A Message from Lord Pickles and Lord Blunkett, followed by MatOrtho's best practice article

The ability to listen and learn from one another has always been vital in parliament, in business and in most aspects of daily life. But at this particular moment in time, as national and global events continue to reiterate, it is uncommonly crucial that we forge new channels of communication and reinforce existing ones. The following article from MatOrtho is an attempt to do just that. We would welcome your thoughts on this or any other Parliamentary Review article.

Blunkett signature Rt Hon The Lord David Blunkett
Pickles signature Rt Hon The Lord Eric Pickles

Highlighting best practice
MikeTuke FREng, chairman
MatOrtho Ltd, a British innovation
and manufacturing success
MatOrtho Ltd believes in safe innovation and, as a result,
has a proven history of successful hip and knee joint
replacements. MatOrtho continues to be one of the
most innovative – and the only independent – British medical
device manufacturers today. Located in Leatherhead, Surrey,
MatOrtho was established by Mike Tuke in 2010 to continue
the pioneering work of almost four decades in the orthopaedic
industry. Today, MatOrtho products are delivering some of the
best clinical results worldwide; the greatest driver and primary
goal behind this is to always put the patient first.
What we do
The Medial Rotation Knee (MRK) is a medially stabilised ball-and-socket total knee
implant and is the most successful total knee replacement on the market. This is
demonstrated in joint registries and in direct comparative studies where patients
with two knee replacements of a different design show preference for a medial
ball-and-socket-type knee as a result of its stability and strength – particularly on
stairs – and generally feeling more “normal”. The MRK was patented in 1990
based on the company’s observations of anatomy and function of the natural knee
dating back to the 1970s. This approach, along with a desire to meet patients’
growing needs, has resulted in a revolutionary and very successful knee design that
more closely resembles the movement of the natural knee.
Success in orthopaedics can be a fairly blunt measure, defined by the removal of
the implant components (known as a revision), but patient satisfaction is also a
»Chairman: MikeTuke, who
recently turned 70 and
continues to play an active role
in the company
»Established in 1978 as Finsbury
Orthopaedics, now MatOrtho
»Based in Leatherhead, Surrey
»Services: Manufacture of
orthopaedic products, the core
of which takes place in the UK;
MatOrtho is an internationally
renowned company
»No. of employees: Over 60
»The most pioneering designs
in total knee and resurfacing
hip devices were delivered by
MatOrtho and continue to be
the best in today’s market
»Core beliefs: Putting the
patient first
very important benchmark for success.
Some 20 per cent of traditional total
knee replacements leave patients
unhappy with their implant following
surgery. Studies have also shown that
only 66 per cent of patients feel their
knee to be “normal”, and recurrence
of residual symptoms and functional
problems ranges from 33 per cent to
54 per cent. However, the MatOrtho
MRK, and now also its update the
SAIPH Knee, are both demonstrating
extremely high levels of satisfaction,
with 96 per cent of patients claiming
their knee is much better five years
after surgery. Further reports show a
significantly better result compared to
other knee designs when asked about
how often the knee replacement is
Fulfilling demand
MatOrtho and its predecessor, Finsbury
Orthopaedics, were pivotal in the
successful innovative design of hip
resurfacing implants. Hip resurfacing
removes less bone than a total hip
replacement and therefore provides
younger and/or more active patients
with conservative surgical options that
allow continued high levels of activity.
Evidence demonstrates that hip
resurfacing facilitates a patient’s return
to activities sooner, without the same
restrictions to participate in sports
that a total hip replacement would
generally pose.
The ADEPT metal-on-metal (MoM)
hip resurfacing implant stands as
testimony to getting the design
right, together with a very careful
roll-out through clinical assessment.
This approach contrasts with other
companies that tried to follow and
caused misery to many patients.
MatOrtho is taking this concept a step
further by introducing a ceramic-on-
ceramic hip resurfacing implant named
ReCerf, which will be another game-
changing implant, with all the benefits
of a MoM hip resurfacing device but
without the worry to patients of metal
ions. Further to this, the technology
and design principles provide more Medial ball-and-socket
knees are preferred by
The very point
of a safe
approach and
safe clinically led
innovation is
never forgetting
who has to live
with a product
for the rest of
their lives – the
Mike Tuke FREng
Highlighting best practice
innovative implant steps that promise
vast and affordable improvement for
all conventional hip replacements
worldwide, which will eliminate hip
dislocation, improve range of motion
massively and prevent wear. This all
presents as an exciting year ahead
Ensuring quality
MatOrtho diligently and routinely
collects clinical data to ask patients
about their level of satisfaction and
ability to return to day-to-day and
leisure activities post-surgery. As a
small company we are committed to
the investment of capturing clinical
data to inform of any problems and
measure the level of success to support
our innovation process. At MatOrtho,
new products are released in a safe
and controlled way and we work very
closely with surgeon advisory panels.
This minimises the likelihood of patient
problems with costly recalls that have
caused a lot of damage to the industry
in recent times and have stifled
innovation. Listening to patients and
surgeons is extremely important, and
ultimately the outcomes benefit the
product and the patient.
In summary, the MatOrtho team has
pioneered two of the most important
designs for hip and knee replacement
since joint replacement began. We
continue to evolve both concepts with
intelligent feedback and application
of modern technologies; this is a
testament to the knowledge and
expertise at MatOrtho.
The future is promising for MatOrtho,
with key areas of work currently on:
innovating in key government grant
(Innovate UK) supported areas of
antimicrobial resistance and prevention
of infection in joint replacement;
collaboration with industry experts to
push the boundaries of integrating
technologies, for example, using
successful aerospace coatings for use
in medical devices for the first time;
continued work on clinical studies
for the SAIPH Knee to better explain
the function to patients of the medial
ball-and-socket knee, with particular
attention to the role of the patella
mechanism and ligamentous structures
to potentially further improve total
knee outcomes; the release, this year,
of one of the firstceramic-on-ceramic
resurfacing devices and re-entering the
total hip market with an innovative
and novel ceramic hip cup; advanced
instrumentation and alignment guides
to reduce the surgical factors on
clinical outcomes of joint replacement;
a move away from potentially harmful
metal-based wear surface products;
and by providing a workable solution
to the ongoing problem of modularity
in hip replacement.
As Mike Tuke remarked: “The very
point of a safe approach and safe
clinical-led innovation is never forgetting
who has to live with a product for the
rest of their lives – thepatient.”
ceramic hip
resurfacing, a
implant for
young, active
ReCerf hip resurfacing

This article was sponsored by MatOrtho. The Parliamentary Review is wholly funded by the representatives who write for it. The publication in which this article originally appeared contained the following foreword from Rt Hon Kwasi Kwarteng.

Rt Hon Kwasi Kwarteng's Foreword For The Parliamentary Review

By Rt Hon Kwasi Kwarteng

This year’s Parliamentary Review reflects on a tumultuous and extraordinary year, globally and nationally. As well as being an MP, I am a keen student of history, and I am conscious that 2020 would mark the end of an era. It will be remembered as the year in which we concluded Brexit negotiations and finally left the European Union. Above all, it will be remembered as the year of Covid-19.

In our fight against the pandemic, I am delighted that our vaccination programme is beginning to turn the tide – and I pay tribute to the British businesses, scientists and all those who have helped us to achieve this. But the virus has dealt enormous damage, and we now have a duty to rebuild our economy.

We must ensure that businesses are protected. We have made more than £350 billion available to that end, with grants, business rates relief and our furlough scheme supporting more than 11 million people and jobs in every corner of the country, maintaining livelihoods while easing the pressure on employers. The next step is to work with business to build back better and greener, putting the net zero carbon challenge at the heart of our recovery. This is a complex undertaking, but one which I hope will be recognised as a once in a lifetime opportunity.

Through the prime minister’s ten point plan for a green industrial revolution, we can level up every region of the UK, supporting 250,000 green jobs while we accelerate our progress towards net zero carbon emissions.

With our commitment to raise R&D spending to 2.4% of GDP and the creation of the Advanced Research & Invention Agency, we are empowering our fantastic researchers to take on groundbreaking research, delivering funding with flexibility and speed. With this approach, innovators will be able to work with our traditional industrial heartlands to explore new technologies, and design and manufacture the products on which the future will be built – ready for export around the globe.

And I believe trade will flourish. We are a leading nation in the fight against climate change. As the host of COP26 this year, we have an incredible opportunity to market our low-carbon products and expertise. Our departure from the EU gives us the chance to be a champion of truly global free trade; we have already signed trade deals with more than 60 countries around the world.

As we turn the page and leave 2020 behind, I am excited about the new chapter which Britain is now writing for itself, and for the opportunities which lie ahead of us.
Rt Hon Kwasi Kwarteng
Secretary of State for Business, Energy and Industrial Strategy