff enjoys swimming, golf and playing cricket with his three kids.

Research

Raheel has been actively involved in research throughout his career. He has been involved in several clinical and basic science research studies which have culminated in publications and added to the knowledge base of evidence. Some examples of his research studies are:

• The recurrence of hallux valgus due to metatarsus adductus, a radiographic study:

R Shariff, A Aiyer, L Ying, M Myerson. Institute for Foot & Ankle Reconstruction at Mercy, Baltimore, USA. September 2013

This was a large study looking at the incidence and demographics of metatarsus adductus in a total of 800 patients who have been treated surgically for hallux valgus. We defined the incidence of metatarsus adductus, recurrence of hallux valgus following corrective surgery in this patient group and determine prognostic factors radiographic/clinical which may contribute to recurrence. Data collected  and analysed  on 800 patients. This work is due to be presented at the American Academy of Foot & Ankle Surgeons Meeting in 2015.

• Mortons neuroma: a cadaveric, radiographic and histopathological study:

R Shariff, A Aiyer, M Myerson. Institute for Foot & Ankle Reconstruction at Mercy, Baltimore, USA. October 2013

This study is aiming to look at the contributory factors for a Morton’s neuroma. We believe there is a strong mechanical component to the development of a neuroma, although this has not been proven. Our study aims to correlate anatomic, radiographic and histopathological findings which may contribute to the lesion. Nine cadaveric specimens have been dissected and studied histopathological study to isolate the degree of degenerative changes with respect to the position of intermetatarsal ligament.

• Midfoot bone block allograft fusion study

R Shariff, A Aiyer, M Myerson. Institute for Foot & Ankle Reconstruction at Mercy, Baltimore, USA. November 2013

To determine the results of the midfoot distraction bone block in patients. Successful union, contributing factors to nonunion and pain scores were assessed.

• The role of postural changes in capillary microcirculation in the perioperative period in foot surgery

F.Attar, R.Shariff, D.Selvan, D.Machin &  N. Geary – Arrowe Park Hospital, October 2003.

This research project was set up following the senior author’s observation that it takes 48 hours for the microcirculation in feet to normalize following foot surgery. This was assessed using a Doppler flowmeter pre-operatively and post-operatively, and the time taken for the microcirculation to normalize was recorded.

This culminated in a full paper which has been published in the Journal of Foot & Ankle Surgery.

• Kinematic Assessment of Hip Movements whilst bending to pick an object from the floor

R Shariff, S Panchnani, J Moorehead, S Scott – Department of Orthopaedic Research, University Hospital Aintree, September 2007.

Following hip replacement surgery, patients must restrict the range of exaggerated movements of their operated hip for the initial few weeks, to avoid risk of dislocation. During this period one potential activity of daily living which can put the hip at risk of dislocation is picking an object from the floor. This study aimed to assess the flexion and rotation at the hip joint in normal subjects, whilst adopting different postures of picking an object from the floor, ascertaining which posture minimizes the amount of exaggerated hip movement. This information was then  used to correlate which posture reduces the risk of dislocation. We obtained ethics approval and completed the study, with 50 hips being measured. This has been presented at EFFORT 2009. This study culminated in a paper which has been published  in the Journal of Orthopaedic Surgery and Research in 2011.

Teaching Experience

Raheel has always been passionate about training.

He is currently Director of Orthopaedic Residency Training Programme at the International Medical Centre since 2018.

Invited Faculty to the Steps 2 Walk International Foot & Ankle Fellowship Programme in China and Brazil – where he trains surgeons in these countries by undertaking live surgeries of complex cases and lectures in these countries.

He is an invited faculty for several  national and regional courses.

• Manchester Cadaveric Hindfoot course
• Blackburn Cadaveric Forefoot course
• Liverpool FRCS (Tr & Orth) course

• Examiner for Regional FRCS clinical preparation programme –

o Royal Liverpool & Broadgreen University Hospital – 2013, 2014

o University Hospital Aintree – March 2014

o St Helens & Knowsley Teaching Hospitals – March 2014

Qualifications:

• MBBS – St Johns Medical College, 2002
• MRCS – Royal College of Surgeons of Edinburgh, 2006
• FRCS (Tr & Orth) – Royal College of Surgeons of Edinburg, 2012

Fellowship Experience:

• Foot & Ankle Fellowship – Baltimore USA (01/07/13 – 31/12/13)

Under the world renowned  surgeon Dr Mark Myers at The Institute for Foot and Ankle Reconstruction at Mercy Medical Centre

• Fellowship in Limb reconstruction – Liverpool (01/08/14 – 31/01/14)

Under Mr D Nayagam, Mr Badri Narayan and Mr N Geotakis at the Royal  Liverpool University Hospital Limb reconstruction unit.

Publications

Contributing author to:

‘How to suceed in the FRCS T&O Part 1 Exam’, BPP Publishers.

Invited author to – The Foot & Ankle Clinics of North America .

Full papers published:

1. Prevalence of metatarsus adductus in patients undergoing hallux valgus surgery. Foot and Ankle International.Sept 2014. AA Aiyer, RShariff, J Schub,Ying Li, M Myerson.

2. The management of infection following total ankle replacements: demographics and treatment. Foot & Ankle Int. Sep 35(9). Myerson MS, Shariff R, Zonno Aj.

3. The utility of resection of the fifth metatarsal in the management of the severe cavovarus deformity correction. Foot and Ankle International. 2014 Apr 7;35(6).  R Shariff, E Palmanovich, M S Myerson

4. Rheumatoid forefoot reconstruction: outcome of the first MTP joint arthrodesis and Stainsby procedure in the lesser toes. Bass EJ, Shariff R, Sirikonda SP. Foot (Edin). 2014 Jun;24(2)

5. The flexible adult flatfoot deformity: Classification and surgical management options. Myerson MS, Shariff R. The inaugural ‘Chinese Foot and Ankle Journal’. June 2014.

6. Review article on ‘The mallet toe deformity’ for the North American Foot & Ankle Clinics, Molloy A, R Shariff – January 2012

7. Correction of knee flexion contractures in children using the guided growth principle, R Shariff, Shivarathre D, Khan A, Bass A, Sampath J. J.Orthopaedics 2011; 8(3)e11

8. Kinematic assessment of hip movement in pick up activity. R Shariff, S Panchani, J Moorehead, S Scott. Journal of Orthopaedic Surgery and Research 6:11,Feb 2011.

9. The association between clubfoot and developmental dysplasia of the hip. D Perry, S Tawfiq, A Roche, R Shariff, N Garg, L James, J Sampath, C Bruce. Journal of Bone and Joint Surgery (Br), 2010; 92-B;1586

10. The effect of total knee arthroplasty on body mass index – a prospective study. R Shariff, M Manickam, O Wainwright, M McNicholas. Journal of Orthopaedic Trauma Surgery and Rehabilitation 2010

11. How good are orthopaedic surgeons at assessing ECG’s?, R Shariff, F Attar. Journal of Orthopaedic Trauma Surgery and Rehabilitation, 2010

12. The risk of avascular necrosis following chevron osteotomy: A prospective study using bone scintigraphy, R Shariff, F Attar, D Osarumwene, R Siddique, G Attar. Acta Orthopaedica Belgica, Vol.75 – 2 – 2009

13. Postural changes to capillary microcirculation in the perioperative period in patients undergoing foot and ankle surgery. F. Attar,D. Selvan, D. Machin, R. Shariff, N. Geary, J Foot Ankle Surg 2007 Jul-Aug;46(4):238-41 

14. Negative Pyloromyotomy for pyloris stenosis – Is it preventable?, D Mullassery,S Mallapa  R Shariff, RJ Craigie, PD Losty, SE Kenny and CT Baillie.BMC Paedtr 2008 Sept 24;8(1):37

15. Umbilical pyloromyotomy – Comparison of vertical linea alba and transverse muscle cutting incisions , D Mullassery, R Shariff, RJ Craigie, PD Losty, SE Kenny and CT Baillie. J Paed Surg 2007 Mar;42(3):525-7.

In Press:

Osteotomies for hallux rigidus, R Shariff, M Myerson. The North American Foot & Ankle Clinics, Sept 2015.

Submitted:

1. ‘Radiographic Results of First Metatarsophalangeal Joint Arthrodesis for Idiopathic and Recurrent Hallux Valgus’.  MS Myerson, R Shariff, PM Ponce,Y Ling. Submitted to JBJS Am.

2. ‘Does hindfoot arthrodesis increase the rate of failure of total ankle arthroplasty? A retrospective study’ Palmanovich E, Shariff R, Myerson MS. Submitted to FAI.

Professional Talks:

Podium, International:

1. ‘Does hindfoot arthrodesis increase the rate of failure of total ankle replacements’, American Academy of Foot & Ankle Surgeons – September 2014

2. ‘Radiographic results of first MTP joint arthrodesis for recurrent and idiopathic hallux valgus’, American Academy of Foot & Ankle Surgeons – September 2014

3. ‘Guided growth principle in correction of knee flexion contractures in children’, BOA Meeting, Manchester – September 2009

4. ‘The use of the 8-plate hemiepiphyseodesis for correction of fixed flexion contractures of knees in children with cerebral palsy’, 8^th EFORT Congress, Florence, Italy – May 2007

5. ‘The effect of total knee arthroplasty on BMI’, 8^th EFORT Congress, Florence, Italy – May 2007

6. ‘The effect of total knee arthroplasty on body mass index – a prospective study’, 15^th European SICOT Trainees Meeting, Prague – September 2006

7. ‘Osteochondral fracture of medial malleolus of ankle, an unusual case’, 15^th European SICOT Trainees Meeting ,Prague – September 2006

8. ‘Prostatic carcinoma with cervical metastasis, an unusual presentation’, 15^th European SICOT Trainees Meeting, Prague – September 2006

9. ‘Umbilical pyloromyotomy – Comparison of vertical linea alba and transverse muscle cutting incisions’, Hungarian International Congress of Paediatric Surgery – 2005

Podium, National:

1. ‘The 8-plate procedure for knee flexion contractures in cerebral palsy  patients’, British Surgical Society for Cerebral Palsy, Birmingham – November 2006

2. ‘Cholangiocarcinoma, a surgical dilemma?’, Northwest Hepatobiliary Surgery Surgeons Meeting – January 2006.

Podium, Regional:

1. ‘Time to theatre for open fractures TARN audit’  Whiston Hospital Grand Round – January 2010

2. ‘A novel use of the 8 plate for correction of knee flexion contractures’, Regional Alumni Meeting Alder Hey – December 2006.

3. ‘The 8-plate procedure for knee flexion contractures in cerebral palsy patients’, British Society of Childrens Orthopaedic Surgery – January 2007