Raheel has been actively involved in research throughout his career. He has been involved in several clinical and basic science research studies which have culminated in publications and added to the knowledge base of evidence. Some examples of his research studies are:
• The recurrence of hallux valgus due to metatarsus adductus, a radiographic study:
R Shariff, A Aiyer, L Ying, M Myerson. Institute for Foot & Ankle Reconstruction at Mercy, Baltimore, USA. September 2013
This was a large study looking at the incidence and demographics of metatarsus adductus in a total of 800 patients who have been treated surgically for hallux valgus. We defined the incidence of metatarsus adductus, recurrence of hallux valgus following corrective surgery in this patient group and determine prognostic factors radiographic/clinical which may contribute to recurrence. Data collected and analysed on 800 patients. This work is due to be presented at the American Academy of Foot & Ankle Surgeons Meeting in 2015.
• Mortons neuroma: a cadaveric, radiographic and histopathological study:
R Shariff, A Aiyer, M Myerson. Institute for Foot & Ankle Reconstruction at Mercy, Baltimore, USA. October 2013
This study is aiming to look at the contributory factors for a Morton’s neuroma. We believe there is a strong mechanical component to the development of a neuroma, although this has not been proven. Our study aims to correlate anatomic, radiographic and histopathological findings which may contribute to the lesion. Nine cadaveric specimens have been dissected and studied histopathological study to isolate the degree of degenerative changes with respect to the position of intermetatarsal ligament.
• Midfoot bone block allograft fusion study
R Shariff, A Aiyer, M Myerson. Institute for Foot & Ankle Reconstruction at Mercy, Baltimore, USA. November 2013
To determine the results of the midfoot distraction bone block in patients. Successful union, contributing factors to nonunion and pain scores were assessed.
• The role of postural changes in capillary microcirculation in the perioperative period in foot surgery
F.Attar, R.Shariff, D.Selvan, D.Machin & N. Geary - Arrowe Park Hospital, October 2003.
This research project was set up following the senior author’s observation that it takes 48 hours for the microcirculation in feet to normalize following foot surgery. This was assessed using a Doppler flowmeter pre-operatively and post-operatively, and the time taken for the microcirculation to normalize was recorded.
This culminated in a full paper which has been published in the Journal of Foot & Ankle Surgery.
• Kinematic Assessment of Hip Movements whilst bending to pick an object from the floor
R Shariff, S Panchnani, J Moorehead, S Scott - Department of Orthopaedic Research, University Hospital Aintree, September 2007.
Following hip replacement surgery, patients must restrict the range of exaggerated movements of their operated hip for the initial few weeks, to avoid risk of dislocation. During this period one potential activity of daily living which can put the hip at risk of dislocation is picking an object from the floor. This study aimed to assess the flexion and rotation at the hip joint in normal subjects, whilst adopting different postures of picking an object from the floor, ascertaining which posture minimizes the amount of exaggerated hip movement. This information was then used to correlate which posture reduces the risk of dislocation. We obtained ethics approval and completed the study, with 50 hips being measured. This has been presented at EFFORT 2009. This study culminated in a paper which has been published in the Journal of Orthopaedic Surgery and Research in 2011.
Raheel is passionate about training and supervises speciality doctors, junior doctors and medical students at Central Manchester University Hospitals NHS Foundation Trust.
He is an invited faculty for several national and regional courses.
• Manchester Cadaveric Hindfoot course
• Blackburn Cadaveric Forefoot course
• Liverpool FRCS (Tr & Orth) course
Examiner for Regional FRCS clinical preparation programme -
o Royal Liverpool & Broadgreen University Hospital - 2013, 2014
o University Hospital Aintree - March 2014
o St Helens & Knowsley Teaching Hospitals - March 2014