ABOUT US

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CHELSEA SHOULDER CLINIC

TOBY COLEGATE-STONE 


Consultant Orthopaedic & Trauma Surgeon

MA (Oxon) MBBS MRCS MSc FRCS (Tr & Orth)

SHOULDER, ELBOW AND SPORTS INJURY SPECIALIST

The Chelsea Shoulder Clinic was founded by Toby Colegate-Stone. It aims to deliver a world-class, modern, comprehensive and outcome driven shoulder service to the local London population. Toby is a consultant Orthopaedic and Trauma surgeon, and a specialist shoulder and elbow surgeon. His NHS practice is at Kings College Hospital, one of London’s major trauma centres. He manages the whole spectrum of shoulder problems as well as sports injuries and complex upper limb trauma, and specialises in performing arthroscopic (keyhole), arthroplasty (joint replacement) and trauma surgery. His active commitment to the scientific advancement of the field of surgery allows him to offer the most up-to-date and beneficial options available to patients.

TRAINING & EDUCATION

Toby studied medicine at Oxford University (St. Edmund Hall) and completed his clinical studies at University College London. He undertook his early surgical training on the Kings College rotation as well working at St. Vincent’s Hospital, Sydney. Following an additional year of research into shoulder surgery and in particular the analysis of outcomes he was appointed onto the London higher Orthopaedic training rotation where he became a Fellow of the Royal College of Surgeons. 

Toby has also undertaken two recognised sub-specialist fellowship trainings in shoulder and trauma surgery. The first at the internationally renowned Cape Shoulder Institute in Cape Town and at the University of Stellenbosch, and the second at Kings College Hospital – a nationally recognised upper limb and major trauma surgery fellowship. Toby has a particular in interest in outcomes, and consequently completed the Value Based Healthcare course at Harvard Business School. Leveraging this knowledge he has helped to re-design a number of NHS services and continues to provide healthcare advisory support to providers and commissioners of healthcare as a subject matter expert particularly in the field of musculoskeletal outcomes and value delivery.

RESEARCH & DEVELOPMENT

Toby is active in the world of research and education. He has given over 30 research presentations at national and international conferences and has published over 30 research papers, as well writing book chapters for international shoulder textbooks. He has designed and led several studies into restructuring and delivering Trauma and Orthopaedic services as well as producing shoulder research that led to the award of an MSc in Orthopaedics. He also provides peer review support to internationally recognised journals. He is part of the King's College Hospital FRCS faculty and provides academic support to the department’s trainees. Toby also actively participates in charity work and is a keen sportsman with a particular interest in rugby and rowing having played at university, regional and national levels. However these days this is from the side-lines rather than on the pitch itself whilst supporting his children!

 

 

PHILOSOPHY & PRACTICE

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Understanding what is important to the individual is vital when deciding how to best manage a specific problem. We aim to provide you an early diagnosis and subsequently the best care pathway available.  This will enable you to achieve your optimal outcome. At your consultation we will discuss what these treatment options are as well as continuing to support you throughout your care journey.

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PRACTICE LOCATIONS

The Chelsea Shoulder Clinic was established to serve the Chelsea and Central London population but has additional clinic sites across London and into the Harley Street Medical area.


Practice Locations

HCA The Lister Hospital, Chelsea

Bupa Cromwell Hospital


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NHS PRACTICE

Toby's NHS practice is at King's College Hospital. A tertiary referral teaching hospital and major trauma centre (MTC). King's has become one of the busiest MTC's in the country and Toby regularly manages the complex injuries that are transferred to King's as well as running a sub-specialist shoulder service for patients with acute and longer term problems.

 

RESEARCH & DEVELOPMENT

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INTERNATIONAL PUBLICATIONS

 

  1. The staged management of glenohumeral joint osteoecrosis in patients with haematological induced disease- A cohort review. . Toby J Colegate-Stone, Saurabh Aggarwal, Karthik Karuppaiah, Adel Tavakkolizadeh, Joydeep Sinha, Ines LH Reichert. International Orthopaedics. July 2018,Volume 42, Issue 7, pp 1651–1659. doi.org/10.1007/s00264-018-3957-0 
  2. Increasing value through a day surgery trauma service-the King's College Hospital experience. Colegate-Stone T,Tavakkolizadeh A, Moxham J & Sinha J. British Journal of Healthcare Management. June 2016 22; 6:326-324  
  3. Enhanced treatment: examining the clinical and cost implication of combined home care and day-case ankle fracture fixation. Firas Raheman, Raju Ahluwalia,Toby Colegate-Stone, Karthik Karrapiah,Venu Kavarthapu, Joydeep Sinha. Mesentery Peritoneum 2018;2:AB134. doi: 10.21037/map.2018.AB134 
  4. Evaluation of functional outcomes and complications following modified Latarjet reconstruction in athletes with anterior shoulder instability.T Colegate-Stone, C van der Watt & JF de Beer. Shoulder & Elbow. Shoulder & Elbow July 2015 7: 168-173.  
  5. An analysis of acromioclavicular joint morphology as a factor for shoulder impingement syndrome. T J Colegate-Stone, A Tavakkolizadeh & J Sinha. Shoulder & Elbow July 2014 6: 165-170. doi:10.1177/1758573214525762 
  6. Classification of the morphology of the acromioclavicular joint using cadaveric and radiological analysis. Colegate-Stone T, Allom R, Singh R, Elias DA, Standring S, Sinha J. J Bone Joint Surg Br. 2010 May;92(5):743-6. 
  7. Functional outcomes following pilon fractures of the middle phalanx with the Ligamentotaxor external fixator. T Colegate- Stone, K Marenah, J Compson, R Tahmassebi,A Tavakkolizadeh. Hand Surgery 2015; 20(2): 285-9  
  8. Robotic surgery in trauma and orthopaedics: A systematic review. Karthik K, Colegate-Stone T, Tavakkolizadeh A, Dasgupta P, Sinha J. Bone & Joint Journal 2015; 97-B:292-9 
  9. Outcome analysis of surgical intervention for rotator cuff disorders: A comparison of subjective and objective scoring tools. Allom R, Colegate-Stone T, Gee M, Ismail M, Sinha J. J Bone Joint Surg Br. 2009 Mar;91(3):367-73. 
  10. Expert review of complications and re-operations after Bristow-Latarjet shoulder stabilization. JF de Beer,T Colegate-Stone,T O’Neil, C van der Watt. SA Orthop. J. 2014,13(2):59 
  11. Beware the Emergency Ankle Fracture Referral: An Unusual Case of Lateral Subtalar Joint Dislocation Secondary to Calcaneal Fracture with associated Lateral Malleolus Fracture.T Colegate-Stone, S James & R Koka. Journal of Orthopaedic Case Reports. Accepted 2015-pending publication 
  12. Hip Arthroscopy in the DGH – A consecutive series of 118 patients. Trompeter A, Colegate-Stone T, Khakha R, Hull J. Hip Int. 2013 May 10:0. doi: 10.5301/hipint.5000034. PMID: 23813161 
  13. Outcome analysis of trapezectomy with and without pyrocarbon interposition to treat primary arthrosis of the trapeziometacarpal joint. Colegate-Stone T, Garg S, Subramanian A, Mani GV. Hand Surg. 2011;16(1):49-54. 
  14. Audit of trauma case load suitable for a day surgery trauma list and cost analysis. T. Colegate-Stone, C. Roslee, S. Shetty, J. Compson, J. Sinha & A. Tavakkolizadeh. The Surgeon (Royal College of Surgeons of Edinburgh & Ireland) 2011 Oct;9(5):241-4. Epub 2010 Dec 3. 
  15. An analysis of partial width flexor tendon graft preparation on porcine models: the optimal split? Colegate-Stone T, Allom R, Tavakkolizadeh A, Compson J. Hand Surg. 2010;15(2):99-102.  
  16. An analysis of outcome of arthroscopic vs mini-open rotator cuff repair using subjective and objective scoring tools. Colegate- Stone T,Allom R,Tavakkolizadeh A, Sinha J. Knee Surg Sports Traumatol Arthrosc. 2009 Jun;17(6):691-4. Epub 2008 Nov 12. 
  17. Gender-specific Constant score correction for age. Tavakkolizadeh A, Ghassemi A, Colegate-Stone T, Latif A, Sinha J. Knee Surg
    Sports Traumatol Arthrosc. 2009 May;17(5):529-33. Epub 2009 Feb 28. 
  18. Iatrogenic sciatic nerve palsy following hemiarthroplasty of the hip. Colegate-Stone TJ, Hussain S. European Journal of Trauma
    and Emergency Surgery. 2008; 34 (2): 171-172 
  19. A comment on Epstein-Barr virus infection in sarcomatoid renal cell carcinoma tissues. Colegate-Stone TJ, Rao AR, Callaghan
    PS. British Journal of Urology International. 2006 Jan; 97(1): 197-8 
  20. Laparoscopic management of iatrogenic bladder injury and bladder stone formation following laparoscopic inguinal
    herniorrhaphy. Colegate-Stone TJ, Raymond T, Khot U, Dickinson I & Parker MC. Hernia. 2008 Aug;12(4):429-30. 
  21. Combined endoscopic trans-anal rectal mucosal ablation and laparoscopic partial proctectomy for ulcerative colitis- a new procedure. Colegate-Stone TJ, Raymond T, Khot U, Parker MC. Annals of the Royal College of Surgeons of England. 2008 Sep; 90
    (6):W3-W5(1) 
  22. Evaluation of functional outcomes and complications following modified Latarjet reconstruction in athletes with anterior shoulder instability. TJ Colegate-Stone, C Van der Watt & J de Beer. Shoulder & Elbow. 2014 6(4) 323–324. DOI: 10.1177/1758573214546103 
  23. Evaluation of intra-operative ultrasound guided percutaneous needle localization of calcific tendon deposits to aid arthroscopic removal- helping to remove the needle from the haystack. TJ Colegate-Stone, C Van der Watt & J de Beer. Shoulder & Elbow. 2014 6(4) 322. DOI: 10.1177/1758573214546103  
  24. The impact of oral thromoboprophylaxis agents in total knee replacement performed with or without haemostasis following tourniquet release. T Colegate-Stone, H Colaco, H Harper-Smith, A Skyrme, A Armitage, S Rajaratnam. Bone Joint J 2013 95-B: 33-33. 
  25. Can plain radiography accurately predict the arthroscopic findings of articular knee cartilage- A prospective study. Colegate-Stone T, Allen P. J Bone Joint Surg Br Proceedings, Sep 2009; 91-B: 421 
  26. Outcome analysis of surgical intervention for rotator cuff disorders: a comparison of subjective and objective scoring tools. T. Colegate-Stone, C. Roslee, A.M.H. Latif, R. Allom, A. Tavakkolizadeh, and J Sinha. J Bone Joint Surg Br Proceedings, Jan 2011; 93-B: 43. 
  27. Assessment of the impact of Coflex Interspinous Distraction on Foraminal Lumbar Stenosis – In Vivo radiological assessmentwithMRI.Colegate-Stone T, JamesS. Eur SpineJ(2013)22(suppl 1):S69.DOI10.1007/s00586-013-2664-1 
  28. Arthroscopic assessment of non-union of scaphoid fractures. Khokhar,T. Colegate-Stone,A.Tavakkolizadeh, G.Al-Yassari, C. Roslee, and J. Compson. J Bone Joint Surg Br Proceedings, Jul 2011; 93-B: 302. 
  29. Combined endoscopic trans-anal rectal mucosal ablation and laparoscopic partial proctectomy for ulcerative colitis- a new procedure. Colegate-Stone TJ, Raymond T, Khot U, Parker MC. Abstract Book of the Association of Laparoscopic Surgeons of Great Britain and Ireland, Autumn Meeting, Leeds 2006; pg 64 
  30. Colegate-Stone T,Tavakkolizadeh A & De Beer JF. EFOST- European Federation of National Associations of Orthopaedic Sports Traumatology. Surgical Techniques in Sports Medicine- Shoulder Surgery Vol. 1. Latarjet surgery for gleohumeral instability. Chapter 17 
  31. Evaluation of functional outcomes and complications following modified Latarjet reconstruction in athletes with anterior shoulder instability. TJ Colegate-Stone, C Van der Watt & J de Beer. Shoulder & Elbow. 2014 6(4) 323–324. DOI: 10.1177/1758573214546103  
  32. Evaluation of intra-operative ultrasound guided percutaneous needle localization of calcific tendon deposits to aid arthroscopic removal- helping to remove the needle from the haystack. TJ Colegate-Stone, C Van der Watt & J de Beer. Shoulder & Elbow. 2014 6(4) 322. DOI: 10.1177/1758573214546103 
  33. The impact of oral thromoboprophylaxis agents in total knee replacement performed with or without haemostasis following tourniquet release. T Colegate-Stone, H Colaco, H Harper-Smith, A Skyrme, A Armitage, S Rajaratnam. Bone Joint J 2013 95-B: 33-33. 
  34. Can plain radiography accurately predict the arthroscopic findings of articular knee cartilage- A prospective study. Colegate-Stone T, Allen P. J Bone Joint Surg Br Proceedings, Sep 2009; 91-B: 421 
  35. Outcome analysis of surgical intervention for rotator cuff disorders: a comparison of subjective and objective scoring tools. T. Colegate-Stone, C. Roslee, A.M.H. Latif, R. Allom, A. Tavakkolizadeh, and J Sinha. J Bone Joint Surg Br Proceedings, Jan 2011; 93-B: 43. 
  36. Assessment of the impact of Coflex Interspinous Distraction on Foraminal Lumbar Stenosis – In Vivo radiological assessmentwithMRI.Colegate-StoneT,JamesS..EurSpineJ(2013)22(suppl 1):S69.DOI10.1007/s00586-013-2664-1 
  37. Combined endoscopic trans-anal rectal mucosal ablation and laparoscopic partial proctectomy for ulcerative colitis- a new procedure. Colegate-Stone TJ, Raymond T, Khot U, Parker MC. Abstract Book of the Association of Laparoscopic Surgeons of Great Britain and Ireland, Autumn Meeting, Leeds 2006; pg 64 
  38. Arthroscopic assessment of non-union of scaphoid fractures. Khokhar,T. Colegate-Stone,A.Tavakkolizadeh, G.Al-Yassari, C. Roslee, and J. Compson. J Bone Joint Surg Br Proceedings, Jul 2011; 93-B: 302.

     

EDUCATIONAL ACTIVITY

    

  • Peer reviewer for international scientific journals 
  • Bone & Joint Journal, Shoulder & Elbow journal, British Medical Journal 
  • Surgical tutor & trainer for higher surgical trainees  
  • Co-founder & faculty for the King’s Shoulder cadaveric arthroscopic course 
  • Faculty member for Arthroscopic simulation course (Basic & Advanced), Kings College Hospital & London Deanery 
  • Faculty member for Kings College Hospital FRCS (Tr & Orth) Intense revision course 
  • Faculty member for Kings College Hospital FRCS (Tr & Orth) Hand revision course  
  • Faculty member for Kings College Hospital peri-articular fracture fixation course 
  • Examiner for Medical Undergraduate examinations Kings College London 
  • Darzi fellow supervisor