Want to know more about a particular problem or solution to that problem?
Want to know the extent of Mr Hardy's training and experience before seeing him by reading his C.V?
Here you will find patient Information, John's C.V. and details of his teaching this year as well as some of the internet links he uses when discussing with his patients all of the management options available for his patients.
All of his patients are consented for the videos he makes during surgery for anonymised use in teaching and learning to improve the standards of medical and surgical care through out the world.
Mr Hardy's Curriculum Vitae demonstrates a committment to Good medical practice.
Mr Hardy was the author of the first iPhone Knee Injury App for UK patients and the first version of the iPhone Knee Injury App for US patients.
Mr Hardy has contributed to a number of chapters in surgical texts:
Mr Hardy works according to standards of care recognised by the GMC and many of his professional bodies. He maintains that his contract to provide medical care is with the patient.
Mr Hardy does not contract to undertake professional medical care for insurance companies, sports clubs or thrid party organisations.
Mr Hardy regularly sees uninsured patients who prefer to self pay even if they thought they were comprehensively insured but find they have a restricted policy.
Mr Hardy is happy to see any insured patient and still is seeing PPP AXA insured patients. However, AXA PPP patients that come to see him for a consultation should be aware that his team was unable to acquiesce to AXA PPP's request in 2009 to reduce his fees back to reimbursement not seen since 1994. This appears to be a restriction applied to many of the more experienced Consultants in the UK.
To avoid disappointment please check the restrictions of which hospitals and which consultants you are allowed to see in the policy you were issued with when you applied to PPP AXA for Private Medical Insurance.
Mr Hardy cannot advise on which insurance company offers the best value for money and which policies do not restrict where the patient is seen or which doctor they can see.
Please do not ask Mr Hardy or his secretary to recommend a cheaper doctor or surgeon.
Mr Hardy has been involved in medical education throughout his career.
John was invited to appear on Dr Phil Hammond's Saturday Surgery "The only place where you can book a regular appointment with a GP on a Saturday!" 26th Feb 2011. He is regularly invited to teach Consultants from all over Europe on arthroscopic minimal acess skills.
Some of John's patients go the extra mile and offer their own time and resources to improve on Mr Hardys teaching videos. Click on the video below for a video on the Management (Diagnosis and Treatment) of a meniscal tear made by George Davies in His Red-Creative Design Studio:
Dupuytrens Disease Dupuytrens Disease - Needle fasciotomy
(Mr Hardy says that this is a good stopgap for those patients who present late with inoperabable contractures to prepare the hand for formal excision of the Dupuytrens fascia at a later date).
Patella Dislocation in Athletes 5% of all patella dislocation are associated with an osteochondral fracture that is easy to miss on x-ray to the detriment of the athlete as early repair has a good prognosis and late recognition a bad one.
The Footballers Fracture A demographic study of the largest series of fractures in footballers managed by Mr Hardy ever published with a commentary by Steve Bollen editor of the British Journal of Sports Medicine.
Dynamisation of Tibial Fractures
When a patient needs to be treated with an External Fixator dynamisation results in beneficial changes in both cyclic movement progressive closure.
Fracture Stiffness Measurement This is one of the only two objective measures of fracture healing that Orthopaedic and Trauma surgeons have to assess when a patient has healed and is match fit.
Quantitative measurement of fracture healing is more accurate than qualitative measurement as long as the technique is performed properly.
Callus Index and NSAIDS A small prospective randomised study that suggests but does not prove that NSAIDS have a beneficial effect on intramembranous fracture healing.
Why does your surgeon loosen your fixator after 6 weeks? You have broken you shin in a football match and the surgeon has recommended one of the new lightweight disposable fixators. At about 6 weeks the surgeon will loosen part of the fixator to speed up healing. Here is the science behind why.
Bone Grafting Your surgeon has recommended you have a bone graft procedure. This may be part of a bigger operation. It may also be one of a number of types of bone graft:
1.Autograft: This means the bone that comes from another part of yourself and be used on you to strengthen your own bone.
2.Allograft: This means that the bone will come from another patient to be used to strengthen your own bone.
3.Xenograft: This is graft from another species that is used to strengthen your own bone.
Anaesthesia Many operations are usually carried out under general anaesthesia as a day-case procedure. As a team Dr Coates, Consultant Anaesthetist and Mr Hardy, Consultant Orthopaedic and Trauma Surgeon offer an appropriate anaesthetic and good pain relief.
NHS Waiting Lists Many studies have shown patients choose convienience over quality. This is because it is difficult for a layperson to recognise quality of care. However, given the finite resources in the NHS 83% of patients would prefer to see a Consultant and go on a waiting list than wait to see a Consultant but have the opportunity to be operated on rapidly.
Shaving with Static Electricity Mr Hardy has used this is a simple technique for reducing the risk of postoperative wound infection in the operating theatres for years.
Fracture Reduction - Technical Tips Mr Hardy says that this is the technique he teaches on the Basic Surgical Skills courses he runs in Bristol and London for surgical trainees in Surgical Training years 1-2.
Mr Hardy, following the principles learnt from Professwor Harold Ellis, has always had an interest in the aetiology and prevention of hospital acquired infection. This lead him to achieve 16 worldwide patients on his surgical tray. He contributed as faculty member to the very successful Molnlycke Draping Fora 2011-12. In these study days, that took place in the University College London Education Centre and Bradford. NHS Theatre staff spent a day learning about surgical site infection risk, infection risk reduction, the legal aspects of draping and they participated in draping workshops. Click on the image right to read all about the 2011 forum or read the Operating Theatre Journal...
With governments clamouring to reduce the impact of bacterial infections like MRSA and Clostridium difficele on expenditure and the increasing risk of cross infection of blood born virus Mr Hardy is pleased
to announce a development in the measurement of how drapes control bacteria and an invention for the reduction of risk of cross infection in surgery that will make a difference.
Showering With Sutures Many of John Hardy's patients ask about showering after surgery with sutures in the wound. Mr Hardy has reviewed the evidence and recommends that there is no additional risk of infection after his operations if you choose to shower. NICE guidelines on prevention of Surgical Site Infection recommend patients can shower after 48 hours. Mr Hardy recommends that the dry dressing can be removed for showering once you have gone 24 hours with a dry dressing and no further ooze.
Mr Hardy's publications, including the references of some of the literature above, can be found on the Sports Injury Clinic website.