MR CHRIS PALIOBEIS, Consultant Orthopaedic Surgeon MD FRCS

After graduating from Medical School, Mr Paliobeis completed his Surgical and Orthopaedic training in Athens, Greece. Following completion of specialist training, he moved to the UK where he undertook several distinguished Fellowships in: Trauma (AO Foundation) in Leeds, Musculoskeletal Oncology at the Royal Orthopaedic Hospital in Birmingham, Knee Surgery at York Hospital, Hip Surgery / Hip Arthroscopy at the Richard Villar Practice in London. Following his Fellowships he held the post of Locum Consultant in Addenbrooke’s Hospital in Cambridge and at the Royal Berkshire Hospital in Reading, before being appointed as a Consultant Orthopaedic Surgeon at the Hereford County Hospital in 2012.

Mr Paliobeis‘ elective practice is mainly devoted to the treatment of problems of the hip and knee joint. His specialisation lies in the surgical treatment of young patients with hip disorders and he is able to offer an effective surgical option to help such individuals return to full activity.

Mr Paliobeis maintains a keen interest in teaching and is on the faculty for a renowned international course which trains surgeons on surgical techniques in hip arthroscopy. Mr Paliobeis reviews regularly for The Bone and Joint Journal (formerly known as the “Journal of Bone and Joint Surgery (BR)”).

Mr. Paliobeis has demonstrated day in and day out how he goes the extra mile by being approachable and available to support senior and junior colleagues, even when this means he is contacted on his off days or evenings. Whenever I need support with difficult clinical situations or complex operations, he is always the one to lend an experienced hand

Mr Chris Paliobeis is an outstanding professional who presents Wye Valley Trust’s values to all patients he sees. He always goes above and beyond the call of duty to make a difference to the experiences of patients, visitors, colleagues and clients.

I will always recall with much fondness and with considerable gratitude the circumstances surrounding the revision of my left hip replacement on September 15th at NHS Wye Valley thanks to the professional expertise and utmost care of you and your surgical team. You were all quite remarkable and greatly exceeded my expectations which reflects so well on all of you…thanks so much.

Huge Thanks to Mr Paliobeis for my amazing new hip, I’m so grateful! At 6 weeks post op I can already walk 1.5 miles – before the op I could barely walk 30 yards without terrible pain. Please accept my sincere gratitude. The expertise you and the Spire team provided has, quite literally, changed my life. Hip, Hip, Hurray.

Thank you for your patience, and skilful replacement of my hip joint. The procedure has rid me of that dreadful wearing pain that had devastated the last 2.5 years of my life. I look forward to making the most of your clever surgery

PATIENT FEEDBACK *

Respectfulness 100%
Clarity of Consultation 100%
Attentiveness 100%
Patient Interest 100%
Interpersonal Skills 100%
Patient Understanding 100%

* Results from the GMC revalidation process.

SPECIAL CLINICAL INTERESTS

Arthroscopic surgery of the hip
Joint preserving early intervention hip surgery
Sports injuries of the hip
Total hip replacement
Total and partial knee replacement
Revision arthroplasty and arthroscopic surgery of the knee
Cartilage regeneration procedures (hip and knee)

RESEARCH INTERESTS

British Orthopaedic Association
International Society for Hip Arthroscopy
Royal College of Surgeons

Mr Paliobeis has worked as a consultant orthopaedic surgeon since July 2010 and has developed his experience in Trauma, Lower Limb Surgery & Revision, Hip Arthroscopy and Young Adult Hip / Hip Preservation Surgery. He has also maintained his exposure to Musculoskeletal Oncology from his role as Sarcoma Lead for Wye Valley NHS Trust. Mr Paliobeis has maintained an extensive academic portfolio in research and teaching, presentations at international and national level, with publications in established, peer reviewed journals.

QUALIFICATIONS AND AWARDS

2020 – GMC Revalidation

2018 – Clinical Excellence Award

2017 – “Going-the-Extra-Mile” award, Wye Valley NHS Trust (WVT)

2016 – Postgraduate Certificate (PGCert) in Musculoskeletal Ultrasound

2016 – Clinical Excellence Award

2015 – GMC Revalidation

2015 – Bursary (WVT) – – to develop clinical services by participation in an MSc programme towards a “PG Cert in Medical Ultrasound”; led to Mr Paliobeis’ successful certification in performing hip injections under ultrasound.

2014 – SIFT fund (WVT) – for maintenance and support of the Orthopaedic Surgical Planning Software at the County Hospital in Hereford.

2013 – FRCS ad eundem

2012 – SIFT fund – to purchase Orthopaedic Templating Software at the County Hospital in Hereford to teach Preoperative Planning for Surgeons and Medical Students.

2010 – Award by the Trauma & Orthopaedic Association of Macedonia & Thrace, Greece – a single award for a newly qualified consultant, for a fellowship in hip arthroscopy.

2007 – AO/ASIF Stipend – AO Fellowship in Trauma.. Leeds General Infirmary

2007 – CCT – Orthopaedic Surgery. University of Athens, Greece

1996 – Medical Degree. University of Thessaloniki, Greece

CAREER SUMMARY</h3

Aug ’12 – present
Consultant in Trauma & Orthopaedics (Hip & Knee surgery & Trauma)
The County Hospital, Hereford

Jan ’12 – Jul ‘12
Locum Consultant – Trauma & Orthopaedics (Hip & Knee surgery & Trauma)
The County Hospital, Hereford

Jan ’11 – Jan ‘12
Locum Consultant – Trauma & Orthopaedics (Hip & Knee surgery & Trauma)
Royal Berkshire Hospital, Reading

Jul ’10 – Jan ‘11
Locum Consultant – Trauma & Orthopaedics (Hip & Knee surgery & Trauma)
Addenbrooke’s Hospital, Cambridge

Jul ’09 – Jul ‘10
Senior Fellow – Hip Surgery
The Wellington Hospital, London

Sep ’08 – Jun ‘09
Senior Fellow – Knee Surgery
York Hospital

Jul ’07 – Aug ‘08
Senior Fellow – Orthopaedic Oncology
Royal Orthopaedic Hospital, Birmingham

Mar ’07 – Apr ‘07
AO Fellow – Trauma Surgery
Leeds General Infirmary

CLINICAL EXPERTISE

LOWER LIMB SURGERY

• Currently working as a Consultant with an interest in Trauma, Hip and Knee Arthroplasty and Arthroscopy.

TRAUMA

• Areas of special interest: lower limb periprosthetic fractures, post-traumatic infection.
• Published research on chest trauma & associated injuries and tibial non-unions.

MUSCULOSKELETAL ONCOLOGY

• Currently acting role as Sarcoma Lead for Wye Valley NHS Trust.
• Fellowship at the ROH in Birmingham.

OTHER CLINICAL EXPERIENCE

• Extensively trained in revascularisation and re-implantation techniques, nerve repair and grafting.
• Instructor on courses for surgeons on the techniques of microsurgery.

MANAGEMENT EXPERIENCE

TEAM & SERVICE MANAGEMENT

• Sarcoma Lead – representing orthopaedic colleagues in sarcoma meetings.
• Clinical and educational supervisor

CLINICAL GOVERNANCE

• Educational supervisor
• Appraiser
• Regular participation in multidisciplinary meetings and maintenance of the WVT database on prosthetic joint infections
• Has carried out and supervises audit projects regularly
• Review and revision of WVT pathways, regarding surgical site infection and elective orthopaedic surgery.

SERVICE DEVELOPMENT

Outpatient, ultrasound-guided hip injections: 
As a result of the successful completion of a PGCert, Mr Paliobeis is now performing a large number of hip injections on an outpatient basis, providing an efficient, high quality service to patients and a highly cost-efficient service for Wye Valley NHS Trust.

A Fellowship in Hip Surgery:
After completion of training, orthopaedic surgeons join a Hip specialist Fellowship in WVT to work with Mr Paliobeis with particular emphasis on Preoperative Planning using Templating Software, Hip preservation surgery, Research, Audit and Leadership skills.

Video on Hip Arthroscopy – Lateral Position(view here):
A 7-minute video guide on hip arthroscopy created by Mr Paliobeis to train operating theatre personnel at the Royal Berkshire Hospital. It details the setup, positioning, prepping, draping & intraoperative manipulations. It also presents pitfalls and suggests an operating theatre floor plan. It proved to be a valuable tool in making hip arthroscopy lists safer and more efficient.

TEACHING

Known for his enthusiasm for teaching, Mr Paliobeis has maintained an extensive teaching portfolio. Not only does he regularly deliver teaching to a variety of audiences, from medical students to junior doctors to orthopaedic trainees and allied health professionals; he also has a genuine interest in developing team skills, specialist services and changing culture to improve patient services through teaching. With this in mind Mr Paliobeis has:

• Served on a world-renowned course from the role of a Hip Arthroscopy trainer for hip specialist consultant orthopaedic surgeons, since 2009.

• Authored the only chapter on Hip Arthroscopy in the 2014 textbook of the European Federation of National Associations of Orthopaedics and Traumatology (EFORT) which is the basis for the European Orthopaedic Specialty Exit Exam.

• Has regularly been teaching on the Birmingham Orthopaedic Specialty Training Programme.

• Organised West Midlands Deanery teaching days in Hereford for the Birmingham and the Oswestry/Stoke Orthopaedic Trainees.

• Organised after-hours training for the Hereford Orthopaedic team, theatre staff and allied health professionals.

• Delivered Lectures to GPs, trainees, theatre personnel, radiologists, radiographers, allied health professionals.

• Received Excellent feedback for his presentations, by the Birmingham Orthopaedic Training Programme Director, doctors in training, allied health professionals, GPs in Herefordshire & Worcestershire

• Has been involved in education of the public with his involvement in health promotion in Hereford & Worcester.

INTERNATIONAL PRESENTATIONS

Podium Presentations – international

2013 The Role of Hip Arthroscopy in the Diagnosis and Treatment of Intra-articular Hip Pathology. OTEMATH annual congress, Thessaloniki, Greece

2010 Recognising Borderline Hip Dysplasia on Pelvic Radiographs of Young Adults. International Society for Hip Arthroscopy, Cancun, Mexico

2010 The Prevalence of Dysplasia and Associated Hip Pathologies in Symptomatic Femoroacetabular Impingement. European Hip Society, Athens, Greece. International Society for Hip Arthroscopy, Cancun, Mexico

2010 Intrinsic Passive Stiffness of two Constructs of Varus Proximal Femoral Osteotomy: External Fixator of Blade Plate. European Hip Society, Athens, Greece

2007 Pelvic Embolisation in Polytrauma Patients: The UK Perspective. Academic Department of Trauma & Orthopaedics, Leeds Teaching Hospitals, Leeds, UK, and John Radcliffe Hospital, Oxford, UK. National Congress of the Hellenic Association of Trauma & Orthopaedic Surgery, Athens

2006 Study of the Biomechanics of Locking Plate Osteosynthesis of Free Vascularised Fibular Grafts for the Treatment of Humeral Diaphyseal Nonunion. University of Athens, Greece. 4th Congress of Orthopaedic Research, the Hellenic Association of Trauma & Orthopaedic Surgery, Porto Heli, Greece (Official Participation of the European Society of Biomechanics)

Poster Presentations – international

2013 The correlation between MRI and arthroscopy findings in soft tissue knee injuries at Hereford County Hospital. EFORT meeting, Istanbul

2008 Are we Detecting Local Recurrence too Late? Royal Orthopaedic Hospital, Birmingham, UK. Connective Tissue Oncology Society (CTOS) Annual Meeting, London, UK

2006 Locking Compression Plate Fatigue Failure: Osteosynthesis of the Humeral Diaphysis under Extreme Conditions. National Congress of the Hellenic Association of Trauma & Orthopaedic Surgery, Athens (Official Participation of the British Trauma Society)

NATIONAL PRESENTATIONS

Podium Presentations – national

2012 The correlation between MRI and arthroscopy findings in meniscal, ligamentous, and degenerative knee injuries. The County Hospital, Hereford. Annual Meeting of the British Orthopaedic Association, Manchester

2010 What is Femoroacetabular Impingement? C. Paliobeis. Spire Lea Hospital, Cambridge.

2008 Are we Detecting Local Recurrence too Late? Royal Orthopaedic Hospital, Birmingham. Annual Meeting of the British Orthopaedic Oncology Society, Bristol

2008 A Review of Non-Invasive Growing Endoprosthetic Replacements. Royal Orthopaedic Hospital, Birmingham. Annual Meeting of the British Orthopaedic Oncology Society, Bristol

RESEARCH

Mr Paliobeis was awarded a PGCert on Medical Ultrasound in 2016 by the Centre for Ultrasound Studies, Anglo-European College of Chiropractic. A CASE – accredited programme validated by Bournemouth University.

Mr Paliobeis conducted research on ‘Varus Derotation Proximal Femoral Osteotomy – a Trial Comparing Internal and External Fixation’ for the University of Athens, Greece. This research lead to a publication in the Journal of Pediatric Orthopaedics in 2010.

PUBLICATIONS

2018 The 3-Dot Circle: A Reliable Method for Safe and Efficient Digital Templating of the Acetabular Component. Journal of Orthopaedics.

2016 Technical tip: Distal locking of a tibial nail in the presence of a pre-existing distal tibial plate.

Current Orthopaedic Practice

2015 A Dual Biomechanical Failure: Exeter Stem and Pubic Rami Insufficiency Fracture, following Hybrid Total Hip Arthroplasty. Case Reports in Orthopedics.

2014 Effects of using saw-blades on bone during orthopaedic procedures. Orthopaedic Product News.

2014 Hip Arthroscopy and Treatment of Acetabular Retroversion and Impingement. C.P Paliobeis, R.N Villar. Book Chapter in the European Surgical Orthopaedics and Traumatology, the EFORT textbook.

2013 Do professional Athletes Perform Better Than Recreational Athletes After Arthroscopy for Femoroacetabular Impingement? Clinical Orthopaedics and Related Research.

2011 The Prevalence of Dysplasia in Femoroacetabular Impingement. Hip International.

2010 Arthroscopic Identification of Iliopubic and Ilioischial Grooves in a Single Acetabulum. BMJ

Case Reports

2010 Intrinsic Passive Stiffness of two Constructs of Varus Proximal Femoral Osteotomy: External Fixator or Blade Plate. Journal of Pediatric Orthopaedics.

2009 Prevalence of chest trauma, associated injuries and mortality: a level I trauma centre experience. International Orthopaedics.

2007 Biological Enhancement of Tibial Diaphyseal Aseptic Non-Unions: The efficacy of autologous bone grafting, BMPs and reaming by-products. Injury.