Mr Nigel Brewster

Mr Nigel Brewster

Consultant Orthopaedic Surgeon
MB ChB, FRCSEd(Orth)

Practising at

Spire Washington Hospital

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Treatment information

Some of the principal treatments carried out by Mr Nigel Brewster at Spire include:

Orthopaedics - hip and knee

Other treatments

  • Revision hip and knee replacement

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Professional profile

I trained in Orthopaedics in Edinburgh and spent one year as a Senior Fellow in Adelaide, South Australia, before returning to Edinburgh as a Senior Lecturer and Honorary Consultant Orthopaedic Surgeon. I was appointed as a Consultant Orthopaedic Surgeon in Newcastle in 1998, and developed my expertise in hip and knee replacement and revision surgery.

I represented the North East on NHS England's Clinical Referencing Group for Specialist Orthopaedics, and on the National Joint Registry for England and Wales. In 2016 I moved to the University Hospitals of North Tees and Hartlepool as a Consultant Orthopaedic Surgeon, where I continue to perform hip and knee replacements and revisional surgery.

I am recognised as a leader in hip and knee replacement and revisional surgery in the North East. I have experience teaching and demonstrating indications and surgical techniques both nationally and internationally.

I have performed over 2,000 hip replacements and 2,000 knee replacements. My revision rate for hip and knee replacements at 10 years is below average on the National Joint Registry and my patient satisfaction rate is 98% for hips and 95% for knee replacement, also better than average. I have expertise is managing failed hip and knee replacements and have performed over 500 revision hip replacements and over 200 revision knee replacements.

I have published research papers on techniques and results in revision hip and revision knee replacements and have taught on indications and techniques locally, nationally and internationally.

Clinical Interests

Hip revision surgery
Hip surgery
Knee surgery

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Qualification and professional memberships

MB ChB / University of Edinburgh / 1986
Bachelor of Medicine, Bachelor of Surgery

FRCS (Orth) / Royal College of Surgeons / 1996
Fellow of the Royal College Of Surgeons

Professional memberships

British Orthopaedic Association
British Hip Society
Fellow of the Royal College of Surgeons of Edinburgh
British Medical Association

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Current NHS posts

Consultant Orthopaedic Surgeon, University Hospitals North Tees and Hartlepool

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Research and Publication

I am a reviewer for research papers submitted to the Bone and Joint Journal, the UK's main Orthopaedic journal, and for ACTA Orthopaedica, the Scananavian Orthopaedic journal.


Progressive radiolucent lines following the implantation of the cemented rimfit acetabular component in total hip arthroplasty using the rimcutter technique. Bone and Joint Journal 2016; 98B: 313-9

A potential mode of action for anakinra in patients with arthrofibrosis. Scientific Reports Nature 2015; 5: 16466

Fibrosis is a common outcome following total knee arthroplasty. Scientific Reports Nature 2015; 5: 16469

The design of the acetabular component and size of the femoral head influence the risk of revision following 34 721 single-brand cemented hip replacements: a retrospective cohort study of medium-term data from a National Joint Registry. J Bone Joint Surg Br. 2012; 94: 1611-7
Dec 2012

The use of porous trabecular metal augments with impaction bone grafting in managing acetabular bone loss. ACTA Orthopaedica 2012; 83: 347-52
Jan 2012

Functional outcome following aseptic single stage revision knee arthroplasty. Knee Surg Sports Traumat Arth 2012; 20: 1994-2001
Dec 2012

Subtle deficits of attention after surgery: quantifying indicators of sub-syndrome delirium. Int J Geriatric Psychiatry 2010; 25; 945-52
Jan 2010

Operating Theatre Management. Health Service Journal 2009
Jan 2009

Quantifying the association between computerised measures of attention and confusion assessment method defined delirium: a prospective study of older orthopaedic surgical patients, free of dementia. Int J Geriatric Psychiatry 2008; 23:1253-60
Jan 2008

Hand washing rituals in trauma theatre. Ann R Coll Surg Engl. 2006; 88: 13-15
Jan 2006

Recovery from postoperative anaemia. Transfusion Medicine 2005; 15: 413-8
Dec 2005

Retrieval study of tibial baseplate fracture after total knee arthroplasty. J Arthroplasty 2005; 20: 101-7
Jan 2005

What do patients think about minimally invasive total hip arthroplasty? Ann R Coll Surg Engl. 2007 Oct;89(7):685-8
Jan 2007

Techniques to improve the shear strength of impaction bone graft. J Bone Joint Surg 2003; 85: 639-46
Jan 2003

Mechanical considerations in impaction bone grafting. J Bone Joint Surg 1999; 81: 118-24
Jan 1999

The pathogenesis of bone loss following total knee arthroplasty. Orthopaedic Clinics of North America. 1998; 29: 187-97
Jan 1998

A experimental analysis of differing cement anchoring holes in the acetabulum. J Royal Coll Surg Edin 1997; 42: 115-
Jan 1997

Joint replacement for arthritis. Aust Fam Pract 1998; 27: 21-7
Jan 1998

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Personal Profile

I live in Northumbria with my wife, my youngest daughter and my Labrador. I enjoy gardening and walking my dog in the Northumbrian countryside and beaches.

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Private contact details

Telephone 0191 418 8687
Private secretary Michelle Bolingbroke
Private secretary telephone 07848 849823
Private secretary email