Speakers
Professor Mike Reed
Richard Holleyman
Professor Vikki Wylde
Specialist Society
17:15 – 18:00 BST, 17 September 2025 – 45 mins
Room: Hall 1 Main Auditorium
Session Title: Pre-operative optimisation for hip replacement
Chair and Co-Chairs: Mike Reed
Session Description:
The British Hip Society session at the BOA Annual Congress 2025, titled *"Pre-operative Optimisation for Hip Replacement,"* will provide a multidisciplinary overview of best practices for preparing patients for hip arthroplasty. As surgical outcomes increasingly depend not only on the operation itself but also on pre-operative preparation, this session will focus on evidence-based strategies to enhance patient resilience, reduce complications, and improve long-term recovery.
The session opens with a focus on metabolic and haematological optimisation, particularly the management of HbA1c and anaemia. Uncontrolled diabetes and pre-operative anaemia are both known risk factors for surgical complications, including infections, delayed healing, and increased transfusion requirements. Experts will present current recommendations on glycaemic control thresholds and discuss pathways for identifying and treating anaemia early in the surgical timeline to reduce perioperative risk.
The second presentation addresses the growing need to optimise frail and elderly patients through nutritional and physical interventions. With many hip replacement candidates now presenting with sarcopenia, frailty, and comorbidities, targeted prehabilitation strategies are becoming essential. This talk will explore how protein supplementation and physiotherapy can enhance functional reserve before surgery, reduce post-operative complications, and support faster return to mobility. Practical guidance on delivering these interventions in both hospital and community settings will be discussed, supported by recent evidence on their impact on surgical outcomes.
The final session will highlight the importance of shared decision-making, underpinned by comprehensive geriatric assessment (CGA). Many older patients undergoing hip replacement face complex decisions influenced by frailty, cognitive impairment, and multimorbidity. CGA provides a structured framework for evaluating these factors and supporting patient-centred decisions about surgery. This talk will examine how involving geriatricians, anaesthetists, and allied health professionals in pre-operative planning can align surgical choices with patient values, optimise risk assessment, and enhance communication.
Throughout the session, a multidisciplinary panel will share insights into collaborative care models that place the patient at the centre. Emphasis will be placed on practical, real-world strategies that busy teams can implement to improve safety, outcomes, and patient satisfaction.
This session promises to equip delegates with a comprehensive understanding of pre-operative optimisation for hip replacement and the tools to deliver more personalised, effective, and efficient care for patients undergoing this life-changing surgery.
Session Agenda:
17:15 – 17:18: Introduction – Mike Reed
17.18 – 17.26: HbA1c and Anaemia optimisation – what are the levels to aim for to minimise complications – Richard Holleyman
17.26 – 17.36: Better preparation for frail patients with nutrition and physiotherapy pre-op – Vikki Wylde
17.36 – 17.51: Shared decision making with comprehensive geriatric assessment – Jugdeep Dhesi
17.51 – 18.00: Questions and panel discussion
Professor Mike Reed is a full-time trauma and hip and knee joint replacement surgeon. He trained in the North of England and did fellowships in New Zealand.
He leads Trauma and Orthopaedics at Northumbria Healthcare, working with a team of 31 talented colleagues.
His research focuses on clinical outcomes particularly around short stay surgery as well as infection prevention, diagnosis and management. Professor Reed is on the steering committee and executive of the National Joint Registry (NJR) and Chaired the Annual Report from 2019-2024. He now leads on Surgical Performance for the NJR, is a trustee for the Orthopaedic Research UK charity and is on the grant awards committee for the National Institute Health and Care Research (NIHR) (i4i PDA). He leads clinical trials for industry and NIHR, and works academically with the University of York.
Richard completed his undergraduate education in Newcastle (MBBS) and London (MSc) and has been a Trauma and Orthopaedic specialist registrar in the Northern Deanery since 2016. He has a passion for health research, in particular, epidemiology and data science and has worked extensively with large national datasets.
Vikki Wylde is a Professor of Musculoskeletal Health at the University of Bristol. She is an academic with an interest in improving the health and wellbeing of people living with chronic musculoskeletal conditions. She conducts research that spans the translational pathway and impacts on patient care through informing NICE guidance and changing NHS practice. Her research aims to improve patients’ outcomes and experiences of interventions for musculoskeletal pain, with a particular focus on developing and evaluating interventions to optimise patient outcomes after hip and knee replacement.
Jugdeep Dhesi is a consultant geriatrician at Guy’s and St Thomas’ NHS Foundation Trust and Professor of Geriatric Medicine at Kings College London. She is currently President Elect of the BGS, (from November 2022) and will take on the role of President from November 2024.
Jugdeep’s clinical work focuses on improving outcomes for older people undergoing elective and/or emergency surgery. Over the past 20 years, she has led the development and evaluation of the innovative and award-winning Perioperative medicine for Older People undergoing Surgery (POPS) service in the United Kingdom. This model of care first established at GSTT has been shown to deliver better outcomes for older people undergoing surgery, with value for the NHS. Jugdeep has supported the establishment of POPS services at numerous NHS hospitals and internationally.
Jugdeep has published widely on preoperative assessment and optimisation, perioperative approaches to frailty and delirium, and health services research examining perioperative pathways. She has a wide education and training portfolio, having established the first medical, nurse and allied health professional training programmes in perioperative medicine for older people. She has co-authored e-learning modules, MSc modules and multiple textbook chapters.
Jugdeep is Deputy Director for the Centre for Perioperative Care, contributes to a variety of steering, advisory and guideline groups (NELA, RCoA, BGS and NICE) and is committed to influencing policy to improve health and social care for older people.