Professor Jari is a Consultant Knee, Lower Limb and Orthopaedic Sports Medicine Surgeon. He works in a large University Teaching Hospital in Manchester. His elective practice is purely lower limb surgery: the vast majority of this is knee surgery. Around half of this is sports medicine (arthroscopy, ligament reconstruction, patellar realignment, cartilage transplantation) and the other half is knee replacement surgery (less invasive, total, and unicompartmental Robotic Assisted knee replacement surgery).

He also undertakes general Orthopaedic Trauma care in a busy Level 1 Trauma Centre and a tertiary referral centre for Spinal, Neurosurgical and Limb reconstruction surgery.

While working at this hospital, Professor Jari has developed the knee rehabilitation therapy service for knee pre-habilitation and post-operative rehabilitation for sports surgery and joint replacements. He has developed accelerated rehabilitation pathways for all aspects of knee surgery including arthroplasty surgery. He purchased a KT-1000 for the hospital and was instrumental in the hospital’s purchase of an Isokinetic testing machine. He has also developed a knee research database, which has various data including KT-1000 and Isokinetic data.

He is involved in teaching and training of various groups including physiotherapists, sports rehabilitation students, medical students and Orthopaedic Registrars and Fellows. He has had students from the Universities of Manchester, Bolton & Salford who undertake various clinical attachments with him. He is an Honorary Senior Lecturer at the University of Manchester Medical in Trauma and Orthopaedic Surgery.

Following the Pakistan earthquake some years ago, Professor Jari co-founded a surgical disaster response charitable agency named MiST (Mobile International Surgical Team). MiST consists of trauma and plastic surgeons, anaesthetists and various other staff to provide a completely self-sufficient unit to assess, resuscitate, operate and rehabilitate disaster victims. He went to Pakistan a number of times following the earthquake to set up the medical unit and operate on victims.

Current Research:

– A randomised blind study of All Poly versus Metal backed tibial component in Total Knee Replacements using the MRK knee.

This is a clinical based study being done in 3 centres in the UK. He is the local lead and principal investigator at Salford Royal Foundation Trust, where he has taken it through the R&D, procurement and Ops Board to get all relevant approvals to commence the study at this site.

– A novel articular cartilage regeneration patch – clinical and MRI study.

Professor Jari is the principal investigator and has been involved in the set up and ethics approval for this study. It will be a multi-centre study with his hospital taking the lead. It is an international study, already running in Germany.

Proposed Studies:

Randomised prospective study of graft choice in ACL reconstruction surgery – ipsilateral versus contralateral patella tendon graft.

Effect of intra-articular viscosupplementation six weeks post arthroscopy in improving post arthroscopy recovery – a randomised controlled double-blind study.

Thesis:

• S Jari – A Kinetic and Morphometric Ultra-Structural Investigation of Small Intestine Epithelium in Suckling Rats Artificially Reared on a Milk Substitute. B.Sc. Thesis, University of Manchester Press, 1987.
• Peer reviewed articles:
• Mr S Jari, Mr A El-Gamel, Mr T H Meadows, Mr C Campbell – Vertebral Osteomyelitis Presenting as a Life Threatening Pleural Empyema. SPINE 1996; 21: 2806-2808.
• Mr S Jari, Mr J Warner, Mr T Meadows – Spontaneous Fracture of the Os Peroneum and Rupture of the Peroneus Longus Tendon. A Case Report and A Review of the Literature. Foot and Ankle Surgery 1997; 3:205-208.
• Mr W Loh, Professor J K Stanley, Mr S Jari, Mr I A Trail – Neuroma of the distal posterior interosseous nerve. The Journal of Bone and Joint Surgery – British 1998; 80-B: 629-630.
• Mr R Wade, Mr S Jari, Mr R Paton – Screening for developmental dysplasia of the hip – letter. BMJ 1999; 15th March 1999
• Mr S Jari, Mr RW Paton – Congenital dislocation of the patella – the genetics and conservative management. Knee 1999; 6: 225-226.
• Mr PLR Wood, Mr T Clough, Mr S Jari – Clinical Comparison of Two Total Ankle Replacements. Foot & Ankle International 2000; 21:546-550.
• Mr S Jari, Mr J Noble – Meniscal Tearing and Rheumatoid Arthritis. The KNEE 2001; 8:157-158.
• Mr S Jari, Mr M Waseem, Mr MS Srinivasan – Simultaneous Bennett’s fracture and MCP dislocation of the thumb in a soccer player. British Journal of Sports Medicine 2001; 34:463-464.
• Mr S Jari, Dr P Sallay – Quantification of posterior capsule tightness and motion loss in patients with shoulder impingement. American Journal of Sports Medicine 2001; 29(4):534.
• Mr S Jari, Mr RW Paton, Mr MS Srinivasan – Unilateral limitation of abduction of the hip: a valuable clinical sign for DDH? Journal of Bone and Joint Surgery 2002; 84-B:104-107.
• Mr S Jari, Dr KD Shelbourne – Staged bilateral ACL reconstruction using contralateral patellar tendon autograft. A case report. American Journal of Sports Medicine 2002 May-Jun; 30(3):437-40.
• Mr M Waseem, Mr S Jari, Mr RW Paton – Glomus tumour of the knee. Knee 2002 May; 9(2):161-3.
• Dr KD Shelbourne, Mr S Jari, Ms T Gray – Current Concepts: The outcome of untreated isolated traumatic articular cartilage defects of the knee. ISAKOS Newsletter June 2002; 6(1): 17.
• Mr S Jari, Dr KD Shelbourne – Simultaneous Bilateral Anterior Cruciate Ligament Reconstruction. American Journal of Sports Medicine. 2002 Nov-Dec; 30(6):891-5.
• Mr S Jari, Mr N Roberts, Mr JL Barrie – Non-surgical Management of Tibialis Posterior Insufficiency. Foot and Ankle Surgery 2002; 8(3):197-202.
• Dr KD Shelbourne, Mr S Jari, T Gray – The outcome of untreated isolated traumatic articular cartilage defects of the knee, a 12-year natural history study. J Bone Joint Surg Am. 2003; 85-A Suppl 2:8-16.
• Mr WY Kim, Mr S Jari – Intra-operative findings in varus osteoarthritis of the knee. The Journal of Bone & Joint Surgery 2005 Feb;87-B(2):277-8
• R. W. Brownrigg, S. Jari – Ipsi versus contralateral patellar tendon graft in anterior cruciate ligament reconstruction: Short-term outcomes. Injury Extra 10/2009; 40(10):194-194

Book Chapters and Invited Articles:

• Mr S Jari, Dr KD Shelbourne – Chapter 47: Management of Acute Posterior Cruciate Ligament Injuries, in: The Adult Knee Lippincott Williams & Wilkins. Eds: J Callaghan, A Rosenberg et al. 2003
• Mr S Jari, Dr KD Shelbourne – Natural history and non-operative treatment of posterior cruciate ligament injuries. Operative Techniques in Sports Medicine. 2001 April; 9(2)
• Mr S Jari, Dr KD Shelbourne – Non-operative or delayed surgical treatment of combined cruciate ligaments and medial side knee injuries. Sports Medicine and Arthroscopy Review: 2001 July; 9(3): 185-192
• S Jari et al. – Audio-visual Presentations of Prosected Regional Human Anatomy: Abdomen; Pelvis; Lower Limb; Head and Neck. University of Sheffield Press 1992.
• Abstracts:
• Dr JE Clague, Mr S Jari, Dr R Namushi, Dr D Natush, Professor MA Horan – Nocturnal hypoxaemia following hip fracture. Age and Ageing 1997; 26(Suppl 3): 10.
• Mr S Jari, Mr P L R Wood – A Comparison of the Outcome Following Two Different Total Ankle Replacement Systems in Rheumatoid Arthritis Patients. Foot and Ankle Surgery.
• Mr S Jari, Dr J Clague, Dr R Namushi, Dr D Natush, Professor D Horan – Nocturnal Hypoxaemia In Elderly Patients Following Hip Fractures. American Academy of Orthopaedic Surgeons, March 1998.
• Mr S Jari, Dr J Clague, Dr R Namushi, Dr D Natush, Professor D Horan. Nocturnal Hypoxaemia In Patients Following Hip Fractures. The Journal of Bone and Joint Surgery – British (Suppl.)
• Mr S Jari, Mr RW Paton, Mr MS Srinivasan – Limited Hip Abduction, Screening and DDH. The Journal of Bone and Joint Surgery – British (Suppl.)
• Mr S Jari, Mr N Roberts, Mr JL Barrie – The Non-surgical Management of Tibialis Posterior Insufficiency. The Journal of Bone and Joint Surgery – British (Suppl. III): 81-B 1999.
• Mr S Jari, Dr J Clague, Dr R Namushi, Dr D Natush, Professor D Horan – Nocturnal Hypoxaemia In Patients Following Hip Fractures. The Journal of Bone and Joint Surgery – British (Suppl. II): 81-B 1999.
• Mr S Jari, Mr RW Paton, Mr MS Srinivasan – Limited Hip Abduction, Screening and DDH. The Journal of Bone and Joint Surgery – British (Suppl II): 81-B 1999.
• Mr R Vadivelu, Mr S Jari, Mr S Burtwistle, Mr R Smith – The Results of In-situ Fusion with Exit Canal Decompression for Spondylolisthesis. The European Spine Journal – In press
• Mr M Waseem, Mr S Jari, Mr MS Srinivasan, Dr I Bangash – Preliminary results of a prospective trial of measurement of abductor pollicis strength in carpal tunnel release – a new technique. The Journal of Bone and Joint Surgery – British (Suppl): in press.
• Mr RW Paton, Mr S Jari – Prospective Ultrasound Assessment Of Untreated Neonatal Instability and Dysplasia of The Hip. The Journal of Bone and Joint Surgery – British (Suppl I): 82-B 2000.
• Dr KD Shelbourne, Mr S Jari – Simultaneous Bilateral Anterior Cruciate Ligament Reconstruction. American Orthopaedic Society of Sports Medicine (AOSSM) Meeting. Keystone, Colorado, USA. June 2001.

Audits have been an important part of Professor Jari’s training. He maintains a personal audit by recording all my operative cases and assessing any complications that may have occurred. He also stays up to date with current literature so as to critically assess any developments that may affect his practice.
He has been involved in audit data collection and presentation throughout his career and would hope that some of the audits have been repeated once the recommendations of the initial audit had been implemented so as to complete the “audit loop”. Below are the audits he has been involved with:

Audit of Outcome of Conservative Management of Closed and Type 1 Compound Tibial Shaft Fractures. Presented to the University of Manchester Department of Orthopaedics and associated staff, Hope Hospital, Salford, April 1991.

Audit of Delays in Management of Emergencies Orthopaedic Admissions at Blackpool Victoria Hospital. Presented to the Departments of Orthopaedic Surgery A&E Medicine and Administration, Blackpool Victoria Hospital, January 1996.

Audit of Orthopaedic Elective and Emergency Operating Theatre Delays. Presented to the Departments of Orthopaedic Surgery and Administration, Blackburn Royal Infirmary, 1996/1997.

On-going Audit of Adverse Events in Orthopaedic In-patients. Updated and presented on several occasions to the Departments of Orthopaedic Surgery of Preston Royal Infirmary and Chorley District Hospitals, 1998/1999. He was also involved in the Fractured Neck of Femur audit at Preston during the same time period.

Audit of Forearm Compartment syndromes in Children at Pendlebury and Booth Hall Hospitals. Presented to the Departments of Orthopaedic Surgery Hope and Pendlebury Children’s Hospitals, May 1999.

Consent audit of TKR and THR. Presented at Orthopeadec clinical governance meeting, 2010.

Length of stay audit on TKR and THR. Continuous on-going audit since 2010.

Infection control Audit on TKR and THR. Continuous on going audit since 2009.

Patient satisfaction audit for Orthopaedic patients. On going.

He has also developed a multi-disciplinary audit with other specialties and other staff groups to encourage the “team” concept to assess and improve overall patient care.

Audits have been an important part of Professor Jari’s training. He maintains a personal audit by recording all my operative cases and assessing any complications that may have occurred. He also stays up to date with current literature so as to critically assess any developments that may affect his practice.
He has been involved in audit data collection and presentation throughout his career and would hope that some of the audits have been repeated once the recommendations of the initial audit had been implemented so as to complete the “audit loop”. Below are the audits he has been involved with:

Audit of Outcome of Conservative Management of Closed and Type 1 Compound Tibial Shaft Fractures. Presented to the University of Manchester Department of Orthopaedics and associated staff, Hope Hospital, Salford, April 1991.

Audit of Delays in Management of Emergencies Orthopaedic Admissions at Blackpool Victoria Hospital. Presented to the Departments of Orthopaedic Surgery A&E Medicine and Administration, Blackpool Victoria Hospital, January 1996.

Audit of Orthopaedic Elective and Emergency Operating Theatre Delays. Presented to the Departments of Orthopaedic Surgery and Administration, Blackburn Royal Infirmary, 1996/1997.

On-going Audit of Adverse Events in Orthopaedic In-patients. Updated and presented on several occasions to the Departments of Orthopaedic Surgery of Preston Royal Infirmary and Chorley District Hospitals, 1998/1999. He was also involved in the Fractured Neck of Femur audit at Preston during the same time period.

Audit of Forearm Compartment syndromes in Children at Pendlebury and Booth Hall Hospitals. Presented to the Departments of Orthopaedic Surgery Hope and Pendlebury Children’s Hospitals, May 1999.

Consent audit of TKR and THR. Presented at Orthopeadec clinical governance meeting, 2010.

Length of stay audit on TKR and THR. Continuous on-going audit since 2010.

Infection control Audit on TKR and THR. Continuous on going audit since 2009.

Patient satisfaction audit for Orthopaedic patients. On going.

He has also developed a multi-disciplinary audit with other specialties and other staff groups to encourage the “team” concept to assess and improve overall patient care.