Mr Alan James Highcock is a Consultant Orthopaedic Surgeon, specialising in Hip and Knee Surgery

Mr Alan James Highcock is a Consultant Orthopaedic Surgeon, specialising in Hip and Knee Surgery. His clinical interests are focused in arthritis of the hip and knee, and sports injuries. His surgical practice hip and knee replacement, revision (re-do) of previous replacements, and joint preserving surgery. He utilises the latest technologies to maximise the outcomes for his patients, specifically Augmented Reality assisted surgery and medial pivot knee replacement. Mr Highcock is a recognised trainer for fellow surgeons in these techniques.

Mr Highcock was born and lives on the Wirral, he undertook his medical and Orthopaedic training in Liverpool. Subsequently he was awarded the First Biennial International Allan Gross Fellowship Award in 2014 and completed his Fellowship training at the world renowned Mount Sinai Hospital in Toronto, Canada under the tutorship of Dr Allan Gross and Dr David Backstein. There he developed his interest in partial and total knee replacement (including the medial pivot knee replacement), hip replacement and revision surgery for re-do hip and knee replacements.

In addition to this internationally renowned fellowship, he trained at the nationally recognised Wrightington Centre for Hip Surgery and as the Cavendish Hip Fellow in Sheffield.

Mr Highcock was appointed as an Orthopaedic Consultant at Wirral University Teaching Hospital in 2016, with specific interest complex and revision Hip and Knee Arthroplasty Surgery. His clinical practice encompasses ever aspect of hip and knee arthroplasty surgery, from hip and knee replacements, through to the most complex revision surgeries.

Mr Highcock also performs partial and total knee replacements, and total hip replacement for more advanced arthritis. He is the only surgeon in the Northwest of England to offer a Medial Pivot Knee Replacement with Augmented reality assistance, a modern technique with major patient benefits.

Mr Highcock has an interest in research and has published multiple scientific papers on his surgical practice in international journals. He has authored book chapters on hip and knee replacement and been an invited lecturer throughout the UK, Europe and North America. He is a recognised trainer in modern aspects of hip and knee replacement, regularly training fellow Consultant surgeons on these latest techniques.

Outside of work Mr Highcock is kept busy by his young family and his passion for motorsport, exercise and sports. He has a particular affinity for baseball after working alongside Dr Allan Gross, team physician, for the Toronto Blue Jays Major League Baseball (MLB) team whilst in Canada.

Awards

International

Jaques Duparc Award Winner 2009
European Federation of National Associations of Orthopaedics and Traumatology

First Allan Gross Biennial International Fellowship Award
Mount Sinai Hospital, University of Toronto

National

Mersey Orthopaedic Registrars Educational Meeting
ACC Liverpool, 2012

Organised and secured £5,300 Industry Funding and 12 Continuing Medical Education (CME) points for an educational conference

Publications

Peer Reviewed Articles

  • Highcock AJ, Kuzyk P, Safir O, Gross AE.

    Acetabular bone loss: Accommodating a growing void. Seminars in Arthroplasty 2016 Mar 1 (Vol. 27, No. 1, pp. 41-47).

  • Holland P, Highcock A, Bruce C.

    Distance of translation as a predictor of failure of fixation in paediatric supracondylar fractures. The Annals of The Royal College of Surgeons of England. 2017 Aug 30;99(7):524-8.

  • Highcock AJ.

    First Description of a New Provocative Clinical Test for Hip Arthritis. Techniques in Orthopaedics. 2015 Jun 1;30(2):e5-6.

  • Highcock AJ, Banim R.

    The rolling hitch surgical knot: an alternative to the Krackow whipstitch for hamstring graft in anterior cruciate ligament reconstruction surgery. Techniques in Orthopaedics. 2014 Sep 1;29(3):175-8.

  • Swaminathan V, Farrar NG, Highcock AJ, Bruce CE, Cope M.

    Management of Femoral Shaft Fractures in Children. Core Surgery Journal 2013, 3(4), 22–28.

  • Herman KA, Highcock AJ, Moorehead JD, Scott SJ

    A comparison of leg length and femoral offset discrepancies in hip resurfacing, large head metal-on-metal and conventional total hip replacement: a case series. Journal of orthopaedic surgery and research. 2011 Dec;6(1):65.

  • Highcock AJ, Cohen D, Platt S.

    Atraumatic, symptomatic ankle plica successfully treated by arthroscopic debridement: a case report. The Journal of Foot and Ankle Surgery. 2012 Jul 1;51(4):472-4.

  • Highcock AJ, Rourke K, Brown D.

    The University Rollerdisco: An unusual cause of a major incident. Injury Extra. 2008 Dec 1;39(12):386-8.

  • Staunton DM, Mohan R, Carter JR, Highcock AJ.

    Total knee replacement survivorship by Design Philosophy: are we ignoring medial pivot design? Analysis based on the UK National Joint Registry. Acta orthopaedica belgica. 2023 Mar;89(1):37-43.

  • Highcock AJ, As-Sultany M, Finley R, Donnachie NJ.

    A prospective cohort comparative study of rivaroxaban, dabigatran, and apixaban oral thromboprophylaxis in 2431 hip and knee arthroplasty patients: primary efficacy outcomes and safety profile. The Journal of arthroplasty. 2020 Nov 1;35(11):3093-8.

  • Cleary G, Pain C, McCann L, Mahmood K, Brookes-Fazakerley S, Robinson S, Walton R, Highcock A, Landes C, Barnes N, Roberts I.

    Short-term outcome of surgical arthrodiastasis of the ankle with Ilizarov frame in a cohort of children and young people with juvenile idiopathic arthritis. Rheumatology advances in practice. 2019;3(2):rkz031.

Book Chapters

  • Cup cage reconstruction for severe acetabular bone loss

    Highcock AJ, Gross AE
    The Adult Hip: Master Case Series and Techniques (Edited by Tsiridis E)

  • Highcock AJ, Gross AE The Adult Hip: Master Case Series and Techniques (Edited by Tsiridis E)

    Highcock AJ, Gross AE
    The Adult Hip: Master Case Series and Techniques (Edited by Tsiridis E)

  • Hypothyroidism in the surgical patient

    Highcock AJ
    The Problem Based Learning Workbook: Medicine and Surgery (1st edition) (Edited by French T and Wardle T)
    Oxford: Radcliffe. Chapter 6, pages 49-55.

  • The management of acute myocardial infarction and its complications

    Highcock AJ
    The Problem Based Learning Workbook: Medicine and Surgery (1st edition) (Edited by French T and Wardle T)
    Oxford: Radcliffe. Chapter 10, pages 81-86.

Abstracts

  • Arthrodiastasis for end-stage juvenile inflammatory arthritis of the ankle

    Robinson SJ, Highcock AJ, Cleary G, James LA.
    Bone Joint J 2014 vol. 96-B: no. 10 21

  • Clinically relevant peri-operative bleeding in primary arthroplasty surgery is increased with oral Factor Xa inhibitors

    Highcock AJ, Craghill EJ, Simmons EJ.
    Bone Joint J 2012 vol. 94-B: 88

  • What is the optimal timing for Ankle Fracture Surgery?

    Highcock AJ, Robinson SJ, Sherry PG.
    J Bone Joint Surg Br 2012 94-B:(SUPP XIII)7

  • Thromboprophylaxis with oral factor Xa inhibitors in arthroplasty surgery: do they increase blood loss in clinic practice?

    Highcock AJ, Craghill EJ, Simmons EJ.
    J Bone Joint Surg Br 2012 vol. 94-B no. SUPP XXIX 67

  • Optimisation of ankle fractures requiring surgery

    Highcock AJ, Robinson SJ, Sherry PG
    Injury Extra. Volume 42, Issue 9, Sept 2011, Page 129

  • Biomechanical reconstruction of the hip in large-diameter femoral head arthroplasty

    Highcock AJ, Herman K, Moorehead J, Scott S.
    J Bone Joint Surg Br Proceedings II, May 2011; 92-B: Page 277

  • Hip Fracture in the Older Person: Are we achieving the standard?

    Highcock AJ, Cohen D, Richards H, Rourke K, Tsang JF and de Matas M.
    J Bone Joint Surg Br Proceedings II, Jul 2011; 92-B: Page 378

  • A review of hip fracture management with respect to BOA standards - a multi-centred study

    Richards H, Highcock AJ
    International Journal of Surgery, Vol. 9, Issue 7, 2011, Page 503

  • Modified pre-operative functional assessment scoring as an aid in arthroplasty choice for fractures of the femoral neck

    Highcock AJ, Atkinson DB, Moorehead J, Scott S.
    J Bone Joint Surg Br Proceedings II, May 2011; 92-B: Page 277

  • Non-operative management of atlanto-axial fractures: CT scanning for detection of fusion reduces the need for subsequent surgery

    Highcock AJ, Cohen D, Moulton L, Rourke K, de Matas M and Pillay R.
    J Bone Joint Surg Br, Jul 2010; 92-B: Page 378.

  • Bisphosphonates following Fragility Fracture: are we prescribing enough?

    Highcock AJ, Cohen D, Manning M and Tsang JSF
    Injury Extra. Vol. 40, Issue 10, Oct 2009, Page 201

  • CT Scanning to assess fracture fusion reduces the need for subsequent surgery in conservatively managed atlanto-axial fractures

    Highcock AJ, Cohen D, Moulton L, Rourke K, de Matas M and Pillay R.
    Injury Extra. Vol. 40, Issue 10, October 2009, Page 215

  • Are we meeting the BOA standards for Hip Fracture Care in the Older Person?

    Highcock AJ, Cohen D, Richards H, Rourke K, Tsang JF and de Matas M.
    Injury Extra. Vol. 40, Issue 10, Oct 2009

  • Fragility Fracture Secondary Prevention

    Highcock AJ, Cohen D, Chapman E, Sarkar S, Manning M and Tsang JSF.
    Age & Ageing Journal. Vol. 37; Supplement 4

  • Orthogeriatric input in fragility fractures improves secondary prevention care

    Highcock AJ, Cohen D, Manning M and Tsang JSF
    Osteoporosis International, vol. 20, 2009 pp. S283-S283.

  • Bisphosphonate Therapy in Fragility Fractures

    Highcock AJ, Cohen D, Manning M and Tsang JSF.
    Journal of Clinical Densitometry, Volume 12, Issue 3, Pages 392-393

  • Mohan R, Staunton D, Carter J, Highcock A.

    Total knee arthroplasty survivorship by design philosophy: are we ignoring medial pivot design? Analysis based on the uk national joint registry. InOrthopaedic Proceedings 2022 Nov 1 (Vol. 104, No. SUPP_11, pp. 3-3). Bone & Joint.

  • Fagir M, Highcock A.

    Total knee replacement survivorship by design philosophy. The Knee. 2020 Oct 1;27:S15.

Invited Speaker

Patient Satisfaction in Knee Replacement
Medial Pivot knee symposium: Nottingham, Nov 2023

DAIR outcomes and technique
Northwest PJI conference: Liverpool, Oct 2023

Patient satisfaction and knee balancing
Microport Orthopaedics, Nottingham, Oct 2021

Revision Hip Surgery
Biennial Allan Gross Fellowship Symposium: Toronto, Jun 2018

Biological bailouts for complex knee trauma
Complex trauma and soft tissue knee course: Smith&Nephew, Jun 2014

A Brief History of Orthopaedics
5th International Forum of Hellenic Medical Students and Junior doctors, Crete, May 2011

Hip fractures in young patients
Nottingham Fracture Forum, United Kingdom, Nov 2012

Combined Trabecular Metal Acetabular Shell and Augment for acetabular revision with substantial bone loss: Good mid- to long-term clinical results and survivorship
AAOS, New Orleans, Mar 2018

Fresh Osteochondral Allografts for femoral condyle defects using OATS: Mid-term clinical, radiographic and survival analysis
ICRS, Sorrento Italy, Sept 2016

Arthrodiastasis forend-stage juvenile inflammatory arthritis of the ankle
British Society for Children’s Orthopaedic Surgery Annual Congress, Aberdeen, Mar 2014 

A minimum 8-year follow-up of the Freeman Hip with Rotalok acetabular cup: Survivorship, patterns of loosening and revision technique
European Hip Society 11thCongress, Stockholm, Sept 2014

Periprosthetic femoral fracture fixation – a biomechanical comparison between three fixation methods
European Hip Society 11thCongress, Stockholm, Sept 2014 

First description of a new provocative clinical test for hip arthritis
European Hip Society 11thCongress, Stockholm, Sept 2014             

Cementing technique in hip hemiarthroplasty are cemented prostheses the answer?
European Hip Society 10thCongress, Milan, Sept 2012 

Clinically relevant peri-operative bleeding in primary arthroplasty surgery is increased with oral Factor Xa inhibitors
12thEFORT Congress, Berlin, May 2012 

What is the optimal timing for Ankle Fracture Surgery?
12thEFORT Congress, Berlin, May 2012

Thromboprophylaxis with oral factor Xa inhibitors in arthroplasty surgery: do they increase blood loss in clinic practice?
British Orthopaedic Association, Dublin, Sept 2011

Biomechanical reconstruction of the hip in large-diameter femoral head arthroplasty
11th EFORT Congress, Madrid, June 2010

Modified pre-operative functional assessment scoring as an aid in arthroplasty choice for fractures of the femoral neck
11th EFORT Congress, Madrid, June 2010

Fragility Fracture Secondary Prevention: Are we doing enough?
10th EFORT Congress, Vienna, June 2009

Non-operative management of atlanto-axial fractures: CT scanning for detection of fusion reduces the need for subsequent surgery
10th EFORT Congress, Vienna, June 2009

Hip Fracture in the Older Person: Are we achieving the standard?
10th EFORT Congress, Vienna, June 2009

Total knee arthroplasty survivorship by design philosophy: are we ignoring medial pivot design? Analysis based on the uk national joint registry.
Mohan R, Staunton D, Carter J, Highcock A.
BOA, Liverpool, 2022

Total knee replacement survivorship by design philosophy.
Fagir M, Highcock A.
BAKS, Bristol, 2020

Severe femoral osteolysis treated with a cemented Charnley revision arthroplasty. Clinical and radiological follow-up to 27 years.
Highcock AJ, Siney P, Wroblewski BM, Raut VV, Wynn-Jones H.
British Hip Society, London, Mar 2015

Debridement, antibiotics and implant retention for deep infection in arthroplasty: does clinical practice support the published evidence?
Highcock AJ, Carroll FA
British Hip Society, London, Mar 2015 

Outcome of Total Hip Replacement for femoral neck fracture: A district general hospital experience
Highcock AJ, Withers D, Unnikrishnan N, Emms EW.
British Hip Society, London, Mar 2015

A minimum 15-year follow-up of the Freeman Hip and Rotalok acetabular cup: trends and revision technique
Highcock AJ, Emms EW, Bolton-Maggs B
British Hip Society, Bristol, Feb 2013

First description of a new provocative hip test specific to hip arthritis
Highcock AJ
British Hip Society, Bristol, Feb 2013  

Outcome of total hip replacement for femoral neck fracture: a district general hospital experience
Highcock AJ, Unnikrishnan N, Emms EW
British Hip Society, Bristol, Feb 2013

Is it time for a new hip hemiarthroplasty prosthesis: a comparison of restoration of normal hip anatomy with current implants
Highcock AJ, Banim R, Emms EW
Wrightington National Hip Registrar Research Day, Nov 2012

Optimisation of ankle fractures requiring surgery
Highcock AJ, Robinson SJ, Sherry PG
British Trauma Society, May 2011

Oral Factor Xa Inhibitor Thromboprophylaxis in Total Knee Arthroplasty: do they increase blood loss in clinical practice?
Highcock AJ, Craghill EJ, Simmons DJ
British Association of Surgeons of the Knee Annual meeting, April 2011

A review of hip fracture management with respect to BOA standards – a multi-centred study
Richards H, Highcock AJ
Association of Surgeons in Training Conference, Sheffield, Apr 2011 

Bisphosphonates following Fragility Fracture: are we prescribing enough?
Highcock AJ, Cohen D, Manning M and Tsang JSF
Injury Extra. Vol. 40, Issue 10, Oct 2009, Page 201
British Trauma Society, Newcastle, May 2009

CT Scanning to assess fracture fusion reduces the need for subsequent surgery in conservatively managed atlanto-axial fractures
Highcock AJ, Cohen D, Moulton L, Rourke K, de Matas M and Pillay R.
Injury Extra. Vol. 40, Issue 10, October 2009, Page 215
British Trauma Society, Newcastle, May 2009

Are we meeting the BOA standards for Hip Fracture Care in the Older Person?
Highcock AJ, Cohen D, Richards H, Rourke K, Tsang JF and de Matas M.
Injury Extra. Vol. 40, Issue 10, Oct 2009
British Trauma Society, Newcastle, May 2009 

Non-operative management of Atlanto-Axial fractures: Maintaining rigid immobilisation until CT scanning confirms fracture union improves outcomes and reduces the need for subsequent surgery
Highcock AJ, Moulton L, Rourke K, de Matas M and Pillay R.
British Association Spinal Surgeons, Sheffield, Feb 2009

Fragility Fracture Secondary Prevention
Highcock AJ, Cohen D, Chapman E, Sarkar S, Manning M and Tsang JSF.
Age & Ageing Journal. Vol. 37; Supplement 4
British Geriatrics Society National Conference, Birmingham, Nov 2008. 

Optimisation of ankle fractures requiring surgery – Can length of stay be reduced?
Highcock AJ, Robinson SJ, Sherry PG
J Bone Joint Surg Br 2012 94-B:(SUPP XIII)7
British Orthopaedic Specialists Association, 6thAnnual meeting, May 2010

Orthogeriatric input in fragility fractures improves secondary prevention care
Highcock AJ, Cohen D, Manning M and Tsang JSF
Osteoporosis International, vol. 20, 2009 pp. S283-S283. 

Fragility Fracture Secondary Prevention: Are we doing enough?
Cohen D, Highcock AJ, Manning M and Tsang JSF.
European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO) Athens, Mar 2009

Bisphosphonate Therapy in Fragility Fractures
Highcock AJ, Cohen D, Manning M and Tsang JSF.
Journal of Clinical Densitometry, Volume 12, Issue 3, Pages 392-393

Translation predicts revision surgery in supracondylar fractures of the elbow in children
Holland P, Highcock AJ, Bruce CE
British Elbow and Shoulder Society, Jun 2013