Mr. Paul Hegarty

Mr. Paul Hegarty’s Profile

Specialist interest in knee preservation and arthroplasty surgery

• Ligament Reconstruction
  • ACL Reconstruction (Quads/Hamstring/Patellar Tendon Grafts)
  • Lateral Extraarticular Tenodesis
  • PCL Reconstruction
  • MCL Reconstruction
  • Posterolateral Corner Reconstruction
• Meniscal Repair
• Cartilage Repair
  • Microfracture / Nanofracture
  • Autologous Matrix Induced Chondrogenesis (AMIC)
  • Osteochondral Autograft Transfer (OATS)
• Osteotomy for malalignment correction
  • Early osteoarthritis avoiding joint replacement
  • Offloading cartilage repair / meniscal repair
  • Reducing risk of reinjury to ligamentous structures
• Patellofemoral Dislocation
  • MPFL Reconstruction
  • Tibial Tubercle Osteotomy
  • Derotation Osteotomy
  • Trochleoplasty
• Arthroplasty
  • Unicompartmental Knee Replacement
  • Patellofemoral Replacement
  • Total Knee Replacement
  • Total Hip Replacement

Current NHS/HSE Posts

Altnagelvin Hospital – Consultant Trauma & Orthopaedic Surgeon

Qualifications

2005-2011 The Queen’s University of Belfast MB BCh BAO

2014 The Royal College of Surgeons of Edinburgh MRCS

2020 The Royal College of Surgeons of Edinburgh FRCSEd(Tr&Orth)

Sports Medicine | Knee Preservation and Osteotomy Shoulder, Hip and Ankle Arthroscopy

Supervisors: Dr Alan Getgood, Dr Robert Litchfield, Dr Robert Giffin, Dr Kevin Willits, Dr Ryan Degen

Additional Training

August 2021-August 2022 Fowler Kennedy Sports Medicine, London, ON, Canada

Professional bodies (Positions held in last 3 years)

ISAKOS

ESSKA

Patellofemoral Foundation

Irish Knee Society (IKS)

Publications

Nakanishi Y, Hegarty P, Vivacqua T, Firth A, Milner J, Pritchett S, Bryant D, Getgood A. Lateral Extra-articular Tenodesis Augmentation of Anterior Cruciate Ligament Reconstruction does not impact cartilage health in the patellofemoral joint based on post-operative two year qualitative and quantitative MRI analysis. Awaiting publication. doi: 10.1177/2325967123S00

Pulido P, Hegarty P, Getgood A. Knee osteoarthritis and management of the retired athlete: The role of osteotomy. Journal of Cartilage & Joint Preservation. 2. 2022. 100066. doi.org/10.1016/j.jcjp.2022.100066. PMID: 31629621

Hegarty P, Walls A, O’Brien S, Gamble B, Cusick L, Beverland D. A Prospective Randomised Study Comparing Postoperative Pain, Biological Fixation and Clinical Outcomes between Two Uncemented Rotating Platform Tibial Tray Designs J Arthroplasty. 2020 Feb;35(2):429-437. doi: 10.1016/j.arth.2019.09.029 PMID: 31629621

Tucker A, Hegarty P, Magill P, Blaney J, McCaffrey J, Armstrong L, Beverland D. Acute kidney injury following prophylactic cefuroxime and gentamicin in patients undergoing primary hip and knee arthroplasty. J Arthroplasty. 2018 Sep;33(9):3009-3015. doi:10.1016/j.arth.2018.04.044. Epub 2018 May. PMID: 29807788

Hegarty P, O’Brien S, Stevenson M, Beverland, D. The Effect of Perioperative Blood Loss on Postoperative Pain Following Total Knee Arthroplasty. J Orthop. 2015 Feb 23;12(3):147-50. doi: 10.1016/j.jor.2015.01.011. PMID: 26236118

Hegarty, P., Getgood, A. (2023). Osteotomy: Patient Evaluation and Indications. In: Sherman, S.L., Chahla, J., Rodeo, S.A., LaPrade, R. (eds) Knee Arthroscopy and Knee Preservation Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-82869-1_45-1

Treatments and areas of interest

• Ligament Reconstruction
• • ACL Reconstruction (Quads/Hamstring/Patellar Tendon Grafts)
• • Lateral Extraarticular Tenodesis
• • PCL Reconstruction
• • MCL Reconstruction
• • Posterolateral Corner Reconstruction
• Meniscal Repair
• Cartilage Repair
• • Microfracture / Nanofracture
• • Autologous Matrix Induced Chondrogenesis (AMIC)
• • Osteochondral Autograft Transfer (OATS)
• Osteotomy for malalignment correction
• • Early osteoarthritis avoiding joint replacement
• • Offloading cartilage repair / meniscal repair
• • Reducing risk of reinjury to ligamentous structures
• Patellofemoral Dislocation
• • MPFL Reconstruction
• • Tibial Tubercle Osteotomy
• • Derotation Osteotomy
• • Trochleoplasty
• Arthroplasty
• • Unicompartmental Knee Replacement
• • Patellofemoral Replacement
• • Total Knee Replacement
• • Total Hip Replacement